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The epidemiology of multimorbidity in primary care: a retrospective cohort study

Overview of attention for article published in British Journal of General Practice, March 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#47 of 3,002)
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (95th percentile)

Mentioned by

news
5 news outlets
blogs
1 blog
twitter
140 tweeters
facebook
1 Facebook page

Citations

dimensions_citation
30 Dimensions

Readers on

mendeley
498 Mendeley
citeulike
3 CiteULike
Title
The epidemiology of multimorbidity in primary care: a retrospective cohort study
Published in
British Journal of General Practice, March 2018
DOI 10.3399/bjgp18x695465
Pubmed ID
Authors

Anna Cassell, Duncan Edwards, Amelia Harshfield, Kirsty Rhodes, James Brimicombe, Rupert Payne, Simon Griffin

Abstract

Multimorbidity places a substantial burden on patients and the healthcare system, but few contemporary epidemiological data are available. To describe the epidemiology of multimorbidity in adults in England, and quantify associations between multimorbidity and health service utilisation. Retrospective cohort study, undertaken in England. The study used a random sample of 403 985 adult patients (aged ≥18 years), who were registered with a general practice on 1 January 2012 and included in the Clinical Practice Research Datalink. Multimorbidity was defined as having two or more of 36 long-term conditions recorded in patients' medical records, and associations between multimorbidity and health service utilisation (GP consultations, prescriptions, and hospitalisations) over 4 years were quantified. In total, 27.2% of the patients involved in the study had multimorbidity. The most prevalent conditions were hypertension (18.2%), depression or anxiety (10.3%), and chronic pain (10.1%). The prevalence of multimorbidity was higher in females than males (30.0% versus 24.4% respectively) and among those with lower socioeconomic status (30.0% in the quintile with the greatest levels of deprivation versus 25.8% in that with the lowest). Physical-mental comorbidity constituted a much greater proportion of overall morbidity in both younger patients (18-44 years) and those patients with a lower socioeconomic status. Multimorbidity was strongly associated with health service utilisation. Patients with multimorbidity accounted for 52.9% of GP consultations, 78.7% of prescriptions, and 56.1% of hospital admissions. Multimorbidity is common, socially patterned, and associated with increased health service utilisation. These findings support the need to improve the quality and efficiency of health services providing care to patients with multimorbidity at both practice and national level.

Twitter Demographics

The data shown below were collected from the profiles of 140 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 498 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 10 2%
Canada 4 <1%
Spain 3 <1%
Australia 2 <1%
United States 1 <1%
Nigeria 1 <1%
Belgium 1 <1%
Netherlands 1 <1%
India 1 <1%
Other 0 0%
Unknown 474 95%

Demographic breakdown

Readers by professional status Count As %
Researcher 97 19%
Student > Master 81 16%
Student > Ph. D. Student 78 16%
Student > Bachelor 51 10%
Unspecified 50 10%
Other 141 28%
Readers by discipline Count As %
Medicine and Dentistry 233 47%
Unspecified 91 18%
Nursing and Health Professions 50 10%
Social Sciences 29 6%
Psychology 24 5%
Other 71 14%

Attention Score in Context

This research output has an Altmetric Attention Score of 137. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 October 2019.
All research outputs
#112,095
of 13,757,952 outputs
Outputs from British Journal of General Practice
#47
of 3,002 outputs
Outputs of similar age
#5,167
of 272,856 outputs
Outputs of similar age from British Journal of General Practice
#4
of 97 outputs
Altmetric has tracked 13,757,952 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,002 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.7. This one has done particularly well, scoring higher than 98% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,856 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 97 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 95% of its contemporaries.