The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.
Categorical classification of MENTAL DISORDERS based on criteria sets with defining features. It is produced by the American Psychiatric Association. (DSM-IV, page xxii)
Persistent and disabling ANXIETY.
Those disorders that have a disturbance in mood as their predominant feature.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
The co-existence of a substance abuse disorder with a psychiatric disorder. The diagnostic principle is based on the fact that it has been found often that chemically dependent patients also have psychiatric problems of various degrees of severity.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
The use of severity-of-illness measures, such as age, to estimate the risk (measurable or predictable chance of loss, injury or death) to which a patient is subject before receiving some health care intervention. This adjustment allows comparison of performance and quality across organizations, practitioners, and communities. (from JCAHO, Lexikon, 1994)
Disorders related to substance abuse.
Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.
An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.
Anxiety disorders in which the essential feature is persistent and irrational fear of a specific object, activity, or situation that the individual feels compelled to avoid. The individual recognizes the fear as excessive or unreasonable.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Marked depression appearing in the involution period and characterized by hallucinations, delusions, paranoia, and agitation.
A major deviation from normal patterns of behavior.
Disorders whose essential features are the failure to resist an impulse, drive, or temptation to perform an act that is harmful to the individual or to others. Individuals experience an increased sense of tension prior to the act and pleasure, gratification or release of tension at the time of committing the act.
A directed conversation aimed at eliciting information for psychiatric diagnosis, evaluation, treatment planning, etc. The interview may be conducted by a social worker or psychologist.
A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic. (Morse & Flavin for the Joint Commission of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism: in JAMA 1992;268:1012-4)
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.
The confinement of a patient in a hospital.
A class of traumatic stress disorders with symptoms that last more than one month. There are various forms of post-traumatic stress disorder, depending on the time of onset and the duration of these stress symptoms. In the acute form, the duration of the symptoms is between 1 to 3 months. In the chronic form, symptoms last more than 3 months. With delayed onset, symptoms develop more than 6 months after the traumatic event.
Former members of the armed services.
A type of anxiety disorder characterized by unexpected panic attacks that last minutes or, rarely, hours. Panic attacks begin with intense apprehension, fear or terror and, often, a feeling of impending doom. Symptoms experienced during a panic attack include dyspnea or sensations of being smothered; dizziness, loss of balance or faintness; choking sensations; palpitations or accelerated heart rate; shakiness; sweating; nausea or other form of abdominal distress; depersonalization or derealization; paresthesias; hot flashes or chills; chest discomfort or pain; fear of dying and fear of not being in control of oneself or going crazy. Agoraphobia may also develop. Similar to other anxiety disorders, it may be inherited as an autosomal dominant trait.
A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated. These behaviors include aggressive conduct that causes or threatens physical harm to other people or animals, nonaggressive conduct that causes property loss or damage, deceitfulness or theft, and serious violations of rules. The onset is before age 18. (From DSM-IV, 1994)
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.
An anxiety disorder characterized by recurrent, persistent obsessions or compulsions. Obsessions are the intrusive ideas, thoughts, or images that are experienced as senseless or repugnant. Compulsions are repetitive and seemingly purposeful behavior which the individual generally recognizes as senseless and from which the individual does not derive pleasure although it may provide a release from tension.
Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.
Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)
The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
A behavior disorder originating in childhood in which the essential features are signs of developmentally inappropriate inattention, impulsivity, and hyperactivity. Although most individuals have symptoms of both inattention and hyperactivity-impulsivity, one or the other pattern may be predominant. The disorder is more frequent in males than females. Onset is in childhood. Symptoms often attenuate during late adolescence although a minority experience the full complement of symptoms into mid-adulthood. (From DSM-V)
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Elements of limited time intervals, contributing to particular results or situations.
A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.
A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.
The age, developmental stage, or period of life at which a disease or the initial symptoms or manifestations of a disease appear in an individual.
The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.
Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
A system of categories to which morbid entries are assigned according to established criteria. Included is the entire range of conditions in a manageable number of categories, grouped to facilitate mortality reporting. It is produced by the World Health Organization (From ICD-10, p1). The Clinical Modifications, produced by the UNITED STATES DEPT. OF HEALTH AND HUMAN SERVICES, are larger extensions used for morbidity and general epidemiological purposes, primarily in the U.S.
A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
Social and economic factors that characterize the individual or group within the social structure.
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
Disorders affecting TWINS, one or both, at any age.
The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.
Feeling or emotion of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS.
The period of confinement of a patient to a hospital or other health facility.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
The measurement of the health status for a given population using a variety of indices, including morbidity, mortality, and available health resources.
Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.
The performance of the basic activities of self care, such as dressing, ambulation, or eating.
Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
Persistent difficulty discarding or parting with possessions, regardless of the value of these possessions. Epidemiological studies suggest that hoarding occurs in 2-5% of the population and can lead to substantial distress and disability, as well as serious public health consequences.
A group of disorders characterized by physiological and psychological disturbances in appetite or food intake.
Obsessive, persistent, intense fear of open places.
Evaluation of the level of physical, physiological, or mental functioning in the older population group.
Factors which produce cessation of all vital bodily functions. They can be analyzed from an epidemiologic viewpoint.
Disorders having the presence of physical symptoms that suggest a general medical condition but that are not fully explained by a another medical condition, by the direct effects of a substance, or by another mental disorder. The symptoms must cause clinically significant distress or impairment in social, occupational, or other areas of functioning. In contrast to FACTITIOUS DISORDERS and MALINGERING, the physical symptoms are not under voluntary control. (APA, DSM-V)
Includes two similar disorders: oppositional defiant disorder and CONDUCT DISORDERS. Symptoms occurring in children with these disorders include: defiance of authority figures, angry outbursts, and other antisocial behaviors.
Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure.
A class of disabling primary headache disorders, characterized by recurrent unilateral pulsatile headaches. The two major subtypes are common migraine (without aura) and classic migraine (with aura or neurological symptoms). (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
A personality disorder whose essential feature is a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood. The individual must be at least age 18 and must have a history of some symptoms of CONDUCT DISORDER before age 15. (From DSM-IV, 1994)
Preoccupation with the fear of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms. (APA, DSM-IV)
A cancer registry mandated under the National Cancer Act of 1971 to operate and maintain a population-based cancer reporting system, reporting periodically estimates of cancer incidence and mortality in the United States. The Surveillance, Epidemiology, and End Results (SEER) Program is a continuing project of the National Cancer Institute of the National Institutes of Health. Among its goals, in addition to assembling and reporting cancer statistics, are the monitoring of annual cancer incident trends and the promoting of studies designed to identify factors amenable to cancer control interventions. (From National Cancer Institute, NIH Publication No. 91-3074, October 1990)
A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.
Services for the diagnosis and treatment of disease and the maintenance of health.
A legal concept that an accused is not criminally responsible if, at the time of committing the act, the person was laboring under such a defect of reason from disease of the mind as not to know the nature and quality of the act done or if the act was known, to not have known that what was done was wrong. (From Black's Law Dictionary, 6th ed)
The unsuccessful attempt to kill oneself.
The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.
Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
Used for excision of the urinary bladder.
Parliamentary democracy located between France on the northeast and Portugual on the west and bordered by the Atlantic Ocean and the Mediterranean Sea.
Statistical interpretation and description of a population with reference to distribution, composition, or structure.
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Recording of pertinent information concerning patient's illness or illnesses.
The determination and evaluation of personality attributes by interviews, observations, tests, or scales. Articles concerning personality measurement are considered to be within scope of this term.
A loosely defined grouping of drugs that have effects on psychological function. Here the psychotropic agents include the antidepressive agents, hallucinogens, and tranquilizing agents (including the antipsychotics and anti-anxiety agents).
The study of significant causes and processes in the development of mental illness.
Hospitals providing medical care to veterans of wars.
Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
Persons admitted to health facilities which provide board and room, for the purpose of observation, care, diagnosis or treatment.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
An activity distinguished primarily by an element of risk in trying to obtain a desired goal, e.g., playing a game of chance for money.
Procedures which temporarily or permanently remedy insufficient cleansing of body fluids by the kidneys.
Mood-stimulating drugs used primarily in the treatment of affective disorders and related conditions. Several MONOAMINE OXIDASE INHIBITORS are useful as antidepressants apparently as a long-term consequence of their modulation of catecholamine levels. The tricyclic compounds useful as antidepressive agents (ANTIDEPRESSIVE AGENTS, TRICYCLIC) also appear to act through brain catecholamine systems. A third group (ANTIDEPRESSIVE AGENTS, SECOND-GENERATION) is a diverse group of drugs including some that act specifically on serotonergic systems.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
A disease of chronic diffuse irreversible airflow obstruction. Subcategories of COPD include CHRONIC BRONCHITIS and PULMONARY EMPHYSEMA.
Individuals whose ancestral origins are in the continent of Europe.
The number of males and females in a given population. The distribution may refer to how many men or women or what proportion of either in the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.
Pathological conditions involving the HEART including its structural and functional abnormalities.
Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.
A personality disorder marked by a pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts. (DSM-IV)
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Disorders related to or resulting from abuse or mis-use of alcohol.
Chronically depressed mood that occurs for most of the day more days than not for at least 2 years. The required minimum duration in children to make this diagnosis is 1 year. During periods of depressed mood, at least 2 of the following additional symptoms are present: poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self esteem, poor concentration or difficulty making decisions, and feelings of hopelessness. (DSM-IV)
Various conditions with the symptom of HEADACHE. Headache disorders are classified into major groups, such as PRIMARY HEADACHE DISORDERS (based on characteristics of their headache symptoms) and SECONDARY HEADACHE DISORDERS (based on their etiologies). (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)
A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system.
Disorders in which there is a loss of ego boundaries or a gross impairment in reality testing with delusions or prominent hallucinations. (From DSM-IV, 1994)
Subsequent admissions of a patient to a hospital or other health care institution for treatment.
Impaired ability in numerical concepts. These inabilities arise as a result of primary neurological lesion, are syndromic (e.g., GERSTMANN SYNDROME ) or acquired due to brain damage.
Behavior-response patterns that characterize the individual.
The experimental study of the relationship between the genotype of an organism and its behavior. The scope includes the effects of genes on simple sensory processes to complex organization of the nervous system.
Methods which attempt to express in replicable terms the extent of the neoplasm in the patient.
Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.
Organized services to provide mental health care.
Check list, usually to be filled out by a person about himself, consisting of many statements about personal characteristics which the subject checks.
Deaths that occur before LIFE EXPECTANCY is reached within a given population.
Refusal of the health professional to initiate or continue treatment of a patient or group of patients. The refusal can be based on any reason. The concept is differentiated from PATIENT REFUSAL OF TREATMENT see TREATMENT REFUSAL which originates with the patient and not the health professional.
The use of multiple drugs administered to the same patient, most commonly seen in elderly patients. It includes also the administration of excessive medication. Since in the United States most drugs are dispensed as single-agent formulations, polypharmacy, though using many drugs administered to the same patient, must be differentiated from DRUG COMBINATIONS, single preparations containing two or more drugs as a fixed dose, and from DRUG THERAPY, COMBINATION, two or more drugs administered separately for a combined effect. (From Segen, Dictionary of Modern Medicine, 1992)
Fractures of the FEMUR HEAD; the FEMUR NECK; (FEMORAL NECK FRACTURES); the trochanters; or the inter- or subtrochanteric region. Excludes fractures of the acetabulum and fractures of the femoral shaft below the subtrochanteric region (FEMORAL FRACTURES).
A performance measure for rating the ability of a person to perform usual activities, evaluating a patient's progress after a therapeutic procedure, and determining a patient's suitability for therapy. It is used most commonly in the prognosis of cancer therapy, usually after chemotherapy and customarily administered before and after therapy. It was named for Dr. David A. Karnofsky, an American specialist in cancer chemotherapy.
A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.
A range of values for a variable of interest, e.g., a rate, constructed so that this range has a specified probability of including the true value of the variable.
Theoretical representations that simulate psychological processes and/or social processes. These include the use of mathematical equations, computers, and other electronic equipment.
Pathological processes of the KIDNEY or its component tissues.
New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.
Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.
A group of disorders characterized by physical symptoms that are affected by emotional factors and involve a single organ system, usually under AUTONOMIC NERVOUS SYSTEM control. (American Psychiatric Glossary, 1988)
Excretory-related psychiatric disorders usually diagnosed in infancy or childhood.
Those occurrences, including social, psychological, and environmental, which require an adjustment or effect a change in an individual's pattern of living.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.
A generic term for the treatment of mental illness or emotional disturbances primarily by verbal or nonverbal communication.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
Research techniques that focus on study designs and data gathering methods in human and animal populations.
The act of killing oneself.
Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.
Disorder characterized by an emotionally constricted manner that is unduly conventional, serious, formal, and stingy, by preoccupation with trivial details, rules, order, organization, schedules, and lists, by stubborn insistence on having things one's own way without regard for the effects on others, by poor interpersonal relationships, and by indecisiveness due to fear of making mistakes.
Tumors or cancer of the PROSTATE.
A disorder characterized by recurrent episodes of paroxysmal brain dysfunction due to a sudden, disorderly, and excessive neuronal discharge. Epilepsy classification systems are generally based upon: (1) clinical features of the seizure episodes (e.g., motor seizure), (2) etiology (e.g., post-traumatic), (3) anatomic site of seizure origin (e.g., frontal lobe seizure), (4) tendency to spread to other structures in the brain, and (5) temporal patterns (e.g., nocturnal epilepsy). (From Adams et al., Principles of Neurology, 6th ed, p313)
Inorganic compounds that contain lithium as an integral part of the molecule.
Assessment of psychological variables by the application of mathematical procedures.
The portion of the upper rounded extremity fitting into the glenoid cavity of the SCAPULA. (from Stedman, 27th ed)
The symptom of PAIN in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of HEADACHE DISORDERS.
Disorders characterized by recurrent TICS that may interfere with speech and other activities. Tics are sudden, rapid, nonrhythmic, stereotyped motor movements or vocalizations which may be exacerbated by stress and are generally attenuated during absorbing activities. Tic disorders are distinguished from conditions which feature other types of abnormal movements that may accompany another another condition. (From DSM-IV, 1994)
Eating an excess amount of food in a short period of time, as seen in the disorder of BULIMIA NERVOSA. It is caused by an abnormal craving for food, or insatiable hunger also known as "ox hunger".
The seeking and acceptance by patients of health service.
Mood or emotional responses dissonant with or inappropriate to the behavior and/or stimulus.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
Created 7 April 1992 as a result of the division of Yugoslavia.
Tobacco used to the detriment of a person's health or social functioning. Tobacco dependence is included.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Disturbances in mental processes related to learning, thinking, reasoning, and judgment.
The behavior of performing an act persistently and repetitively without it leading to reward or pleasure. The act is usually a small, circumscribed behavior, almost ritualistic, yet not pathologically disturbing. Examples of compulsive behavior include twirling of hair, checking something constantly, not wanting pennies in change, straightening tilted pictures, etc.
A province of Canada, lying between the provinces of Alberta and Manitoba. Its capital is Regina. It is entirely a plains region with prairie in the south and wooded country with many lakes and swamps in the north. The name was taken from the Saskatchewan River from the Cree name Kisiskatchewani Sipi, meaning rapid-flowing river. (From Webster's New Geographical Dictionary, 1988, p1083 & Room, Brewer's Dictionary of Names, 1992, p486)
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Based on known statistical data, the number of years which any person of a given age may reasonably expected to live.
The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)
A province of Canada, lying between the provinces of Saskatchewan and Ontario. Its capital is Winnipeg. Taking its name from Lake Manitoba, itself named for one of its islands, the name derived from Algonquian Manitou, great spirit. (From Webster's New Geographical Dictionary, 1988, p724 & Room, Brewer's Dictionary of Names, 1992, p332)
The compulsory portion of Medicare that is known as the Hospital Insurance Program. All persons 65 years and older who are entitled to benefits under the Old Age, Survivors, Disability and Health Insurance Program or railroad retirement, persons under the age of 65 who have been eligible for disability for more than two years, and insured workers (and their dependents) requiring renal dialysis or kidney transplantation are automatically enrolled in Medicare Part A.
An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.
The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.
Disorders in which the symptoms are distressing to the individual and recognized by him or her as being unacceptable. Social relationships may be greatly affected but usually remain within acceptable limits. The disturbance is relatively enduring or recurrent without treatment.
Method for obtaining information through verbal responses, written or oral, from subjects.
The field concerned with the interrelationship between the brain, behavior and the immune system. Neuropsychologic, neuroanatomic and psychosocial studies have demonstrated their role in accentuating or diminishing immune/allergic responses.
Replacement of the hip joint.
Persons who have experienced a prolonged survival after serious disease or who continue to live with a usually life-threatening condition as well as family members, significant others, or individuals surviving traumatic life events.
Conditions or pathological processes associated with the disease of diabetes mellitus. Due to the impaired control of BLOOD GLUCOSE level in diabetic patients, pathological processes develop in numerous tissues and organs including the EYE, the KIDNEY, the BLOOD VESSELS, and the NERVE TISSUE.
A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY.
Persons living in the United States having origins in any of the black groups of Africa.
A disorder beginning in childhood whose essential features are persistent impairment in reciprocal social communication and social interaction, and restricted, repetitive patterns of behavior, interests, or activities. These symptoms may limit or impair everyday functioning. (From DSM-5)
Hospital units in which care is provided the hemodialysis patient. This includes hemodialysis centers in hospitals.
The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.
Expressing unconscious emotional conflicts or feelings, often of hostility or love, through overt behavior.
Anxiety experienced by an individual upon separation from a person or object of particular significance to the individual.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Process of substituting a symbol or code for a term such as a diagnosis or procedure. (from Slee's Health Care Terms, 3d ed.)
The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology.
The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.
The creation and maintenance of medical and vital records in multiple institutions in a manner that will facilitate the combined use of the records of identified individuals.
Diseases in any part of the GASTROINTESTINAL TRACT or the accessory organs (LIVER; BILIARY TRACT; PANCREAS).

