Comorbidity, multimorbidity, dual diagnosis — synonyms or different terms?
https://doi.org/10.15829/1728-8800-2019-2-65-69
Abstract
The authors express their opinion on the problem of the terminology of the combined pathology in modern clinical practice. The terms “comorbidity”, “multimorbidity”, “dual diagnosis” are considered in terms of conceptual differences. The issues of diagnostics, classification and modern clinical recommendations for patients with combined pathology are also discussed. Given the variety of terminology and the ambiguity of the semantic component in the discussion of the problem of comorbidity/ multimorbidity, it seems justified for the medical community to come a common consensus in terms of terminology, classification and diagnosis. It will help to avoid mistakes and disagreements between physicians of various specialties.
About the Authors
O. M. Drapkina
National Medical Research Center for Preventive Medicine
Russian Federation
Russian Federation
Moscow
A. M. Shutov
Ulyanovsk State University
Russian Federation
Russian Federation
E. V. Efremova
Ulyanovsk State University
Russian Federation
Russian Federation
References
1. Oganov RG. Vascular comorbidity: general approaches to prevention and treatment. Rational Pharmacotherapy in Cardiology. 2015; 11(1):4-7. (In Russ.)
2. Oganov RG, Drapkina OM. Polymorbidity: specifics of co-development and concomitance of several diseases in one patient. Cardiovascular Therapy and Prevention. 2016; 15(4):4-9. (In Russ.) doi:10.15829/1728-8800-2016-4-4-9.
3. World Health Organization. Preventing chronic diseases: a vital investment. Geneva: WHO, 2005. p.182. ISBN: 92 4 1563001.
4. The Demographic Yearbook of Russia. 2017: Statistical Handbook/Rosstat. M., 2017. p.263. (In Russ.) Демографический ежегодник России. 2017: Стат. сб./Росстат. M., 2017. 263 c. ISBN 978-5-89476-447-4.
5. Wu SY, Green A. Projection of chronic illness prevalence and cost inflation. Santa Monica, CA: RAND Health, 2000.
6. Marengoni A, Angleman S, Melis R, et al. Ageing with multimorbidity: a systematic review of the literature. Ageing Res Rev. 2011; 10(4):430-9. doi:10.1016/j.arr.2011.03.003.
7. Valderas JM, Starfield B, Sibbald B, et al. Defining comorbidity: implications for understanding health and health services. Ann Fam Med. 2009;7(4):357-63. doi:10.1370/afm.983.
8. Oganov RG, Denisov IN, Simanenkov VI, et al. Comorbidities in practice. Clinical guidelines. Cardiovascular Therapy and Prevention. 2017;16(6):5-56. (In Russ.) doi:10.15829/1728-8800-2017-6-5-56.
9. Vertkin AL, Skotnikov AS. Comorbidity. Lechashchii vrach. 2013;6:66-9. (In Russ.)
10. Feinstein A. The pre-therapeutic classification of comorbidity in chronic disease. J Chron Dis. 1970;23(7):455-68.
11. Van den Akker M, Buntinx F, Roos S. Comorbidity or multimorbidity: what's in a name? A review of the literature. Eur J Gen Pract.1996;2:65-7.
12. Boyd CM, Fortin M. Future of multimorbidity research: How should understanding of multimorbidity inform health system design? Public Health Rev. 2010;32(2):451-74.
13. Meghani SH, Buck HG, Dickson VV, et al. The Conceptualization and Measurement of Comorbidity: A Review of the Interprofessional Discourse. Nurs Res Pract. 2013;2013:192782. doi:10.1155/2013/192782.
14. Kernick D, Chew-Graham CA, O'Flynn N. Clinical assessment and management of multimorbidity: NICE guideline. Br J Gen Pract. 2017;67(658):235-56. doi:10.3399/bjgp17X690857.
15. Gomes F, Schuetz P, Bounoure L, et al. ESPEN guidelines on nutritional support for polymorbid internal medicine patients. Clin Nutr. 2018;37(1):336-53. doi:10.1016/j.clnu.2017.06.025.
16. Belyalov FI. Twenty thesis of comorbidity. Clinical medicine. 2009;12:69-71. (In Russ.)
17. Almirall J, Fortin M. The coexistence of terms to describe the presence of multiple concurrent diseases. J Comorb. 2013;3:4-9.
18. Baldacchino A, Corkery J. Comorbidity: European Collaborating Centres in Addiction Studies, 2006. p. 365. ISBN: 1 897778082.
19. Valderas JM, Mercer SW, Martin Fortin M. Research on patients with multiple health conditions: different constructs, different views, one voice. J Comorb. 2011;1:1-3.
20. Fortin M, Stewart M, Poitras ME, et al. A systematic review of prevalence studies on multimorbidity: Toward a more uniform methodology. Ann Fam Med. 2012;10(2):142-51. doi:10.1370/afm.1337
Review
For citations:
Drapkina O.M., Shutov A.M., Efremova E.V. Comorbidity, multimorbidity, dual diagnosis — synonyms or different terms? Cardiovascular Therapy and Prevention. 2019;18(2):65-69. (In Russ.) https://doi.org/10.15829/1728-8800-2019-2-65-69
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