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[Multimorbidity and comorbidity in the Dutch population--data from general practices]
Sandra H van Oostrom1, H Susan J Picavet, Boukje M van Gelder
1Rijksinstituut voor Volksgezondheid en Milieu, Centrum voor Preventie en Zorg Onderzoek, Bilthoven, the Netherlands. sandra.van.oostrom@rivm.nl
Nederlands Tijdschrift Voor Geneeskunde
|May 19, 2011
Summary
Multimorbidity affects nearly 13% of the Dutch population, rising to 37% in those over 55. This highlights the significant burden of multiple chronic diseases, especially in older adults, necessitating policy and research adjustments.
Area of Science:
- Epidemiology
- Public Health
Context:
- The Netherlands Information Network of General Practice (LINH) provided a 7-year dataset (2002-2008).
- Multimorbidity was defined as two or more of 29 chronic diseases.
- Analysis focused on prevalence, sex, age, and comorbidity patterns in older adults.
Purpose:
- To determine the prevalence of multimorbidity and comorbidity of chronic diseases in the Dutch population.
- To analyze disease clustering and comorbidity patterns in individuals aged 55 and older.
Summary:
- Nearly 13% of the total Dutch population and 37% of individuals aged 55+ experienced multimorbidity.
- Over 70% of elderly patients with one of ten prevalent chronic diseases had at least one additional chronic condition.
- Common comorbidities included depression with anxiety, coronary heart disease with heart failure, and COPD with heart failure.
Impact:
- Findings underscore the high prevalence of multimorbidity, particularly in the elderly.
- Identifies specific disease combinations that frequently co-occur.
- Emphasizes the need to integrate multimorbidity considerations into healthcare delivery, research, and policy, especially given an aging population.
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