Correlates of sexually transmitted bacterial infections among U.S. women in 1995. (1/12384)

CONTEXT: Sexually transmitted diseases (STDs) of bacterial origin such as gonorrhea and chlamydial infection can lead to pelvic inflammatory disease (PID) and infertility. Identifying behaviors and characteristics associated with infection may assist in preventing these often asymptomatic diseases and their sequelae. METHODS: Data from 9,882 sexually active women who participated in the 1995 National Survey of Family Growth describe the characteristics of women who report a history of infection with a bacterial STD or of treatment for PID. Multivariate analysis is used to determine which demographic characteristics and sexual and health-related behaviors affect the likelihood of infection or the occurrence of complications. RESULTS: Overall, 6% of sexually active women reported a history of a bacterial STD, and 8% reported a history of PID. Women who first had sexual intercourse before age 15 were nearly four times as likely to report a bacterial STD, and more than twice as likely to report PID, as were women who first had sex after age 18. Having more than five lifetime sexual partners also was associated with both having an STD and having PID. PID was more common among women reporting a history of a bacterial STD (23%) than among women who reported no such history (7%). In multivariate analyses, age, race, age at first intercourse and lifetime number of sexual partners had a significant effect on the risk of a bacterial STD. Education, age, a history of IUD use, douching and a history of a bacterial STD had a significant impact on the risk of PID, but early onset of intercourse did not, and lifetime number of partners had only a marginal effect. CONCLUSIONS: The pattern of characteristics and behaviors that place women at risk of infection with bacterial STDs is not uniform among groups of women. Further, the level of self-reported PID would suggest higher rates of gonorrhea and chlamydial infection than reported.  (+info)

Prevalence and clinical outcome associated with preexisting malnutrition in acute renal failure: a prospective cohort study. (2/12384)

Malnutrition is a frequent finding in hospitalized patients and is associated with an increased risk of subsequent in-hospital morbidity and mortality. Both prevalence and prognostic relevance of preexisting malnutrition in patients referred to nephrology wards for acute renal failure (ARF) are still unknown. This study tests the hypothesis that malnutrition is frequent in such clinical setting, and is associated with excess in-hospital morbidity and mortality. A prospective cohort of 309 patients admitted to a renal intermediate care unit during a 42-mo period with ARF diagnosis was studied. Patients with malnutrition were identified at admission by the Subjective Global Assessment of nutritional status method (SGA); nutritional status was also evaluated by anthropometric, biochemical, and immunologic parameters. Outcome measures included in-hospital mortality and morbidity, and use of health care resources. In-hospital mortality was 39% (120 of 309); renal replacement therapies (hemodialysis or continuous hemofiltration) were performed in 67% of patients (206 of 309); APACHE II score was 23.1+/-8.2 (range, 10 to 52). Severe malnutrition by SGA was found in 42% of patients with ARF; anthropometric, biochemical, and immunologic nutritional indexes were significantly reduced in this group compared with patients with normal nutritional status. Severely malnourished patients, as compared to patients with normal nutritional status, had significantly increased morbidity for sepsis (odds ratio [OR] 2.88; 95% confidence interval [CI], 1.53 to 5.42, P < 0.001), septic shock (OR 4.05; 95% CI, 1.46 to 11.28, P < 0.01), hemorrhage (OR 2.98; 95% CI, 1.45 to 6.13, P < 0.01), intestinal occlusion (OR 5.57; 95% CI, 1.57 to 19.74, P < 0.01), cardiac dysrhythmia (OR 2.29; 95% CI, 1.36 to 3.85, P < 0.01), cardiogenic shock (OR 4.39; 95% CI, 1.83 to 10.55, P < .001), and acute respiratory failure with mechanical ventilation need (OR 3.35; 95% CI, 3.35 to 8.74, P < 0.05). Hospital length of stay was significantly increased (P < 0.01), and the presence of severe malnutrition was associated with a significant increase of in-hospital mortality (OR 7.21; 95% CI, 4.08 to 12.73, P < 0.001). Preexisting malnutrition was a statistically significant, independent predictor of in-hospital mortality at multivariable logistic regression analysis both with comorbidities (OR 2.02; 95% CI, 1.50 to 2.71, P < 0.001), and with comorbidities and complications (OR 2.12; 95% CI, 1.61 to 2.89, P < 0.001). Malnutrition is highly prevalent among ARF patients and increases the likelihood of in-hospital death, complications, and use of health care resources.  (+info)

Hematocrit level and associated mortality in hemodialysis patients. (3/12384)

Although a number of clinical studies have shown that increased hematocrits are associated with improved outcomes in terms of cognitive function, reduced left ventricular hypertrophy, increased exercise tolerance, and improved quality of life, the optimal hematocrit level associated with survival has yet to be determined. The association between hematocrit levels and patient mortality was retrospectively studied in a prevalent Medicare hemodialysis cohort on a national scale. All patients survived a 6-mo entry period during which their hematocrit levels were assessed, from July 1 through December 31, 1993, with follow-up from January 1 through December 31, 1994. Patient comorbid conditions relative to clinical events and severity of disease were determined from Medicare claims data and correlated with the entry period hematocrit level. After adjusting for medical diseases, our results showed that patients with hematocrit levels less than 30% had significantly higher risk of all-cause (12 to 33%) and cause-specific death, compared to patients with hematocrits in the 30% to less than 33% range. Without severity of disease adjustment, patients with hematocrit levels of 33% to less than 36% appear to have the lowest risk for all-cause and cardiac mortality. After adjusting for severity of disease, the impact of hematocrit levels of 33% to less than 36% is vulnerable to the patient sample size but also demonstrates a further 4% reduced risk of death. Overall, these findings suggest that sustained increases in hematocrit levels are associated with improved patient survival.  (+info)

A comparison of the use, effectiveness and safety of bezafibrate, gemfibrozil and simvastatin in normal clinical practice using the New Zealand Intensive Medicines Monitoring Programme (IMMP). (4/12384)

AIMS: Because of the importance of treating dyslipidaemia in the prevention of ischaemic heart disease and because patient selection criteria and outcomes in clinical trials do not necessarily reflect what happens in normal clinical practice, we compared outcomes from bezafibrate, gemfibrozil and simvastatin therapy under conditions of normal use. METHODS: A random sample of 200 patients was selected from the New Zealand Intensive Medicines Monitoring Programme's (IMMP) patient cohorts for each drug. Questionnaires sent to prescribers requested information on indications, risk factors for ischaemic heart disease, lipid profiles with changes during treatment and reasons for stopping therapy. RESULTS: 80% of prescribers replied and 83% of these contained useful information. The three groups were similar for age, sex and geographical region, but significantly more patients on bezafibrate had diabetes and/or hypertension than those on gemfibrozil or simvastatin. After treatment and taking the initial measure into account, the changes in serum lipid values were consistent with those generally observed, but with gemfibrozil being significantly less effective than expected. More patients (15.8%S) stopped gemfibrozil because of an inadequate response compared with bezafibrate (5.4%) and simvastatin (1.6%). Gemfibrozil treatment was also withdrawn significantly more frequently due to a possible adverse reaction compared with the other two drugs. CONCLUSIONS: In normal clinical practice in New Zealand gemfibrozil appears less effective and more frequently causes adverse effects leading to withdrawal of treatment than either bezafibrate or simvastatin.  (+info)

