Estimated prevalence of multiple chronic conditions throughout adulthood using data from the All of Us Research Program.

Xintong Li, Caitlin Dreisbach, Carolina M Gustafson, Komal Patel Murali, Theresa A Koleck
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Abstract

Estimation of multiple chronic condition (MCC) prevalence throughout adulthood provides a critical reflection of MCC burden. We analyzed electronic health record codes for 58 conditions to estimate MCC prevalence for All of Us (AoU) Research Program adult participants (N=242,828). Approximately 76% of AoU participants were diagnosed with MCCs, with over 40% having 6 or more conditions and prevalence increasing with age; the most frequently occurring MCC combinations varied by age category (i.e., mental health conditions in early adulthood and physical health conditions in middle adulthood through advanced old age). We report notable prevalence of MCC throughout adulthood and variability in MCC condition combinations by age category in AoU participants. These findings highlight the need for targeted, innovative care modalities and population health initiatives to address MCC burden throughout adulthood.

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利用 "我们所有人 "研究计划提供的数据,估算成年后多种慢性病的患病率。
估算整个成年期的多重慢性病(MCC)患病率是反映 MCC 负担的重要指标。我们分析了 58 种病症的电子健康记录代码,以估算 "我们所有人"(AoU)研究计划成年参与者(人数=242,828)的多重慢性病患病率。大约 76% 的 AoU 参与者被诊断出患有 MCC,其中超过 40% 的人患有 6 种或 6 种以上的病症,患病率随年龄增长而增加;最常出现的 MCC 组合因年龄类别而异(即成年早期的精神健康病症和成年中期至老年期的身体健康病症)。我们报告了 AoU 参与者在整个成年期的 MCC 患病率以及不同年龄段的 MCC 病症组合的变化情况。这些发现突出表明,有必要采取有针对性的创新护理方式和人口健康措施,以解决整个成年期的 MCC 负担问题。
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