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Title of the item:

Relative contribution of various chronic diseases and multi-morbidity to potential disability among Dutch elderly

Title :
Relative contribution of various chronic diseases and multi-morbidity to potential disability among Dutch elderly
Authors :
Riaan Botes
Karin M. Vermeulen
Janine Correia
Erik Buskens
Fanny Janssen
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Subject Terms :
Chronic disease
Elderly
Multi-state life tables
Sex and age specific interventions
Public aspects of medicine
RA1-1270
Source :
BMC Health Services Research, Vol 18, Iss 1, Pp 1-8 (2018)
Publisher :
BMC, 2018.
Publication Year :
2018
Collection :
LCC:Public aspects of medicine
Document Type :
article
File Description :
electronic resource
Language :
English
ISSN :
1472-6963
Relation :
http://link.springer.com/article/10.1186/s12913-017-2820-0; https://doaj.org/toc/1472-6963
DOI :
10.1186/s12913-017-2820-0
Access URL :
https://doaj.org/article/e55bea53c39e49aa9c431ae313bb5e1b
Accession Number :
edsdoj.55bea53c39e49aa9c431ae313bb5e1b
Academic Journal
Abstract Background The amount of time spent living with disease greatly influences elderly people’s wellbeing, disability and healthcare costs, but differs by disease, age and sex. Methods We assessed how various single and combined diseases differentially affect life years spent living with disease in Dutch elderly men and women (65+) over their remaining life course. Multistate life table calculations were applied to age and sex-specific disease prevalence, incidence and death rates for the Netherlands in 2007. We distinguished congestive heart failure, coronary heart disease (CHD), breast and prostate cancer, colon cancer, lung cancer, diabetes, COPD, stroke, dementia and osteoarthritis. Results Across ages 65, 70, 75, 80 and 85, CHD caused the most time spent living with disease for Dutch men (from 7.6 years at age 65 to 3.7 years at age 85) and osteoarthritis for Dutch women (from 11.7 years at age 65 to 4.8 years at age 85). Of the various co-occurrences of disease, the combination of diabetes and osteoarthritis led to the most time spent living with disease, for both men (from 11.2 years at age 65 to 4.9 -years at age 85) and women (from 14.2 years at age 65 to 6.0 years at age 85). Conclusions Specific single and multi-morbid diseases affect men and women differently at different phases in the life course in terms of the time spent living with disease, and consequently, their potential disability. Timely sex and age-specific interventions targeting prevention of the single and combined diseases identified could reduce healthcare costs and increase wellbeing in elderly people.
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