Pulmonary embolism: one-year follow-up with echocardiography doppler and five-year survival analysis. (5/12384)

BACKGROUND: The long-term prognosis for patients with pulmonary embolism (PE) is dependent on the underlying disease, degree of pulmonary hypertension (PH), and degree of right ventricular (RV) dysfunction. A precise description of the time course of pulmonary artery pressure (PAsP)/RV function is therefore of importance for the early identification of persistent PH/RV dysfunction in patients treated for acute PE. Other objectives were to identify variables associated with persistent PH/RV dysfunction and to analyze the 5-year survival rate for patients alive 1 month after inclusion. METHODS AND RESULTS: Echocardiography Doppler was performed in 78 patients with acute PE at the time of diagnosis and repeatedly during the next year. A 5-year survival analysis was made. The PAsP decreased exponentially until the beginning of a stable phase, which was 50 mm Hg at the time of diagnosis of acute PE was associated with persistent PH after 1 year. The 5-year mortality rate was associated with underlying disease. Only patients with persistent PH in the stable phase required pulmonary thromboendarterectomy within 5 years. CONCLUSIONS: An echocardiography Doppler investigation performed 6 weeks after diagnosis of acute PE can identify patients with persistent PH/RV dysfunction and may be of value in planning the follow-up and care of these patients.  (+info)

Prostatic intraepithelial neoplasia and apoptosis in benign prostatic hyperplasia before and after the Chernobyl accident in Ukraine. (6/12384)

The prevalence of prostatic intraepithelial neoplasia (PIN) in men who underwent surgery for benign prostatic hyperplasia (BPH) before and after the Chernobyl nuclear accident was studied. BPH samples were obtained by adenomectomy from 45 patients operated in 1984 before the accident (Group I), and 47 patients from the low contaminated Kiev City (Group II) and 76 from high contaminated area (Group III) operated between 1996 and 1998. Their BPH samples were examined histologically and immunohistochemically. The incidences of prostatic intraepithelial neoplasia (PIN) and high grade PIN (HGPIN) were 15.5 and 11.1% in Group I, 29.8 and 14.9% in Grpoup II, and 35. 5 and 19.7% in Group III. The difference between the incidences of PIN in Group I and III is significant (p<0.02). There was increased apoptosis in areas of PIN in Group II and III as compared to Group I (p<0.001). Since apoptosis has been shown to be associated with ionizing radiation and it is now found to be associated with PIN in patients diagnosed after the Chernobyl nuclear accident, this suggests that long-term low dose internal ionizing radiation potentially may cause prostate cancer.  (+info)

The cost of obesity in Canada. (7/12384)

BACKGROUND: Almost one-third of adult Canadians are at increased risk of disability, disease and premature death because of being obese. In order to allocate limited health care resources rationally, it is necessary to elucidate the economic burden of obesity. OBJECTIVE: To estimate the direct costs related to the treatment of and research into obesity in Canada in 1997. METHODS: The prevalence of obesity (body mass index of 27 or greater) in Canada was determined using data from the National Population Health Survey, 1994-1995. Ten comorbidities of obesity were identified from the medical literature. A population attributable fraction (PAF) was calculated for each comorbidity with data from large cohort studies to determine the extent to which each comorbidity and its management costs were attributable to obesity. The direct cost of each comorbidity was determined using data from the Canadian Institute of Health Information (for direct expenditure categories) and from Health Canada (for the proportion of expenditure category attributable to the comorbidity). This prevalence-based approach identified the direct costs of hospital care, physician services, services of other health professionals, drugs, other health care and health research. For each comorbidity, the cost attributable to obesity was determined by multiplying the PAF by the total direct cost of the comorbidity. The overall impact of obesity was estimated as the sum of the PAF-weighted costs of treating the comorbidities. A sensitivity analysis was completed on both the estimated costs and the PAFs. RESULTS: The total direct cost of obesity in Canada in 1997 was estimated to be over $1.8 billion. This corresponded to 2.4% of the total health care expenditures for all diseases in Canada in 1997. The sensitivity analysis revealed that the total cost could be as high as $3.5 billion or as low as $829.4 million; this corresponded to 4.6% and 1.1% respectively of the total health care expenditures in 1997. When the contributions of the comorbidities to the total cost were considered, the 3 largest contributors were hypertension ($656.6 million), type 2 diabetes mellitus ($423.2 million) and coronary artery disease ($346.0 million). INTERPRETATION: A considerable proportion of health care dollars is devoted to the treatment and management of obesity-related comorbidities in Canada. Further research into the therapeutic benefits and cost-effectiveness of management strategies for obesity is required. It is anticipated that the prevention and treatment of obesity will have major positive effects on the overall cost of health care.  (+info)

Synergistic effects of prothrombotic polymorphisms and atherogenic factors on the risk of myocardial infarction in young males. (8/12384)

Several recent studies evaluated a possible effect of the prothrombotic polymorphisms such as 5,10 methylenetetrahydrofolate reductase (MTHFR) nt 677C --> T, factor V (F V) nt 1691G --> A (F V Leiden), and factor II (F II) nt 20210 G --> A on the risk of myocardial infarction. In the present study, we analyzed the effect of these prothrombotic polymorphisms, as well as apolipoprotein (Apo) E4, smoking, hypertension, diabetes mellitus, and hypercholesterolemia, on the risk of myocardial infarction in young males. We conducted a case-control study of 112 young males with first acute myocardial infarction (AMI) before the age of 52 and 187 healthy controls of similar age. The prevalences of heterozygotes for F V G1691A and F II G20210A were not significantly different between cases and controls (6.3% v 6.4% and 5.9% v 3.4% among cases and controls, respectively). In contrast, the prevalence of MTHFR 677T homozygosity and the allele frequency of Apo E4 were significantly higher among patients (24.1% v 10.7% and 9.4% v 5.3% among cases and controls, respectively). Concomitant presence of hypertension, hypercholesterolemia, or diabetes and one or more of the four examined polymorphisms increased the risk by almost ninefold (odds ratio [OR] = 8.66; 95% confidence interval [CI], 3.49 to 21.5) and concomitant smoking by almost 18-fold (OR = 17.6; 95% CI, 6.30 to 48.9). When all atherogenic risk factors were analyzed simultaneously by a logistic model, the combination of prothrombotic and Apo E4 polymorphisms with current smoking increased the risk 25-fold (OR = 24.7; 95% CI, 7.17 to 84.9). The presented data suggest a synergistic effect between atherogenic and thrombogenic risk factors in the pathogenesis of AMI, as was recently found in a similar cohort of women.  (+info)

