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Epidemiology of Children With Multiple Complex Chronic Conditions in a Mixed Urban-Rural US Community

Kara A Bjur1, Chung-Il Wi2, Euijung Ryu2

  • 1Mayo Clinic, Rochester, Minnesota bjur.kara@mayo.edu.

Hospital Pediatrics
|March 30, 2019
PubMed

Insights

The prevalence and incidence of children with multiple complex chronic conditions (MCCs) significantly increased from 1999 to 2014. Health disparities exist, highlighting the need for better healthcare planning for these children.

Area of Science:

  • Pediatric Health Services Research
  • Chronic Disease Epidemiology
  • Health Disparities Research

Background:

  • Children with multiple complex chronic conditions (MCCs) incur disproportionate healthcare costs and mortality.
  • Limited data exists on temporal trends of MCCs in pediatric populations, hindering effective healthcare planning and policy.
  • Understanding these trends is crucial for resource allocation and improving care for vulnerable children.

Purpose of the Study:

  • To assess temporal trends in the prevalence and incidence of pediatric MCCs within a defined US population.
  • To characterize MCCs by age, sex, ethnicity, and socioeconomic status (SES).
  • To identify potential health disparities associated with MCCs in children.

Main Methods:

  • A population-based, repeated cross-sectional study utilizing the Rochester Epidemiology Project in Olmsted County, Minnesota (1999-2014).
  • Identification of children with MCCs using the Pediatric Complex Chronic Conditions Classification System version 2.
  • Calculation of 5-year period prevalence and incidence rates, adjusted for age, sex, and ethnicity.

Main Results:

  • Five-year prevalence of pediatric MCCs increased from 1200 to 1938 per 100,000 persons.
  • Five-year incidence of pediatric MCCs rose from 256 to 335 per 100,000 person-years.
  • MCCs were more prevalent in children with lower SES and from racial minority backgrounds.

Conclusions:

  • Significant increases in both prevalence and incidence of pediatric MCCs were observed over the study period.
  • Health disparities exist among children with MCCs, particularly concerning socioeconomic status and race.
  • Further assessment of clinical and financial outcomes is necessary for informed healthcare planning and resource management for children with MCCs.
Abstract

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