Multimorbidity in Older Adults With Cardiovascular Disease

Daniel E. Forman; Mathew S. Maurer; Cynthia Boyd; Ralph Brindis; Marcel E. Salive; Frances Mc Farland Horne; Susan P. Bell; Terry Fulmer; David B. Reuben; Susan Zieman; Michael W. Rich

doi:10.1016/j.jacc.2018.03.022

Multimorbidity in Older Adults With Cardiovascular Disease

Daniel E. Forman, Mathew S. Maurer, Cynthia Boyd, Ralph Brindis, Marcel E. Salive, Frances Mc Farland Horne, Susan P. Bell, Terry Fulmer, David B. Reuben, Susan Zieman, Michael W. Rich

Research output: Contribution to journal › Review article › peer-review

225 Scopus citations

Abstract

Multimorbidity occurs in adults of all ages, but the number and complexity of comorbid conditions commonly increase with advancing age such that cardiovascular disease (CVD) in older adults typically occurs in a context of multimorbidity. Current clinical practice and research mainly target single disease-specific care that does not embrace the complexities imposed by concurrent conditions. In this paper, emerging concepts regarding CVD in combination with multimorbidity are reviewed, including recommendations for incorporating multimorbidity into clinical decision making, critical knowledge gaps, and research priorities to optimize care of complex older patients.

Original language	English
Pages (from-to)	2149-2161
Number of pages	13
Journal	Journal of the American College of Cardiology
Volume	71
Issue number	19
DOIs	https://doi.org/10.1016/j.jacc.2018.03.022
State	Published - May 15 2018

Keywords

aging
frailty
multimorbidity
polypharmacy
quality of life

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10.1016/j.jacc.2018.03.022

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title = "Multimorbidity in Older Adults With Cardiovascular Disease",

abstract = "Multimorbidity occurs in adults of all ages, but the number and complexity of comorbid conditions commonly increase with advancing age such that cardiovascular disease (CVD) in older adults typically occurs in a context of multimorbidity. Current clinical practice and research mainly target single disease-specific care that does not embrace the complexities imposed by concurrent conditions. In this paper, emerging concepts regarding CVD in combination with multimorbidity are reviewed, including recommendations for incorporating multimorbidity into clinical decision making, critical knowledge gaps, and research priorities to optimize care of complex older patients.",

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author = "Forman, {Daniel E.} and Maurer, {Mathew S.} and Cynthia Boyd and Ralph Brindis and Salive, {Marcel E.} and Horne, {Frances Mc Farland} and Bell, {Susan P.} and Terry Fulmer and Reuben, {David B.} and Susan Zieman and Rich, {Michael W.}",

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doi = "10.1016/j.jacc.2018.03.022",

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T1 - Multimorbidity in Older Adults With Cardiovascular Disease

AU - Forman, Daniel E.

AU - Maurer, Mathew S.

AU - Boyd, Cynthia

AU - Brindis, Ralph

AU - Salive, Marcel E.

AU - Horne, Frances Mc Farland

AU - Bell, Susan P.

AU - Fulmer, Terry

AU - Reuben, David B.

AU - Zieman, Susan

AU - Rich, Michael W.

PY - 2018/5/15

Y1 - 2018/5/15

N2 - Multimorbidity occurs in adults of all ages, but the number and complexity of comorbid conditions commonly increase with advancing age such that cardiovascular disease (CVD) in older adults typically occurs in a context of multimorbidity. Current clinical practice and research mainly target single disease-specific care that does not embrace the complexities imposed by concurrent conditions. In this paper, emerging concepts regarding CVD in combination with multimorbidity are reviewed, including recommendations for incorporating multimorbidity into clinical decision making, critical knowledge gaps, and research priorities to optimize care of complex older patients.

AB - Multimorbidity occurs in adults of all ages, but the number and complexity of comorbid conditions commonly increase with advancing age such that cardiovascular disease (CVD) in older adults typically occurs in a context of multimorbidity. Current clinical practice and research mainly target single disease-specific care that does not embrace the complexities imposed by concurrent conditions. In this paper, emerging concepts regarding CVD in combination with multimorbidity are reviewed, including recommendations for incorporating multimorbidity into clinical decision making, critical knowledge gaps, and research priorities to optimize care of complex older patients.

KW - aging

KW - frailty

KW - multimorbidity

KW - polypharmacy

KW - quality of life

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AN - SCOPUS:85046711385

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JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

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ER -

Multimorbidity in Older Adults With Cardiovascular Disease

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