We examined how extra-hepatic comorbidity burden impacts mortality in patients with cirrhosis referred for liver transplantation (LT). Adults with cirrhosis evaluated for their first LT in 2012 were followed through their clinical course with last follow up in 2019. Extra-hepatic comorbidity burden was measured using the Charlson Comorbidity Index (CCI). The endpoints were 90-day transplant free survival (Cox-Proportional Hazard regression), and overall mortality (competing risk analysis). The study included 340 patients, mean age 56 ± 11, 63% male and MELD-Na 17.2 ± 6.6. The CCI was 0 (no comorbidities) in 44%, 1-2 in 44% and | 2 (highest decile) in 12%, with no differences based on gender but higher CCI in patients with fatty and cryptogenic liver disease. Thirty-three (10%) of 332 patients not receiving LT within 90 days died. Beyond MELD-Na, the CCI was independently associated with 90-day mortality (hazard ratio (HR), 1.32 (95% confidence interval (CI) 1.02-1.72). Ninety-day mortality was
OBJECTIVE: The influence of confounding neurocognitive comorbidities in people living with HIV (PLWH) on neuroimaging has not been systematically evaluated. We determined associations between comorbidity burden and brain integrity and examined the moderating effect of age on these relationships.DESIGN: Observational, cross-sectional substudy of the CNS HIV Antiretroviral Therapy Effects Research cohort.METHODS: A total of 288 PLWH (mean age = 44.2) underwent structural MRI and magnetic resonance spectroscopy as well as neurocognitive and neuromedical assessments. Consistent with Frascati criteria for HIV-associated neurocognitive disorders (HAND), neuromedical and neuropsychiatric comorbidity burden was classified as incidental (mild), contributing (moderate), or confounding (severe-exclusionary) to a diagnosis of HAND. Multiple regression modeling predicted neuroimaging outcomes as a function of comorbidity classification, age, and their interaction.RESULTS: Comorbidity classifications were 176 ...
Prognostic scores, and more specifically comorbidity scores, are important and widely used measures in the health care field and in health services research. A comorbidity is an existing disease an individual has in addition to a primary condition of interest, such as cancer. A comorbidity score is a summary score that can be created from these individual comorbidities for prognostic purposes, as well as for confounding adjustment. Despite their widespread use, the properties of and conditions under which comorbidity scores are valid dimension reduction tools in statistical models is largely unknown. This dissertation explores the use of summary comorbidity measures in statistical models. Three particular aspects are examined. First, it is shown that, under standard conditions, the predictive ability of these summary comorbidity measures remains as accurate as the individual comorbidities in regression models, which can include factors such as treatment variables and additional covariates. ...
This study evaluates the association between Internal Addiction (IA) and psychiatric co-morbidity in the literature. Meta-analyses were conducted on cross-sectional, case-control and cohort studies which examined the relationship between IA and psychiatric co-morbidity. Selected studies were extracted from major online databases. The inclusion criteria are as follows: 1) studies conducted on human subjects; 2) IA and psychiatric co-morbidity were assessed by standardised questionnaires; and 3) availability of adequate information to calculate the effect size. Random-effects models were used to calculate the aggregate prevalence and the pooled odds ratios (OR). Eight studies comprising 1641 patients suffering from IA and 11210 controls were included. Our analyses demonstrated a significant and positive association between IA and alcohol abuse (OR = 3.05, 95% CI = 2.14-4.37, z = 6.12, P | 0.001), attention deficit and hyperactivity (OR = 2.85, 95% CI = 2.15-3.77, z = 7.27, P | 0.001), depression (OR = 2
TY - JOUR. T1 - Autoimmune comorbidities are associated with brain injury in multiple sclerosis. AU - Zivadinov, R.. AU - Raj, B.. AU - Ramanathan, M.. AU - Teter, B.. AU - Durfee, J.. AU - Dwyer, M. G.. AU - Bergsland, N.. AU - Kolb, C.. AU - Hojnacki, D.. AU - Benedict, R. H.. AU - Weinstock-Guttman, B.. PY - 2016/6. Y1 - 2016/6. N2 - BACKGROUND AND PURPOSE: The effect of comorbidities on disease severity in MS has not been extensively characterized. We determined the association of comorbidities with MR imaging disease severity outcomes in MS. MATERIALS AND METHODS: Demographic and clinical history of 9 autoimmune comorbidities confirmed by retrospective chart review and quantitative MR imaging data were obtained in 815 patients with MS. The patients were categorized on the basis of the presence/ absence of total and specific comorbidities. We analyzed the MR imaging findings, adjusting for key covariates and correcting for multiple comparisons. RESULTS: Two hundred forty-one (29.6%) study ...
Health, ...Comorbidities are common among patients with chronic obstructive pulmo... We followed 1664 COPD patients recruited from five pulmonary clinic...The 12 comorbidities with the strongest association with an increased ... We used these 12 comorbidities to develop a new comorbidity risk inde...,Comorbidities,increase,risk,of,mortality,in,COPD,patients,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
Two studies observed that a high comorbidity level prior to surgery has a profound impact on short-term revision risk (study II). A novel finding of this thesis was that high comorbidity also affects the long-term revision risk (study II), which has been confirmed by several recent studies. Due to the increasing burden of a variety of comorbidities in THR patients, their association with revision risk and the underlying mechanisms merit further research. To offer some possible explanations for how comorbidity affects revision risk, this thesis focused in more detail on THR patients with diabetes, which has a high and increasing prevalence in both the general population and the THR population. Diabetes increased the risk of revision due to infection, particularly in patients with diabetes for less than 5 years prior to THR, those with complications due to diabetes, and those with cardiovascular comorbidities prior to surgery (study V). These findings were also confirmed recently. However, the ...
The Elixhauser Comorbidity Index was developed using a California-based population dataset of adult, non-maternal inpatients from 438 acute care hospitals in 1992 [32]. The dataset included 1,779,167 patients and 41 comorbidities were listed. No consensus method was employed for making a list of potential candidates for the comorbidity index. Outcomes were defined as length of stay, charges and in-hospital mortality. Statistically unrelated comorbidities to the outcomes were excluded after a series of univariable and multivariable analyses, leading to a final set of 30 comorbidities (Additional file 1: Appendix D) [32]. The authors did not employ item weighting in the phases of development. The Elixhauser Comorbidity Index was developed mainly for use with administrative data. The index has good face validity as well as content validity as the items are mutually exclusive. Feasibility of using the index was not examined in maternal or related research. In the context of maternal health research, ...
We explored multimorbidity patterns and their 6-year evolution in people aged 65 years and older with multimorbidity attended in PHC. The most prevalent chronic diseases, Hypertension, uncomplicated and Lipid disorder, were represented in all clusters in all four groups (i.e., men and women aged 65-79 and ≥80 years). We found 6 clusters per group, 5 of them with a specific pattern related to an organic system: Musculoskeletal, Endocrine-metabolic, Digestive/Digestive-respiratory, Neuropsychiatric and Cardiovascular patterns. We analysed multimorbidity patterns over 6 years and found that they remained quite similar from the beginning to the end of the study period.. We observed a high prevalence of multimorbidity in our population sample, with a higher proportion for women, as in other published studies [5, 8] and described 6 patterns in each study group. In addition, the prevalence of chronic diseases and multimorbidity patterns was similar to previous studies in Catalonia [22] and in other ...
Learn more about how common certain comorbidities are in people with rheumatoid arthritis and why RA patients need health care to address them.
Ranganath VK, Maranian P, Elashoff DA, Woodworth T, Khanna D, Hahn T, Sarkisian C, Kremer JM, Furst DE, Paulus HE. Comorbidities are associated with poorer outcomes in community patients with rheumatoid arthritis.. Rheumatology (Oxford). Oct 1, 2013; 52: 10: 1809-17: PubMed PMID23813577; PubMed Central PMCID: PMC3775293 ...
Objectives - Diabetes frequently coexists with other conditions, resulting in poorer diabetes self-management and quality of life, higher risk for diabetes-related complications and higher health service use compared to those with diabetes only. Few Canadian studies have undertaken a comprehensive, population-level analysis of comorbidity and health service utilization by older adults with diabetes. This study examined comorbidity and its association with a broad range of health services in a cohort of community-dwelling older adults with diabetes in Ontario, Canada.. Methods - We linked multiple administrative databases to create a cohort of 448,736 older adults with diabetes, described their comorbidities and obtained their 1-year use of health services (physician visits, emergency department visits, inpatient hospital admissions, home care use, nursing home admissions). We examined comorbidity patterns by age and gender and estimated the prevalence of 20 comorbid conditions and the most ...
The present study showed that the mean (SD) HL score in our multimorbid primary care patient sample was 2.9 (0.5). In multimorbid patients, a high treatment burden and effects on patients quality of life due to problems with mobility and anxiety/depression were negatively associated with HL. However, our study revealed no association between HL and age. Although several studies have assessed HL, to the best of our knowledge, little is known about which factors are associated with low HL in multimorbid patients in primary care.. The present studys main finding was that the treatment burden facing multimorbid primary care patients was negatively associated with HL. In other words, the lower a multimorbid patients HL, the higher the treatment burden. This is a very interesting finding, and although the β coefficient is small, we believe that this result is clinically relevant and allows us to identify treatment burden as an element to take into account for potentially low literacy in ...
We found significantly higher rates of somatic comorbidity among migrants with PTSD and depression compared with migrants without a diagnosed psychiatric disorder. Adjusted rates were significantly higher in ten out of the fifteen diagnostic categories being especially high for infectious, neurological and pulmonary diseases. Our results further suggest difference in the rates of somatic comorbidity according to region of origin and according to the legal ground of obtaining residency.. Prior to our study, somatic comorbidity in migrants with PTSD and depression have only received scarce attention in the literature [18-21]. Albeit, diagnosis and treatment of somatic comorbidity may help improve management of mental disorders and vice versa. Further, patients with PTSD and depression suffering from somatic comorbidity will require regular treatment and check-up, such as diabetes may need tailored treatment programmes to ensure they are treated according to need. It is therefore important that ...
Background: Patients with HIV infection can present with multiple comorbidities prior to and following the initiation of antiretroviral therapy (ART) including potential risk factors for cardiovascular disease (CVD) and renal impairment and osteoporosis/fracture. Understanding these risk factors can help identify patients at high risk and help optimize HIV treatment. Methods: Adults diagnosed with HIV (ICD-9-CM code: 042.xx, 795.71, V08) in 2002-2013 were selected from MarketScan Commercial, Medicare, and Medicaid databases, which are longitudinal, allowing patients to be observed over multiple years. All patients were continuously enrolled for at least 1 calendar year during 2003-2013. Age and gender entered on the date of the first HIV diagnosis. Comorbid conditions during calendar years 2003-2013 were assessed using diagnosis and procedure codes ...
From 2008 to 2010, there were 319,775 ILI inpatient cases, of which 8.82% entered ICU and 3.83% died at hospital discharge. The significant comorbidity attributes varied in each age stratum: heart failure in any age, non-dialyzed renal insufficiency in any age, cancer in school-age children up to mid-age adults, tuberculosis in the elderly, stroke in adults, congenital anomaly in children and adolescents, transplant in school-age up to adolescents, or HIV in young adults. Comorbidity vector was (heart failure, non-dialyzed renal insufficiency, cancer, tuberculosis, stroke, congenital anomaly, transplant, HIV). Age vector was (1, 1, 6<=age<45, 75<=age, 18<=age<65, 0<age<=18, 6<=age<18, 18<=age<45). Comorbidity score, the dot product of comorbidity vector and age vector, showed significant correlation with hospitalization cost (Spearman rho=0.1885, p<0.0001), and with LOS (Spearman rho=0.1717, p<0.0001). Its ROC area-under-curves (AUC) were 0.7454 with death and 0
The index program assigns two index scores to the inpatient records, one for readmissions and one for in-hospital mortality. The index program can be used to transform the current 29 HCUP comorbidities variables into comorbidity index scores for each record. The comorbidity index scores for each observation are calculated as a weighted sum of each of the binary comorbidity variables on the record. The resulting comorbidity index scores can be used in analyses in place of the 29 individual measures. This program assumes that the input data file includes 29 binary comorbidity variables with specific variables names. ...
Figure 1: 7MM, Diagnosed Prevalent Cases of Type 2 Diabetes with Comorbidity, 2016, Men and Women, Ages ≥20 Years. Source: GlobalData.. Type 2 diabetes (T2D) is a chronic disorder of glucose equilibrium that results from the bodys inability to make use of available insulin along with relative insulin deficiency. Among adults only, T2D is expected to make up at least 95% of all diabetes cases.. It is one of the most common non-communicable diseases and is an escalating public health problem globally, with an estimated 415 million people afflicted. Additionally, poorly managed diabetes leads to serious complications such as heart attack, stroke, kidney failure, leg amputation, vision loss, nerve damage, and other serious complications. Figure 1 presents the most common comorbidities in persons with T2D.. GlobalData Epidemiologists forecast that there were 56,060,328 diagnosed prevalent cases of T2D in the seven major markets (7MM: US, France, Germany, Italy, Spain, UK, and Japan). Additionally, ...
