TY - JOUR
T1 - From bedside to bench
T2 - Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Comorbidity and Multiple Morbidity in Older Adults
AU - Boyd, Cynthia M.
AU - Ritchie, Christine S.
AU - Tipton, Edmond F.
AU - Studenski, Stephanie A.
AU - Wieland, Darryl
N1 - Funding Information:
Sponsor’s Role: The AGS and NIA sponsored this meeting. Neither organization provided any editorial input into this manuscript. Both AGS and NIA helped with suggestions as how best to organize the meeting and which speakers and participants might be helpful in furthering research on comorbidity/multimorbidity in older patients. The NIA provided financial support through a Cooperative Agreement award for the conference, for which this paper is a report. The AGS and NIA also sponsor a website [http://www.americangeriatrics.org/research/confseries/index.shtml] that displays information for this and other AGS-NIA bench-to-bedside conferences.
PY - 2008/6
Y1 - 2008/6
N2 - Most aging patients have multiple concurrent health problems. However, most current medical practice and research are largely based on a single disease model, failing to account for the simultaneous presence of multiple conditions. Clinical trials, practice guidelines, and pay-for-performance schemes may thus have limited applicability in older patients. We report on the 2005 American Geriatrics Society/National Institute on Aging conference on Comorbid Disease and Multiple Morbidity in an Aging Society. The two-day conference was designed to clarify concepts of multiple concurrent health conditions; explore implications for causation, health, function and systems of care; identify important gaps in knowledge; and propose useful next steps. While the conference did not attempt to standardize terminology, we here develop the concepts of comorbidity, multiple morbidity, condition clusters, physiological health, and overall health as they were used. The present report also summarizes sessions addressing the societal burden of comorbidity, and clinical research on particular diseases within the framework of comorbidity concepts. Next steps recommended include continuing clarification of terms and conceptual approaches, consideration of developing and improving measures, as well as developing new research directions.
AB - Most aging patients have multiple concurrent health problems. However, most current medical practice and research are largely based on a single disease model, failing to account for the simultaneous presence of multiple conditions. Clinical trials, practice guidelines, and pay-for-performance schemes may thus have limited applicability in older patients. We report on the 2005 American Geriatrics Society/National Institute on Aging conference on Comorbid Disease and Multiple Morbidity in an Aging Society. The two-day conference was designed to clarify concepts of multiple concurrent health conditions; explore implications for causation, health, function and systems of care; identify important gaps in knowledge; and propose useful next steps. While the conference did not attempt to standardize terminology, we here develop the concepts of comorbidity, multiple morbidity, condition clusters, physiological health, and overall health as they were used. The present report also summarizes sessions addressing the societal burden of comorbidity, and clinical research on particular diseases within the framework of comorbidity concepts. Next steps recommended include continuing clarification of terms and conceptual approaches, consideration of developing and improving measures, as well as developing new research directions.
KW - Burden of illness
KW - Health status assessment
KW - Nosology
KW - Pathological conditions
KW - Signs and symptoms
UR - http://www.scopus.com/inward/record.url?scp=48449089561&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=48449089561&partnerID=8YFLogxK
U2 - 10.1007/BF03324775
DO - 10.1007/BF03324775
M3 - Article
C2 - 18594183
AN - SCOPUS:48449089561
VL - 20
SP - 181
EP - 188
JO - Aging clinical and experimental research
JF - Aging clinical and experimental research
SN - 1594-0667
IS - 3
ER -