- Title
- Critical review of multimorbidity outcome measures suitable for low-income and middle-income country settings: perspectives from the Global Alliance for Chronic Diseases (GACD) researchers
- Creator
- Hurst, John R.; Agarwal, Gina; Soriano, Joan B.; Vedanthan, Rajesh; Yan, Lijing; Levitt, Naomi; van Boven, Job F. M.; Daivadanam, Meena; Gould, Gillian Sandra; Wan-Chun Huang, Erick; Maulik, Pallab K.; Miranda, J Jaime; Owolabi, M. O.; Premji, Shahirose Sadrudin
- Relation
- BMJ Open Vol. 10, Issue 9, no. e037079
- Publisher Link
- http://dx.doi.org/10.1136/bmjopen-2020-037079
- Publisher
- BMJ Group
- Resource Type
- journal article
- Date
- 2020
- Description
- Objectives: There is growing recognition around the importance of multimorbidity in low-income and middle-income country (LMIC) settings, and specifically the need for pragmatic intervention studies to reduce the risk of developing multimorbidity, and of mitigating the complications and progression of multimorbidity in LMICs. One of many challenges in completing such research has been the selection of appropriate outcomes measures. A 2018 Delphi exercise to develop a core-outcome set for multimorbidity research did not specifically address the challenges of multimorbidity in LMICs where the global burden is greatest, patterns of disease often differ and health systems are frequently fragmented. We, therefore, aimed to summarise and critically review outcome measures suitable for studies investigating mitigation of multimorbidity in LMIC settings. Setting: LMIC. Participants: People with multimorbidity. Outcome measures: Identification of all outcome measures. Results: We present a critical review of outcome measures across eight domains: mortality, quality of life, function, health economics, healthcare access and utilisation, treatment burden, measures of ‘Healthy Living’ and self-efficacy and social functioning. Conclusions: Studies in multimorbidity are necessarily diverse and thus different outcome measures will be appropriate for different study designs. Presenting the diversity of outcome measures across domains should provide a useful summary for researchers, encourage the use of multiple domains in multimorbidity research, and provoke debate and progress in the field.
- Subject
- multimorbidity; mortality; healthcare access; healthy living; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1432421
- Identifier
- uon:39051
- Identifier
- ISSN:2044-6055
- Rights
- This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
- Language
- eng
- Full Text
- Reviewed
- Hits: 7174
- Visitors: 7390
- Downloads: 227
Collections
Goal 3: Good Health and Well-Being
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT02 | Publisher version (open access) | 765 KB | Adobe Acrobat PDF | View Details Download |