Multi-morbidity in chronic long-term conditions is a major concern for health services. Self-management in concert with clinical care forms part of the effective management of multi-morbidity. Self-efficacy is a mechanism through which self-management can be achieved. Quality of life is adversely impacted by multi-morbidity but could be improved by effective self-management. This study examines the relationship between self-efficacy and quality of life in primary care patients with multi-morbidity. A cross-sectional survey was conducted with primary care patients in England. Potential participants were mailed a questionnaire containing quality of life measures (the EQ-5D-5L and the Long-Term Conditions Questionnaire (LTCQ)), the Disease Burden Impact Scale (DBIS) and the Self-efficacy for Managing Chronic Disease Scale. Descriptive statistics, analysis of variance and linear regression analyses were conducted to examine the relationship between quality of life (dependent variable), self-efficacy, and
Background: While research in the area of e-mental health has received considerable attention over the last decade, there are still many areas that have not been addressed. One such area is the comorbidity of psychological disorders in a Web-based sample using online assessment and diagnostic tools, and the relationships between comorbidities and psychosocial variables. Objective: We aimed to identify comorbidities of psychological disorders of an online sample using an online diagnostic tool. Based on diagnoses made by an automated online assessment and diagnostic system administered to a large group of online participants, multiple comorbidities (co-occurrences) of 21 psychological disorders for males and females were identified. We examined the relationships between dyadic comorbidities of anxiety and depressive disorders and the psychosocial variables sex, age, suicidal ideation, social support, and quality of life. Methods: An online complex algorithm based on the criteria of the Diagnostic ...
This is a non-randomized open label dose-ranging study of Bendamustine and Rituximab (BR) in patients with previously untreated or relapsed/refractory CLL who have multiple comorbidities (Cumulative Illness Rating Scale [CIRS]≥7) with or without renal insufficiency (estimated creatinine clearance [CrCL] 15-40 mL/min, but not receiving dialysis).. The study will accrue two independent patient cohorts. Both cohorts will follow a standard 3+3 Phase I design. Once the maximum tolerated dose (MTD) is determined, two expansion cohorts will be enrolled. Dose limiting toxicities (DLT) will be assessed during the 1st cycle of treatment.. Patients with CLL who have significant comorbidities (CIRS≥7; at least one category grade 3-4), with or without minor renal dysfunction (CrCL,40 mL/min) will be accrued onto Cohort 1 of the study. At dose level 1, patients will receive bendamustine 45 mg/m2 in combination with rituximab (375 mg/m2 with cycle 1 and 500 mg/m2 with subsequent cycles). If safe, the dose ...
Computing comorbidity scores such as the weighted Charlson score (Charlson, 1987 ,doi:10.1016/0021-9681(87)90171-8,) and the Elixhauser comorbidity score (Elixhauser, 1998 ,doi:10.1097/00005650-199801000-00004,) using ICD-9-CM or ICD-10 codes (Quan, 2005 ,doi:10.1097/01.mlr.0000182534.19832.83,).. ...
Younger smokers are more likely to be dependent on nicotine and have psychiatric and substance use disorders than their older counterparts, new research shows ...
Despite the major public health impact of diabetes, recent population-based data regarding its prevalence and comorbidity are sparse. The prevalence and comorbidity of diabetes mellitus were analyzed in a nationally representative sample (N = 9133) of the non-institutionalized German adult population aged 50 years and older. Information on physician-diagnosed diabetes and 20 other chronic health conditions was collected as part of the national telephone health interview survey German Health Update (GEDA) 2009. Overall, 51.2% of contacted persons participated. Among persons with diabetes, diabetes severity was defined according to the type and number of diabetes-concordant conditions: no diabetes-concordant condition (grade 1); hypertension and/or hyperlipidemia only (grade 2); one comorbidity likely to represent diabetes-related micro- or macrovascular end-organ damage (grade 3); several such comorbidities (grade 4). Determinants of diabetes severity were analyzed by multivariable ordinal regression.
This is the first report of a projected series regarding the comorbidity of cardiovascular disease (CVD), diabetes and chronic kidney disease (CKD) in Australia. Comorbidity refers to any two or more of these diseases that occur in one person at the same time. The questions to be answered in this report include: 1. How many Australians have comorbidity of CVD, diabetes and CKD? 2. What is the proportion of hospitalisations with these comorbidities? 3. How much do these comorbidities contribute to deaths? 4. What is the magnitude of comorbidity in the context of each individual disease? 5. Are there differences in the distribution of these comorbidities among age groups and sexes ...
Dimensional diagnostic measures, such as those being proposed for use in DSM-5, reveal a more complex symptom profile for public-sector patients with serious mental illness than do categorical diagnoses, said William Narrow, M.D., M.P.H, associate director of APAs Division of Research, at a symposium at APAs Institute on Psychiatric Services last week in San Francisco. Narrow presented a study by the American Psychiatric Institute for Research and Education in which rates of categorical diagnoses and dimensional symptom ratings were examined for patients with schizophrenia, major depressive disorder, PTSD, and substance use disorders. ...
Comorbidities are additional chronic conditions that may compromise the health of people living with HIV. Some comorbid conditions are more common in people with HIV because they have similar risk factors or because the immune changes associated with HIV infection or the side effects of antiretroviral drugs increase a persons risk of developing them. These comorbidities are now the most common causes of death and disability in people living with HIV. Research on comorbidities aims to understand the underlying links between comorbidities and HIV, and to develop treatment strategies and guidelines to reduce their impact on the lives and well-being of people living with HIV.. ...
BACKGROUND: Pre-existing cardiovascular diseases (CVDs) have been proposed to identify patients at higher risk of adverse COVID-19 outcomes, but existing evidence is conflicting. Thus, it is unclear whether pre-existing CVDs are independently important predictors for severe COVID-19.. METHODS AND RESULTS: In a nationwide Danish cohort of hospital-screened COVID-19 patients aged , =40, we investigated if pre-existing CVDs predict the 30-day risk of (1) composite outcome of severe COVID-19 and (2) all-cause mortality. We estimated 30-day risks using a Cox regression model including age, sex, each CVD comorbidity, COPD-asthma, diabetes, and chronic kidney disease. To illustrate CVD comorbidities importance, we evaluated the predicted risks of death and severe infection, for each sex, along ages 40 - 85. 4,090 COVID-19 hospital-screened patients were observed as of August 26, 2020; 22.1% had ≥ 1 CVD, 23.7% had severe infection within 30 days and 12.6% died. Predicted risks of both outcomes at age ...
Особенности фармакотерапии коморбидных сердечно-сосудистых заболеваний у женщин с постменопаузальным остеопорозом
The object of this article was to systematically review available methods to measure comorbidity and to assess their validity and reliability. A search was made in Medline and Embase, with the keywords comorbidity and multi-morbidity, to identify articles in which a method to measure comorbidity was …
Read chapter 10 of CURRENT Diagnosis & Treatment: Surgery, 14e online now, exclusively on AccessSurgery. AccessSurgery is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine.
BackgroundAtypical depression has been found to be distinct from other types of depression in terms of psychiatric symptom profile and treatment response. Howev
TY - JOUR. T1 - Underdiagnosing and overdiagnosing psychiatric comorbidities. T2 - Insights into common diagnostic oversights. AU - Basco, Monica Ramirez. AU - Jacquot, Colette. AU - Thomas, Christina. AU - Knack, Jennifer M.. PY - 2008/10/1. Y1 - 2008/10/1. N2 - There is no substitute for being thorough in conducting a diagnostic evaluation. This includes taking the time to gather information from the patient and significant others, going over prior medical records, and/or observing the patient over time and updating the diagnosis if appropriate. Keep in mind the importance of probing for comorbidities, of not jumping to conclusions about their presence when a patient presents with a few striking symptoms, and of the need to interpret symptoms correctly. Clinicians may be forced to draw quick diagnostic conclusions with limited information in busy practice settings or when patients are acutely ill. In these cases, it is important to follow up after patients have been stabilized, to reevaluate ...
Data was collected between 2006 and 2010 from adults 18 years of age or older in Boston who have a current diagnosis of alcohol dependence and heavy drinking and/or drug dependence and recent drug use.. Specifically, the following inclusion criteria were met at study entry: (1) Male and female subjects must be 18 years of age or older; (2) Must have a current diagnosis of Alcohol dependence and heavy drinking: Alcohol dependence as determined using the (10-items if none skipped) Composite International Diagnostic Interview Short Form (CIDI-SF) that yields a DSM-IV diagnosis and heavy drinking in the past 30 days, defined as greater than or equal to 4 standard drinks for women, greater than or equal to 5 for men at least twice in the past month, or greater than or equal to 22 drinks per week for men or greater than or equal to 15 drinks per week for women in an average week in the past month and/or Drug dependence and recent drug use: Drug dependence (DD) as determined by using the Composite ...
Accountable Care Organizations, which used to be the wave of the future, are the here and now. As groups of doctors, hospitals and other healthcare providers come together to coordinate care, it is essential they include behavioral health providers in the mix. According to a recent National Comorbidity Survey, 17 percent of the adult population had comorbid mental and medical conditions within a 12-month period. Patients with comorbidities require a comprehensive treatment plan to truly bend the cost curve. For…. ...
The OS benefit associated with standard treatment diminished in patients older than 80 with high comorbidity scores, but other age groups fared better.
The diagnosis of comorbidities, which refers to the coexistence of different acute and chronic diseases, is difficult due to the modern extreme specialisation of physicians. We envisage that a software dedicated to comorbidity diagnosis could result in an effective aid to the health practice. We have developed an R software comoR to compute novel estimators of the disease comorbidity associations. Starting from an initial diagnosis, genetic and clinical data of a patient the software identifies the risk of disease comorbidity. Then it provides a pipeline with different causal inference packages (e.g. pcalg, qtlnet etc) to predict the causal relationship of diseases. It also provides a pipeline with network regression and survival analysis tools (e.g. Net-Cox, rbsurv etc) to predict more accurate survival probability of patients. The input of this software is the initial diagnosis for a patient and the output provides evidences of disease comorbidity mapping. The functions of the comoR offer flexibility
The degree to which complications contaminated estimation of comorbidity depended both on the procedures studied and on the covariates selected. The unique structure of the algorithm for the Charlson comorbidity index led to complication diagnoses having only a minor effect on the comorbidity score …
Background: CVD, AH and DM are common comorbidities in COPD. Their association with the new GOLD 2011 classification has not been evaluated.. Objective:To evaluate the prevalence of CVD, AH and DM in patients admitted to the hospital for COPD exacerbation (AECOPD).. Methods:609 patients admitted for AECOPD were followed-up monthly for one year.. Results:Patients classification according to GOLD 2011 and the prevalence of CVD, AH and DM are shown in Table 1. Comorbid diseases were more common in more severe COPD. Patients without comorbidities had fewer AECOPD in 1 year compared to patients with 1, 2 and 3 comorbidities (0.4±0.5, 1.9±2.5, 3.6±3.3 and 4.6±3.5 respectively, p,0.001) as well as fewer hospitalizations for AECOPD (0.1±0.3, 0.7±1.6, 1.6±1.9 and 2.0±2.6, respectively, p,0.001). Patients in group B with comorbidities had more AECOPD and hospitalizations in 1 year compared to group C (p,0.001). The presence of comorbidities was an independent predictor of AECOPD and ...
Matrix factorization (MF) is an established paradigm for large-scale biological data analysis with tremendous potential in computational biology. Here, we challenge MF in depicting the molecular bases of epidemiologically described disease–disease (DD) relationships. As a use case, we focus on the inverse comorbidity association between Alzheimer’s disease (AD) and lung cancer (LC), described as a lower than expected probability of developing LC in AD patients. To this day, the molecular mechanisms underlying DD relationships remain poorly explained and their better characterization might offer unprecedented clinical opportunities. To this goal, we extend our previously designed MF-based framework for the molecular characterization of DD relationships. Considering AD–LC inverse comorbidity as a case study, we highlight multiple molecular mechanisms, among which we confirm the involvement of processes related to the immune system and mitochondrial metabolism. We then distinguish
Background There has been an increasing prevalence of both depression and chronic medical conditions globally but the relationship between depression and multi-morbidity is not well understood. The...
Mental health comorbidities are a predictor of readmission and revision after spine surgery, but few surgeons perform psychological screenings for prospective patients.
In this analysis we demonstrate that, despite strict inclusion and exclusion criteria for eligibility to enroll in a clinical trial, there are significant differences in baseline clinical characteristics among study sites according to enrollment volume. Such variations have been previously reported related to regional differences among participants. To our knowledge, this is the first report that shows significant differences in participants baseline clinical characteristics on the basis of the number of participants enrolled by any individual clinical trial site. These differences spanned demographic and clinical characteristics, comorbidity burden, and laboratory parameters. Participants from the trial sites that enrolled fewer individuals had worse health at baseline. The less prevalent dyspnea and rales coupled with lower blood pressure and worse renal function, and higher use of inotropes all suggest that participants enrolled at lower enrolling sites likely represent a proportion of ...
