Rheumatic diseases and multimorbidity


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Abstract

In the past decade, investigators’ undeniable and justified interest has not been fading in comorbidities in the presence of rheumatic diseases. The terms «comorbidity» and «multimorbidity» are frequently and not always consciously used as interinterchangeable, confusing the terminology and accordingly the elaboration of strategies for further researches. The concepts «co-occurring disease» and «multimodality» are not mutually exclusive or contradictory, but these should be considered from another point of view than «comorbidity». The problem of multimorbid disease is the rule rather than the exception for clinicians treating primarily «typical» rheumatic patients. Recent researches could outline a few key areas for further study of the concept of multimorbidity in rheumatologic practice, which will be able to turn the international research community from rheumatic disease to the patient as a whole.

References

  1. Perruccio AV, Power JD, Badley EM. The relative impact of 13 chronic conditions across three different outcomes. Epidemiol CommunityHealth. 2007;61:1056-1061.
  2. Насонов Е.Л. Достижения ревматологии в XXI веке. Научно-практическая ревматология. 2014;52(2):133-140. http://dx.doi.org/10.14412/rsp20142
  3. Галушко Е.А., Большакова Т.Ю., Виноградова И.Б., Иванова О.Н., Лесняк О.М., Меньшикова Л.В., Петрачкова Т.Н., Эрдес Ш.Ф. Структура ревматических заболеваний среди взрослого населения России по данным эпидемиологического исследования (предварительные результаты). Научно-практическая ревматология. 2009;1(47):11-17.
  4. Насонов Е.Л., Каратеев Д.Е., Чичасова Н.В. Рекомендации EULAR по лечению ревматоидного артрита — 2013: общая характеристика и дискуссионные проблемы. Научно-практическая ревматология. 2013;6(51):609-622. http://dx.doi.org/10.14412/1995-4484-2013-609-22
  5. Solomon DH, Peters MJL, Nurmohamed MT, Dixon W. Motion for debate: the data support evidence-based management recommendations for cardiovascular diseases in rheumatoid arthritis. ArthritisRheum. 2013;65:1675-1683. doi: 10.1002/art.37975.
  6. Marigliano B, Soriano A, Margiotta D, Vadacca M, Afeltra A. Lung involvement in connective tissue diseases: A comprehensive review and a focus on rheumatoid arthritis. Autoimmun Rev. 2013;12(11):1076-1084.
  7. Anders H-J, Vielhauer V. Renal co-morbidity in patients with rheumatic diseases. Arthritis Res Ther. 2011;13:222-232.
  8. Turesson EL. Malignancy as a comorbidity in rheumatic diseases. Rheumatology. 2013;52(1):5-14.
  9. Панафидина Т.А., Кондратьева Л.В., Герасимова Е.В., Новикова Д.С., Попкова Т.В. Коморбидность при ревматоидном артрите. Научно-практическая ревматология 2014;52(3):283-289. http://dx.doi.org/10.14412/1995-4484-2014-283-289
  10. Лисицина Т.А., Вельтищев Д.Ю., Насонов Е.Л. Стрессовые факторы и депрессивные расстройства при ревматических заболеваниях. Научно-практическая ревматология. 2013;51(2): 98-103.
  11. Гордеев А.В., Галушко Е.А., Насонов Е.Л. Концепция мультиморбидности в ревматологической практике. Научно-практическая ревматология. 2014;52(4):362-365.
  12. doi:http://dx.doi.org/10.14412/rsp20144.
  13. Radner H, Yoshida K, Smolen JS, Solomon DH. Multimorbidity and rheumatic conditions-enhancing the concept of comorbidity. Nat Rev Rheumatol. 2014;10(4):252-156. doi: 10.1038/nrrheum.2013.212.
  14. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012;380(9836):37-43. doi: 10.1016/S0140-6736(12)60240-2.
  15. Feinstein A. The pre/therapeutic classification of co/morbidity in chronic disease. J Chron Dis. 1970;23:455-469.
  16. van den Bussche H, Schön G, Kolonko T, Hansen H, Wegscheider K, Glaeske G, Koller D. Patterns of ambulatory medical care utilization in elderly patients with special reference to chronic diseases and multimorbidity — results from a claims data based observational study in Germany. BMC Geriatr. 2011;11:54. doi: 10.1186/1471-2318-11-54.