Comorbidity (say koh-mor-BID-uh-tee) means that a person has two or more diseases at the same time. These are usually long-term (chronic) diseases that need treatment for a lifetime.. Examples of comorbidities include having both high blood pressure and diabetes, or having high cholesterol, heart failure, and diabetes.. Comorbidities can change treatment options. One disease can make another disease worse, and the total effect of all the diseases may be more than each one on its own. ...
This quick-reference chart names the most common comorbid conditions that come with ADHD, plus symptoms, common treatments, and recommended resources for each.
If your institution subscribes to this resource, and you dont have a MyAccess Profile, please contact your librarys reference desk for information on how to gain access to this resource from off-campus. OK ...
If your institution subscribes to this resource, and you dont have a MyAccess Profile, please contact your librarys reference desk for information on how to gain access to this resource from off-campus. OK ...
We are looking for a PhD student! The PhD fellow will be part of a team working on several projects focused on the immunopathology of tuberculosis and testing drugs and vaccine candidates in several animal models. The PhD student will focus his/her research on understanding how comorbidities are involved in the pathogenesis of tuberculosis while being…
In a recent study to help inform future interventions for patients who have both diabetes and other comorbid conditions, Dr. Elizabeth Magnan et al. examined how 62 chronic conditions individually related to achievement of diabetes care quality goals. The authors found that the 62 conditions varied in their relationships to diabetes care goal achievement, with congestive heart failure, obesity, mental health conditions, and substance use disorders relating to a lack of achievement in at least one measure. ...
Research Hospitalization Volume, DRGs, Quality Outcomes, Top Hospitals & Physicians for DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
The comorbidities were not simplified as an index because each comorbidity affected outcomes (length of hospital stay, hospital ... Comorbidity is often referred to as multimorbidity even though the two are considered distinct clinical scenarios. Comorbidity ... 2010). "Co-morbidity in ENT practice" Коморбидность в ЛОР-практике [Co-morbidity in ENT practice] (PDF). Вестник ... The comorbidities identified by the Elixhauser comorbidity measure are significantly associated with in-hospital mortality and ...
The National Comorbidity Survey Replication (NCS-R) was a study done with 9,282 new participants. And the National Comorbidity ... "NCS Home". National Comorbidity Survey. Harvard Medical School. 2005. "Questions and Answers about the National Comorbidity ... The National Comorbidity Survey: Baseline (NCS-1) was the first large-scale field survey of mental health in the United States ... The National Comorbidity Survey: Reinterview (NCS-2) was a follow up study conducted between 2001 and 2002. The participants in ...
Dual diagnosis (a combination of a mental health issue and a substance use disorder). Comorbidity. Acquired Brain Injury (ABI ...
The National Comorbidity Survey of over 8,000 American correspondents in 1994 revealed 12-month and lifetime prevalence rates ... Sanderson, W. C.; Dinardo, P. A.; Rapee, R. M.; Barlow, D. H. (1990). "Syndrome comorbidity in patients diagnosed with a DSM- ... "Comorbidity". The Wiley Blackwell Handbook of Social Anxiety Disorder. 2014. pp. 208-210. doi:10.1002/9781118653920.fmatter. ... Avoidant personality disorder is likewise highly correlated with SAD, with comorbidity rates ranging from 25% to 89%. To try to ...
Binge-eating disorder in the Swedish national registers; somatic comorbidity. Int J Eat Diord 2017: 50(1):58-65 8. Deal, LS, ...
noted 71% comorbidity. This relationship suggests the opportunistic nature of this pathogen raising the possibility that ... One particular study by Alpern and Dowell noted 85% comorbidity with malignancy, while another study by Koransky et al. ...
1 January 2021). "Comorbidity versus multimorbidity: Why it matters". Journal of Comorbidity. 11: 2633556521993993. doi:10.1177 ... Multimorbidity is often referred to as comorbidity even though the two are considered distinct clinical scenarios. Comorbidity ... In other settings, for example in pharmaceutical research, comorbidity might often be the more useful term to use. The broad ... Nicholson K, Makovski TT, Griffith LE, Raina P, Stranges S, van den Akker M (January 2019). "Multimorbidity and comorbidity ...
Frost, R. O.; Steketee, G.; Tolin, D. F. (2011). "Comorbidity in hoarding disorder". Depression and Anxiety. 28 (10): 876-884. ...
Filipþiü I, Filipþiü I (2018). "Schizophrenia and physical comorbidity". Psychiatria Danubina. 30 (Suppl 4): 152-157. PMID ...
Individuals who have the co-occurrence of more than one externalizing disorder have homotypic comorbidity, whereas individuals ... ISBN 978-0-89042-555-8. Levy, Florence; Hawes, David J.; Johns, Adam (2015). "Externalizing and Internalizing Comorbidity". In ... ISBN 978-0-19-932467-5. Nikolas, Molly A. (2015). "Comorbidity Among Externalizing Disorders". In Beauchaine, Theodore P.; ... ISBN 978-0-19-932467-5. Beauchaine, Theodore P.; McNulty, Tiffany (2013-11-01). "Comorbidities and continuities as ontogenic ...
Grant BF, Harford TC (October 1995). "Comorbidity between DSM-IV alcohol use disorders and major depression: results of a ... Hasin DS, Stinson FS, Ogburn E, Grant BF (July 2007). "Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol ... Kandel DB, Huang FY, Davies M (October 2001). "Comorbidity between patterns of substance use dependence and psychiatric ... Cornelius JR, Bukstein O, Salloum I, Clark D (2003). "Alcohol and psychiatric comorbidity". Recent Developments in Alcoholism. ...
"National Comorbidity Survey (NCS)". Retrieved 2019-09-21. "Mental Health Around the World". Retrieved 2019-09-21. "Hurricane ... Kessler is the principal investigator of the National Comorbidity Survey (NCS). The NCS was the first nationally representative ... Kessler, Ronald (2013). "National Comorbidity Survey: Reinterview, 2001-2002". ICPSR Data Holdings. doi:10.3886/ICPSR30921.v1 ...
"Comorbidity of Separation Anxiety.". Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Arlington, VA: American ... Common co-morbidities can include specific phobias, PTSD, panic disorder, obsessive-compulsive disorder, and personality ... "Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication". ...
Tohen, Mauricio (1999). Comorbidity in affective disorders. New York: M. Dekker. ISBN 0-8247-0212-3. OCLC 39982770. Tohen, ... Comorbidity in Affective Disorders (1999) Clinical Trial Design Challenges in Mood Disorders (2015), first edition "Mauricio ...
Germanò, Eva; Gagliano, Antonella; Curatolo, Paolo (18 August 2010). "Comorbidity of ADHD and Dyslexia". Developmental ...
doi:10.1016/0887-6185(89)90016-9. de Reiter C, Rifkin H, Garssen B, Van Schawk A (1989). "Comorbidity among the anxiety ... Flory, J. D.; Yehuda, R. (2015). "Comorbidity between post-traumatic stress disorder and major depressive disorder: alternative ... efficacy of cognitive behavioral therapy for DSM-IV panic disorder in patients with and without severe psychiatric comorbidity ...
They agreed that GD could be a coping strategy for an underlying disorder, but that in this debate, "comorbidity is more often ... 2019) described as "artificial comorbidity". PD was therefore reconceptualized in terms of a general dimension of severity, ... 2016): "Although there is significant comorbidity between desire and arousal dysfunction, the overlap of these conditions does ...
Comorbidity of addictive disorders and other psychiatric disorders, i.e., dual disorders, is very common and a large body of ... Similar patterns of comorbidity and risk factors in individuals with substance induced disorder and those with independent non- ... 2003). "Comorbidity of substance misuse and mental illness in community mental health and substance misuse services". Br J ... Regier DA; Farmer ME; Rae DS; Locke BZ; Keith SJ; Judd LL; Goodwin FK (1990). "Comorbidity of mental disorders with alcohol and ...
April 2011). "Depression comorbidity in spinocerebellar ataxia". Movement Disorders. 26 (5): 870-6. doi:10.1002/mds.23698. PMID ...
Jensen, R.; Stovner, L. J. (2008). "Epidemiology and comorbidity of headache". The Lancet Neurology. 7 (4): 354-361. doi: ...
"All above 60 years of age, 45-plus with comorbidities can get COVID-19 vaccine from March 1". The Economic Times. Retrieved 27 ... "Covid vaccination for 12-14 age group from March 16; comorbidity clause for 60+ removed". Times of India. 14 March 2022. ... residents between the ages of 45 and 60 with one or more qualifying comorbidities, and any health care or frontline worker that ... and residents over the age of 60 with comorbidities. Within this cohort, doses would be prioritized to those who had received ...
The high comorbidity of depression and anxiety, as well as the existence of mixed anxiety-depressive disorder suggests that ... "The Comorbidity of Anxiety and Depression". Möller, Hans-Jürgen; Bandelow, Borwin; Volz, Hans-Peter; Barnikol, Utako ... The possible causes of anxiety and depression are often similar to one another and the comorbidity of the two disorders is ... Wittchen, Hans-Ulrich; Schuster, Peter; Lieb, Roselind (January 2001). "Comorbidity and mixed anxiety-depressive disorder: ...
Riecher-Rössler A (2014). Comorbidity of Mental and Physical Disorders. Karger Medical and Scientific Publishers. p. 88. ISBN ...
Fenton WS, Stover ES (2006). "Mood disorders: cardiovascular and diabetes comorbidity". Curr Opin Psychiatry. 19 (4): 421-7. ... Posttraumatic stress disorder Premenstrual dysphoric disorder Social anxiety disorder The following may also be present as co- ...
Welch, SL; Fairburn, CG (Oct 1996). "Impulsivity or comorbidity in bulimia nervosa. A controlled study of deliberate self-harm ...
Bou Khalil, Rami; Khoury, Elie; Richa, Sami (1 September 2018). "The Comorbidity of Fibromyalgia Syndrome and Attention Deficit ... Buskila, Dan; Cohen, Hagit (October 2007). "Comorbidity of fibromyalgia and psychiatric disorders". Current Pain and Headache ...
Bottas A (15 April 2009). "Comorbidity: Schizophrenia With Obsessive-Compulsive Disorder". Psychiatric Times. 26 (4). Archived ...
Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, Goodwin FK (November 1990). "Comorbidity of mental disorders with ... Russian adapted version of the ICD-10 Buckley PF, Miller BJ, Lehrer DS, Castle DJ (March 2009). "Psychiatric comorbidities and ... Results from the National Comorbidity Survey" (PDF). Archives of General Psychiatry. 51 (1): 8-19. doi:10.1001/archpsyc. ... Bottas A (15 April 2009). "Comorbidity: Schizophrenia With Obsessive-Compulsive Disorder". Psychiatric Times. 26 (4). Archived ...
Two new deaths were reported; a 98-year-old woman "with much comorbidity" and a 73-year-old man from Zagreb. On 16 April, fifty ... Two new deaths were confirmed; a 92-year-old woman "with significant comorbidity" from Pula and a 60-year-old man from Karlovac ... Twentieth death was confirmed; an elderly man "with extensive comorbidity". One of the newly confirmed cases was reported to be ...
Maser J.D. and Cloninger C.R. (Eds.) (1990). Comorbidity in Anxiety and Mood Disorders. Washington, D.C., American Psychiatric ... Maser JD & Cloninger CR (eds). Comorbidity of mood and anxiety disorders. Washington, D.C.: American Psychiatric Press, 1990. " ...
Comorbidities are common among adults with inflammatory bowel disease (ibd). ... Comorbidity means more than one disease/condition is present in a person at the same time. ...
A new study confirms that cancer is a comorbidity of heart failure, although the contributing mechanisms are still to be ... leaves the clinician with the confirmation that cancer is a comorbidity of HF to be aware of (Graphical Abstract). According to ... antigen concentrations might be neglected because prostate cancer is rarely the cause of death in men with comorbidities, hence ...
Listen to Comorbidity on Spotify. Effter · Album · 2019 · 11 songs. ...
comorbidity_1.0.5.tar.gz Windows binaries: r-devel:, r-release:, r-oldrel: ... r-release (arm64): comorbidity_1.0.5.tgz, r-oldrel (arm64): comorbidity_1.0.5.tgz, r-release (x86_64): comorbidity_1.0.5.tgz, r ... comorbidity: Computing Comorbidity Scores. Computing comorbidity indices and scores such as the weighted Charlson score ( ... comorbidity archive Linking:. Please use the canonical form to link to this ...
The prevalence of comorbidities has important clinical, health service, and research implications. The disease specific model ... Cancer and comorbidity: redefining chronic diseases Cancer. 2000 Feb 1;88(3):653-63. doi: 10.1002/(sici)1097-0142(20000201)88:3 ... Results: Comorbidity was present in 68.7% of cancer patients, and 32.6% of these individuals had , or = 2 comorbid conditions. ... The prevalence of comorbidities has important clinical, health service, and research implications. The disease specific model ...
Understanding Comorbidity. The term comorbidity has historically been used to characterize diseases that are unrelated to and ... Comorbidity is the presence of one or more diseases in conjunction with a disease currently being studied or treated. For ... The concept of comorbidity helps treatment providers to understand the total impact of all diseases on a persons life. It can ... Comorbidity in Psychology. In the field of psychology, patients sometimes have several different physical or mental health ...
The high comorbidity and chronic course of ADHD and its possible negative influence on the course of both disorders increase ... Comorbidity of adult attention deficit and hyperactivity disorder in bipolar and unipolar patients. Harmanci, H., Celikel, C ... Comorbidity of adult attention deficit and hyperactivity disorder in bipolar and unipolar patients. ... and anxious temperaments are significantly associated with ADHD comorbidity in bipolar and depressive patients as well as in HC ...
Framework for collaborative action on tuberculosis and comorbidities  World Health Organization (‎World Health Organization, ... Addressing comorbidity between mental disorders and major noncommunicable diseases: background technical report to support ...
Psychiatric Comorbidity. There is a high association of affective disorders with bulimia nervosa, with lifetime rates of over ... Psychiatric Comorbidity *Medical Complications *Natural History *Differential Diagnosis *Prognosis *Illustrative Case * ...
Updated Estimates of ADHD Prevalence, Comorbidity. Long thought to be the key to academic success, medication doesnt help kids ...
The study objective is to test mechanisms thought to be responsible for the comorbidity between psychiatric and medical ...
... Review research studies at Sutter Health. ... Use EHRs and survey data to characterize migraineurs at Sutter Health by demographic, comorbidity, symptom, and care gap ...
... is a multifaceted disease that reduces life quality and expectancy through a plethora of health complications and comorbidities ...
... (ICPSR 28581). Version Date: Jan 18, 2017 View help for ... The National Comorbidity Survey Replication Adolescent Supplement (NCS-A) was designed to estimate the lifetime-to-date and ... NCS-A was originally designed to sample adolescents residing in the households that participated in the National Comorbidity ... Kessler, Ronald C. National Comorbidity Survey: Adolescent Supplement (NCS-A), 2001-2004. ICPSR28581-v6. Ann Arbor, MI: Inter- ...
Comorbidity in ADHD: A Neuropsychological Perspective. Written By. Julio César Flores Lázaro and María Alejandra Salgado Soruco ...
In 2018, do you approach practice differently, with so many folks with comorbidities and diabetes-in particular, with many ... comorbidities beyond cardiovascular disease, such as behavioral health, and depression, and a whole host of other conditions? ...
Patients with a diagnosis of PMR may have an increased risk of comorbidities such as vascular disease or cancer, and the effect ... A range of outcomes was assessed, including incidence, prevalence, treatment, comorbidities, hospital admissions and mortality ... An epidemiological investigation into the incidence, prevalence, treatment and comorbidities associated with polymyalgia ...
Preexisting conditions, or comorbidities, make severe illness or death from COVID-19 more likely. But assessing the risk of ... Researchers have proposed several mathematical models for predicting death from COVID-19 based on comorbidities. Medical ... and then use that to generate a predicted probability of death that represents the aggregate risk posed due to the comorbidity. ...
Comorbidity as a noun means (medicine) The presence of one or more ,a,disorders,/a, (diseases) in addition to a primary disease ...
... of total variability in psychiatric comorbidities.,i, Conclusions,/i,. A higher prevalence of psychiatric comorbidity among ... and number of medical comorbidities (r = -0.140). Of all associated factors, early age of the first depressive episode, CTEs ... Positive correlations were established between higher number of psychiatric comorbidities and severity of depressive symptoms ( ... i,Objective,/i,. To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients ...
The burden of comorbidity is further compounded by health system constraints leading to limited prevention and diagnostic ... The APO latest policy brief on Integrated care TB and DM comorbidity in Asian countries presents a comprehensive overview and ... Addressing this growing threat of TB-DM comorbidity would require a multifaceted approach and collaboration across government ... 2022)‏. Integrated care for tuberculosis (‏TB)‏ and diabetes mellitus (‏DM)‏ comorbidity in Asian countries: health system ...
Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiologic Catchment Area (ECA) Study. ... Animal studies provide some of the best data with respect to modeling the comorbidity process; neo-natal ventral hippocampal ... A neurobiological basis for substance abuse comorbidity in schizophrenia. Biol Psychiatry. 2001;50:71-83. ... Understanding the Neurobiological Basis of Drug Abuse: Comorbidity in Schizophrenia. .social-ris-container { display: flex; ...
Those with comorbidities were 15 percent less likely to have a discussion with their care provider about a trial, 23 percent ... allowing for the participation of well-managed comorbidities - thanks to efforts led by the American Society of Clinical ... potentially leaving gaps in understanding how drugs may affect individuals with certain comorbidities, according to recent ... Research Network examined data of nearly 5,500 patients from a national survey and found that an increase in comorbidities - ...
The Charlson Comorbidity Index (CCI) and Elixhauser Comorbidity Index (ECI) were calculated for each patient. Five sets of ... Evaluating the predictive value of comorbidity indices in pituitary surgery: a mixed-effects modeling study using the ... We utilized comparative modeling strategies to evaluate the predictive validity of various comorbidity indices and combinations ... Objective: Although pituitary adenomas (PAs) are common intracranial tumors, literature evaluating the utility of comorbidity ...
... various comorbidities such as osteoporosis and hyperthyroidism that are often missed in adult women with Turners syndrome, ...
RIO DE JANEIRO, BRAZIL - Rio de Janeiro has seen deaths and hospitalizations of elderly administered the two coronavirus vaccine doses steadily increase. The numbers have been rising for about a month and a half and have alerted the ...
MEASUREMENTS OF COMORBIDITIES IN COPD. *THE TWO MOST IMPORTANT COMORBIDITIES IN COPD MORTALITY: CANCER AND CARDIOVASCULAR ... CASE DEFINITION OF COMORBIDITY. Unfortunately, there is no universally accepted definition of comorbidity. Traditionally, ... Mortality in COPD: role of comorbidities. D. D. Sin, N. R. Anthonisen, J. B. Soriano, A. G. Agusti ... Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992;45:613-619. ...
Study Examines Comorbidity of ADHD and Bipolar Disorder. May 5, 2021 · Posted in Comorbidities, Course of Illness, Diagnosis, ... Worsening Comorbidities Relate To Adverse Bipolar Outcomes. December 18, 2013 · Posted in Course of Illness · Comment ... Substance Abuse Comorbidity. In a third presentation, Ben Goldstein reported that the onset of bipolar illness predates the ... Editors Note: These findings add to the list of comorbidities that topiramate may help with, even though it does not have any ...
  • This study was conducted to describe the prevalence of comorbidity in cancer patients and examine its relation with multiple demographic and clinical variables. (
  • The prevalence of comorbidities has important clinical, health service, and research implications. (
  • The high prevalence of TB and DM independently in Bangladesh, China, India, Indonesia, Nepal and Philippines underscores the potential high prevalence of TB-DM comorbidity which has become a major global public health concern and a critical public health challenge in low- and middle-income countries. (
  • A higher prevalence of psychiatric comorbidity among subjects seeking help for depression in Chilean PHCs is associated with early onset of depression, clinical severity, chronicity, and interpersonal adversity experienced since childhood. (
  • Increased recognition of the high prevalence and negative psychosocial impact of depression and anxiety disorder comorbidity will lead to more effective treatment. (
  • The findings of this study demonstrated the high prevalence of psychiatric comorbidity (49%) in patients with medically refractory epilepsy. (
  • He was also a principal investigator in the first study of ADHD prevalence in the United States, part of the National Comorbidity Survey, which in 2006 reported that 4.4 percent of U.S. adults had the disorder. (
  • Hypertension and obesity are closely related, each occurring in greater frequency with the other, it is only logical to think that comorbidities of obesity and hypertension could increase the risk of cardiovascular disease and SD. (
  • This research looks at the relationship between hypertension and obesity comorbidities and its association with sexual function in type II diabetics. (
  • Comorbidities of hypertension and obesity increases the risk of coronary disease, affects some domains of sexual function and decreases the SQoL of diabetics. (
  • Fast forwarding to the current era, the typical PAH patient tends to be older and with other comorbidities either linking with pulmonary hypertension or challenging its timely diagnosis and treatment. (
  • Hypertension and diabetes were the major comorbidities in this study. (
  • In a 2021 review and meta-analysis in the journal Neuroscience and Biobehavioral Reviews , researcher Carmen Schiweck and colleagues described the comorbidity of attention-deficit hyperactivity disorder (ADHD) and bipolar disorder in adults. (
  • Fast Five Quiz: Schizophrenia Comorbidities - Medscape - Apr 22, 2021. (
  • Diabetes is a multifaceted disease that reduces life quality and expectancy through a plethora of health complications and comorbidities. (
  • Objective: Although pituitary adenomas (PAs) are common intracranial tumors, literature evaluating the utility of comorbidity indices for predicting postoperative complications in patients undergoing pituitary surgery remains limited, thereby hindering the development of complex models that aim to identify high-risk patient populations. (
  • Both psychotherapy and pharmacological treatments are discussed as well as assessment strategies and potential complications that may accompany comorbidities. (
  • What is the difference between complications and comorbidities? (
  • Diagnostic testing should be directed at identification of complications or exclusion of comorbidities. (
  • The researchers here believe that a better approach is to do a systematic survey of all pre-existing conditions, determine which have an impact on outcomes, and then use that to generate a predicted probability of death that represents the aggregate risk posed due to the comorbidity. (
  • We utilized comparative modeling strategies to evaluate the predictive validity of various comorbidity indices and combinations thereof in predicting key pituitary surgery outcomes. (
  • The present review paper, based on discussions of a roundtable meeting of respiratory specialists held in December 2004 in Montreal (Canada), explores the causes of death in COPD, the potential role of comorbidities in the health outcomes of COPD patients, and the pathogenic factors ( e.g. inflammation) that may link COPD and comorbid conditions. (
  • This study determined the outcomes of COVID-19 among patients with comorbidities in Kaduna state , where we have the highest incidence in northern Nigeria . (
  • These risk factors have been reported previously for severe COVID-19 cases, and highlight the role that ageing and underlying comorbidities play in severe outcomes to respiratory disease. (
  • Vascular comorbidities are known ED risk factors, but no data were previously available on the effects of vascular comorbidities on ED incidence after PCa radiotherapy, he said. (
  • Pre-radiation therapy incidence rates were slightly among African Americans than Caucasians (23% vs. 20%) due to a higher incidence of vascular comorbidities in the African Americans. (
  • Shared risk factors among CVD and cancer include smoking, obesity, diabetes and other comorbidities, and previous studies have shown that the incidence of developing these comorbidities increases after cancer diagnosis as life expectancy increases. (
  • The authors speculate that may be due to biological changes associated with aging and a higher incidence of comorbidities that complicate recovery. (
  • An increased incidence of conjunctivitis, regardless of treatment group, was associated with more severe baseline AD, and history of allergic conjunctivitis/atopic keratoconjunctivitis, as well as the number of atopic comorbidities. (
  • In 2018, do you approach practice differently, with so many folks with comorbidities and diabetes-in particular, with many comorbidities beyond cardiovascular disease, such as behavioral health, and depression, and a whole host of other conditions? (
  • See how the Comorbidities Manager prompts the clinician to consider his Type 2 Diabetes alongside his acute condition. (
  • Many comorbidities have been linked with hearing loss , including cognitive disorders , heart disease , diabetes , and falls and balance problems. (
  • Cardiometabolic comorbidities were defined as either type-2 diabetes (T2D), cardiovascular disease (CVD: stroke or myocardial infarction) or both, diagnosed prior to cancer. (
  • People with comorbidities such as diabetes, Latinx, and Black people are also more at risk for COVID-19 and death. (
  • Major cost drivers were multidrug treatment, inpatient or hospital care and having a comorbidity like diabetes. (
  • Ensure that the stock of medications for diabetes control and for How can someone prepare any other comorbidity, is adequate to last for at least 90 days during COVID-19 pandemic? (
  • Comorbidity of adult attention deficit and hyperactivity disorder in bipolar and unipolar patients. (
  • and (3) depressive, cyclothymic, irritable, and anxious temperaments are significantly associated with ADHD comorbidity in bipolar and depressive patients as well as in HC. (
  • RESUME Afin d'examiner l'expérience d'une clinique de pédopsychiatrie en ce qui concerne la comorbidité et les caractéristiques du traitement des enfants souffrant d'hyperactivité avec déficit de l'attention (HADA), une étude rétrospective a été réalisée auprès des patients de moins de 19 ans qui consultaient à la clinique et chez lesquels un diagnostic de HADA avait été posé. (
  • Patients with a diagnosis of PMR may have an increased risk of comorbidities such as vascular disease or cancer, and the effect of PMR on mortality is uncertain. (
  • To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients consulting for depression in Primary Health Care (PHC) in Chile. (
  • Compared with those who only have depression, patients with anxious-depression comorbidity develop more severe symptoms and greater chronicity, have a worse prognosis, and require different pharmacological and psychological therapeutic approaches [ 8 ]. (
  • The importance of anxiety in depression is now recognized in the DSM-V [ 12 - 14 ], but current therapeutic guidelines for depression still do not provide a specific indication for recognition and treatment in those patients who present with such comorbidity [ 9 ]. (
  • Patients with cancer who also have other health issues are less likely to participate in a clinical trial, potentially leaving gaps in understanding how drugs may affect individuals with certain comorbidities, according to recent research published in JAMA Oncology . (
  • Researchers from the SWOG Cancer Research Network examined data of nearly 5,500 patients from a national survey and found that an increase in comorbidities - including high blood pressure, asthma or a prior cancer - was associated with fewer discussions about joining a clinical trial, clinical trial offers and participation. (
  • Conclusions: This investigation is to the authors' knowledge the first to implement mixed-effects modeling to study the utility of common comorbidity indices in a large, nationwide cohort of patients undergoing pituitary surgery. (
  • Variations in wound care needs may exist among patients based on their ethnicity, age, socioeconomic status (SES), and comorbidities. (
  • Here, we have used self-reported data (symptoms, medications and comorbidities) from more than 3 million users from the COVID-19 Symptom Tracker app 12 to identify previously reported and novel features predictive of patients being admitted in a hospital setting. (
  • In this comprehensive analysis of 77 million patients in a large US population-based cohort, we examined coassociation patterns among HS comorbidities and identified clinically relevant phenotypic subtypes within HS. (
  • When comorbidities are considered in the acute care setting, healthcare professionals more effectively manage their patients. (
  • Among 20‑30% of patients with suspected autism referred for evaluation by multidisciplinary teams, have the diagnosed discarded and 15 to 20% have genetic and / or environmental comorbidities. (
  • Researchers ascertained patients' number of pre-radiation vascular comorbidities by medical history and medication list. (
  • Clinicians can use the results of the study to provide estimates of post-radiotherapy erectile dysfunction as a function of vascular comorbidities when counseling patients on treatment options for prostate cancer," Dr. Jani told Renal & Urology News . (