  17. van den Akker M. Comorbidity or multimorbidity: what’s in a name? Eur J Gen Pract. 1996;20:65-70.
  18. Fried LP, Ferrucci L, Darer J, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty,and comorbidity: Implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004;59(3):255-263.
  19. Marengoni A, Fratiglioni L. Disease clusters in older adults: rationale and need for investigation. J Am Geriatr Soc. 2011;59(12):2395-2396. doi: 10.1111/j.1532-5415.2011.03687.x.
  20. Marengoni A, Rizzuto D, Wang H-X, Winblad B, Fratiglioni L. Patterns of chronic multimorbidity in the elderly population. J Am GeriatrSoc. 2009;57(2):225-230. doi: 10.1111/j.1532-5415.2008.02109.x.
  21. Le Reste JY, Nabbe P, Manceau B, Lygidakis C, Doerr C, Lingner H, Czachowski S, Munoz M, Argyriadou S, Claveria A, Le Floch B, Barais M, Bower P, Van Marwijk H, Van Royen P, Lietard C. The European General Practice Research Network Presents a Comprehensive Definition of Multimorbidity in Family Medicine and Long Term Care, Following a Systematic Review of Relevant Literature. J Am Med Dir Assoc. 2013;14(5):319-325. doi: 10.1016/j.jamda.2013.01.001.
  22. Lee Y, Wolfe F, Michaud K. Patterns of Pain Medication Use Among Rheumatoid Arthritis Patients From 2000—2010. Arthritis Rheum. 2011;63(10)suppl:159-160.
  23. Wong A. Longitudinal administrative data can be used to examine multimorbidity, provided false discoveries are controlled for. J Clin Epidemiol. 2011;64:1109-1117.
  24. van den Bussche H, Koller D, Kolonko T, Hansen H, Wegscheider K, Glaeske G, von Leitner EC, Schäfer I, Schön G. Which chronic diseases and disease combinations are specific to multimorbidity in the elderly? Results of a claims data based cross-sectional study in Germany. BMC Public Health. 2011;11:101. http://www.biomedcentral.com/1471-2458/11/101.
  25. Prados-Torres A. Multimorbidity patterns: a systematic review. J Clin Epidemiol. 2014;67(3):254-266. doi: 10.1016/j.jclinepi.2013.09.021.
  26. Parsons JK. Obesity and benign prostatic hyperplasia: clinical connections, emerging tiological paradigms and future directions. J Urol. 2009;182:S27e31.
  27. Loza E, Jover JA, Rodriguez L, Carmona L; EPISER Study Group. Multimorbidity: Prevalence, Effect on Quality of Life and Daily Functioning, and Variation of This Effect when one Condition Is a Rheumatic Disease. Semin Arthritis Rheum. 2009;38(4):312-319. doi: 10.1016/j.semarthrit.2008.01.004.
  28. Campbell-Scherer D. Multimorbidity: a challenge for evidence-based medicine. Evid Based Med. 2010;15(6):165-166. doi: 10.1136/ebm1154.
  29. Smolen JS, Landewé R, Breedveld FC, Buch M, Burmester G, Dougados M, Emery P, Gaujoux-Viala C, Gossec L, Nam J, Ramiro S, Winthrop K, de Wit M, Aletaha D, Betteridge N, Bijlsma JW, Boers M, Buttgereit F, Combe B, Cutolo M, Damjanov N, Hazes JM, Kouloumas M, Kvien TK, Mariette X, Pavelka K, van Riel PL, Rubbert-Roth A, Scholte-Voshaar M, Scott DL, Sokka-Isler T, Wong JB, van der Heijde D. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2013 update. Ann Rheum Dis. 2014;73(3):492-509. http://dx.doi.org/10.1136/annrheumdis-2013-204573
  30. Lu B, Hiraki LT, Sparks JA, Malspeis S, Chen CY, Awosogba JA, Arkema EV, Costenbader KH, Karlson EW. Being overweight or obese and risk of developing rheumatoid arthritis among women: a prospective cohort study Ann Rheum Dis. 2014;73:1914-1922.
  31. Sandberg ME, Bengtsson C, Källberg H, Wesley A, Klareskog L, Alfredsson L, Saevarsdottir S. Overweight decreases the chance of achieving good response and low disease activity in early rheumatoid arthritis. Ann Rheum Dis. 2014;73:2029-2033. doi: 10.1136/annrheumdis-2013-205094.
  32. Loza E, Jover JA, Rodriguez L, Carmona L; EPISER Study Group. Multimorbidity: Prevalence, Effect on Quality of Life and Daily Functioning, and Variation of This Effect When one Condition Is a Rheumatic Disease Semin Arthritis Rheum. 2009;38:312-319.

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