  • The purpose of this study is to demonstrate the superiority of LCZ696 over individualized medical therapy for comorbidities in reducing N-terminal pro-brain natriuretic peptide (NT-proBNP) and improving exercise capacity and HF symptoms in patients with heart failure with preserved ejection fraction (HFpEF). (
  • 40%). Patients were initially stratified into one of three strata according to prior treatment for comorbidities: Angiotensin converting enzyme inhibitor (ACEi), angiotensin receptor blocker (ARB) or no prior renin angiotensin system inhibitors (RASi). (
  • All patients who fulfill the inclusion/exclusion criteria will be stratified before randomization based upon prior therapy for comorbidities to one of 3 strata: ACEi, ARB or no RASi. (
  • Multimorbidity, also known as multiple comorbidities or multiple chronic conditions, is common and greatly increases the complexity of managing disease in patients. (
  • The most frequent psychiatric comorbidities observed in patients with cyclic vomiting syndrome appear to be anxiety and depression. (
  • Most patients with comorbidities had severe presentations and fatal poorer outcome. (
  • We compared comorbidities, clinical features and other predictive factors between COVID-19 patients requiring ICU admission for intubation/mechanical ventilation and all other COVID-19 cases in Selangor, Malaysia. (
  • Fast Five Quiz: Obesity Comorbidities - Medscape - Jan 31, 2022. (
  • Cite this: Comorbidity High Among Adults With Epilepsy - Medscape - Oct 31, 2013. (
  • These multidimensional tools may be more valuable because, unlike predictive approaches based on single parameters, they can reflect the range of comorbidities and the complexity of underlying mechanisms associated with COPD. (
  • HS is associated with a wide range of comorbidities that complicate the disease course. (
  • The term comorbidity has historically been used to characterize diseases that are unrelated to and neither cause nor are caused by the disease being treated. (
  • Can you have multiple comorbidities? (
  • Worldwide, people are living longer with disability and multiple comorbidities, with important implications for global health care needs [1]. (
  • What are multiple comorbidities? (
  • Comorbidity on schizophrenia and substance abuse: implications for treatment. (
  • The categorization of both diagnoses has been questioned as separate nosological entities, due to the high comorbidities observed in clinical practice and genetic studies [ 6 , 10 ]. (
  • However, in this country, despite the time of implementation of this PHC program [ 21 , 23 , 25 ], the evidence on the clinical recognition and the influence of psychiatric comorbidity on symptomatological severity, therapeutic response, and illness course is still scarce [ 21 , 25 ]. (
  • However, inclusion criteria for many clinical trials may soon be expanding, allowing for the participation of well-managed comorbidities - thanks to efforts led by the American Society of Clinical Oncology (ASCO), friends of Cancer Research and the Food and Drug Administration (FDA). (
  • Two such clinical trials, TOwards a Revolution in COPD Health (TORCH) 8 and Understanding the Potential Long-term Impacts on Function with Tiotropium (UPLIFT) 9 , are examples of how COPD studies are changing because of comorbidities. (
  • This course reviews the research evidence and recommendations from clinical practice guidelines regarding best treatment practices for PTSD when comorbidities are present. (
  • Test the Comorbidities Manager to see how our clinical decision support tool can help professionals in COVID-19 care, management and severity assessment. (
  • The current report reviews the epidemiology, clinical implications, and management of comorbidity in the primary care setting. (
  • Treatment of comorbidity often involves collaboration between clinical providers and organizations that provide supportive services to address issues such as homelessness, physical health, vocational skills, and legal problems. (
  • The comorbidity of depression with other psychiatric disorders, mainly with anxiety disorders, remains a field that requires further investigation [ 9 ]. (
  • Physical and mental health comorbidities among adults with multiple sc" by Mark D. Peterson, Paul Lin et al. (
  • Preexisting conditions, or comorbidities, make severe illness or death from COVID-19 more likely. (
  • Despite previously reported association between age and more severe disease phenotypes 13 - 18 , we found that patient's age, sex and ethnic group were minimally predictive when compared to patient's symptoms and comorbidities. (
  • Background: Pre-existing comorbidities can predict severe disease requiring intensive care unit (ICU) admission among COVID-19 cases. (
  • The high comorbidity and chronic course of ADHD and its possible negative influence on the course of both disorders increase the importance of screening for adult ADHD. (
  • The current paper reviews the role of comorbidities in chronic obstructive pulmonary disease mortality, the putative underlying pathogenic link between chronic obstructive pulmonary disease and comorbid conditions ( i.e. inflammation), and the tools used to predict chronic obstructive pulmonary disease mortality. (
  • However, as chronic diseases are more common among older people, it is difficult to determine whether the increased risk among the elderly is due to comorbidity, age, or a combination of these factors. (
  • Although synovitis is the pathological hallmark of rheumatoid arthritis (RA), many extra-articular manifestations (EMs) and comorbidities likely occur due to the complex, chronic, inflammatory, and autoimmune features of RA. (
  • Comorbidities are usually long-term, or chronic. (
  • Introduction: Chronic diseases frequently pre-exist among individuals with cancer and these comorbidities have been hypothesized to affect survival following cancer diagnosis. (
  • Defining Comorbidity: Implications for Understanding Health and Health Services. (
  • NYU Langone Health researchers have been instrumental for more than a decade in dispelling that misconception and in identifying the distinct diagnostic markers, neurobiological pathways, behavioral impacts, and comorbidities that characterize adult ADHD . (
  • One of Dr. Adler's ongoing studies seeks to identify the relationship between symptoms of adult ADHD and those of a relatively common but little-understood comorbidity: sluggish cognitive tempo (SCT). (
  • Another meta-analytic study shows varying rates of comorbidity, from 8% to 46.3%, for ADHD and anxiety among students with LD. (
  • We identified three studies analysing multiple risk factors using multivariate models, but the results do not provide clear answers as to whether age or comorbidity is the most important risk factor for serious illness. (
  • Comorbidity simply means more than one illness or disease occurring in one person at the same time and multimorbidity means more than two illnesses or diseases occurring in the same person at the same time. (
  • Comorbidity is a separate illness or disease you may have along with your primary health concern. (
  • Martin Meltzer] Well, the authors of the study on pneumonia did adjust for pre-existing medical conditions by using a severity-of-illness scale, called the Charlson Comorbidity Index. (
  • This was the first review and meta-analysis to quantify the comorbidity of the two fairly prevalent disorders. (
  • This talk is going to be on the topic of autism spectrum disorders, with a specific focus on psychiatric comorbidities. (
  • Although recognition of individual depressive and anxiety disorders has increased substantially in the past decade, recognition of comorbidity still lags. (
  • Comorbidity describes two or more disorders or illnesses occurring in the same person. (
  • Comorbidity of mental disorders with alcohol and other drug abuse. (
  • 18) Verdoux H, Mury M, Besancon G, Bourgeois M. Comparative study of substance dependence comorbidity in bipolar, schizophrenic and schizoaffective disorders. (
  • Patient symptoms and impairments related to each of the dimensions of the "fibromyalgia triad" (pain, sleep dysfunction, and mood disorders) as well as any other comorbidities, past experiences with treatment, and patient preferences should guide therapy selection. (
  • Comorbidities such as cardiovascular disease and lung cancer are also major causes and, in mild-to-moderate COPD, are the leading causes of mortality. (
  • However, with the increased recognition of the role of comorbidities in COPD, all-cause mortality has become a paramount end-point for the evaluation of novel therapies. (
  • A systematic Medline search was performed until March 2006 for articles in English or with English abstracts with the following keywords: COPD, mortality, death, prognosis, comorbidities, inflammation, cardiovascular disease, lung cancer, and health status. (
  • We investigated associations between pre-existing cardiometabolic comorbidities and all-cause and cancer-specific mortality among individuals with cancer. (
  • Pre-existing comorbidities were positively associated with all-cause mortality with hazard ratios (HRs) of 1.25 (95% CI: 1.17-1.34), 1.30 (1.21-1.39), and 1.60 (1.42-1.80) for participants with T2D, CVD, and both, respectively, compared to absence of these comorbidities. (
  • Conclusions: A CVD or T2D, and in particular the combination of CVD and TD2, before cancer is associated with increased mortality, thus calling for specific attention to individuals living with cancer with pre-existing cardiometabolic comorbidities. (
  • The burden of comorbidity is further compounded by health system constraints leading to limited prevention and diagnostic facilities, limited access to care and completion of treatment. (
  • Thus, improved awareness and understanding among neurologists and primary-care providers regarding the common medical comorbidities reported with epilepsy along with better screening, diagnosis, and treatment of comorbidity in persons with epilepsy are necessary. (
  • The concept of comorbidity helps treatment providers to understand the total impact of all diseases on a person's life. (
  • Comorbidity can affect a person's prognosis because other illnesses affect the medications a person can take, the effectiveness of these medications, and the long-term success of treatment. (
  • In addition, the presence of comorbidities may raise questions as to how well complex clients can handle evidence-based treatment for PTSD in which trauma processing is required, such as Prolonged Exposure or Cognitive Processing Therapy. (
  • This proposal holds potential for making progress towards a new therapeutic option for AD with significant cerebrovascular comorbidity, a neurologic disorder that is both poorly understood and has only limited treatment options. (
  • It is important to note that comorbidities have a significant impact on the treatment considerations for AECOPD. (
  • Test the Comorbidities Manager for evidence-based guidance on symptom evaluation, test ordering and treatment. (
  • ATLANTA-The number of comorbidities a man has prior to prostate cancer (PCa) radiotherapy influences his risk of erectile dysfunction (ED) after treatment, according to study findings reported at the American Society for Radiation Oncology's 55th annual meeting. (
  • Contemporary Heart Failure Treatment Based on Improved Knowledge and Personalized Care of Comorbidities. (
  • These comorbidities are important considerations when selecting an appropriate treatment approach. (
  • Positive correlations were established between higher number of psychiatric comorbidities and severity of depressive symptoms (r = 0.358), frequency of CTEs (r = 0.228), frequency of IPV events (r = 0.218), frequency of recent stressful life events (r = 0.188), number of previous depressive episodes (r = 0.340), and duration of these (r = 0.120). (
  • Use EHRs and survey data to characterize migraineurs at Sutter Health by demographic, comorbidity, symptom, and care gap profiles, to see if tx needs are met. (
  • According to the DOH, the Pediatric A3 vaccination will focus on minors whose comorbidities include HIV, cancer, and tuberculosis, among others. (
  • Methods: Field data collected during the COVID-19 outbreak in Selangor, Malaysia, up to 13 April 2020 were used, comprising socio-demographic characteristics, comorbidities and presenting symptoms of COVID-19 cases. (
  • Our findings showed that greater work -to- family conflict was related to higher comorbidity and greater disability over time, controlling for other known predictors of health ( employment status, total household income, living arrangement , marital status, depressive symptoms, and baseline demographic characteristics). (
  • Of all associated factors, early age of the first depressive episode, CTEs antecedents, and recent stressful life events explain 13.6% of total variability in psychiatric comorbidities. (
  • The presence of depressive/anxiety comorbidity substantially increases medical utilization and is associated with greater chronicity, slower recovery, increased rates of recurrence, and greater psychosocial disability. (
  • This patient's asthma is one comorbidity known to increase the risk for long COVID. (
  • Inverse correlations were determined with age at the time of the first consultation (r = -0.168), age of onset of depression (r = -0.320), and number of medical comorbidities (r = -0.140). (
  • One of the most common examples of comorbidity in the mental health field is depression and anxiety disorder. (
  • The Charlson Comorbidity Index (CCI) and Elixhauser Comorbidity Index (ECI) were calculated for each patient. (
  • Different associated diseases in each onset age group of AA can allow clinician to efficiently investigate specific comorbidities. (
  • As reported by the Public Health Agency of Canada , 90% of COVID-19 related deaths between March and July 2020 occurred among those with a pre-existing comorbidity. (
  • Electroconvulsive therapy was no option due to somatic comorbidity. (
  • Results of search for 'su:{Comorbidity. (
  • Program site was significantly associated with all comorbidities except renal insufficiency . (
  • The comorbidity is most common in childhood, less so in adolescence, and lowest in adulthood. (
  • He includes illustrated charts of common groupings, aka 'comorbidities'-including conditions that can be categorized as neurological, psychological, physiological, learning differences, genetics. (
  • This article aims to provide an overview of the most prevalent and important EMs and comorbidities associated with RA. (
  • Researchers have proposed several mathematical models for predicting death from COVID-19 based on comorbidities. (
  • Bacolod City will start vaccinating minors with comorbidities against COVID-19 on November 5. (
  • IMSEAR at SEARO: Substance abuse and Comorbidity. (
  • Substance abuse and Comorbidity. (
  • BMJ Best Practice is the only EBM tool with a dedicated Comorbidities Manager. (
  • The Comorbidities Manager has been incorporated into 50+ topics within BMJ Best Practice, providing more than 25,500 different guideline combinations. (
  • The study objective is to test mechanisms thought to be responsible for the comorbidity between psychiatric and medical sequelae of World Trade Center (WTC) exposures. (
  • Comorbidity is a medical term that you may have heard your doctor use. (
  • Addressing this growing threat of TB-DM comorbidity would require a multifaceted approach and collaboration across government departments, the private sector and professional bodies. (