Chronic conditions list
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Comprehensive Overview of Chronic Conditions
Chronic Conditions in Electronic Health Records (EHR)
EHR Documentation and Chronic Disease Identification
Chronic conditions are often documented in electronic health records (EHR) through problem lists and encounter diagnoses. A study assessing EHR data from Community Health Centers (CHCs) found that the overlap between encounter diagnoses and problem lists for chronic conditions was 59.4%. Conditions like diabetes, HIV, and hypertension showed the highest agreement between the two sources, while cancers and substance use disorders had less than 50% agreement. This indicates that relying solely on encounter data may under-capture certain chronic conditions.
Musculoskeletal Conditions and Chronic Disease Risk
Impact of Musculoskeletal Conditions
Musculoskeletal conditions, such as neck or back pain and osteoarthritis, have been shown to increase the risk of developing chronic diseases. A meta-analysis of cohort studies revealed that individuals with musculoskeletal conditions have a 17% higher risk of developing chronic diseases like cardiovascular disease, cancer, and diabetes compared to those without these conditions. This underscores the importance of early treatment and prevention strategies for musculoskeletal conditions to mitigate the risk of subsequent chronic diseases.
Register-Based Definitions of Chronic Conditions
Cataloging Chronic Conditions
A comprehensive catalog of 199 chronic conditions has been developed using data from Danish public healthcare registers. These conditions are categorized based on their expected duration and progression, ranging from stationary to progressive conditions to those with diminishing impact over time. This catalog serves as a valuable resource for healthcare planning and research, providing standardized definitions for chronic conditions.
Chronic Conditions in Family Medicine
Relevance in Multimorbidity
In family medicine, chronic conditions and multimorbidity (MM) are significant concerns. Experts have identified 139 chronic conditions from the International Classification of Primary Care, Second Edition (ICPC-2), with 75 deemed most relevant in the context of MM. Key criteria for defining chronic conditions include duration, sequelae, recurrence/pattern, and the diagnosis itself. This list enhances the validity of studies on MM in family medicine.
Self-Reported Chronic Conditions
Development of a Research Tool
A research tool has been developed to document self-reported chronic conditions in primary care. This tool includes a list of 20 chronic conditions/categories, selected based on their relevance to primary care, impact on patients, prevalence, and frequency in existing literature. The tool aims to standardize the measurement of multimorbidity in research studies.
Standardizing Chronic Condition Definitions
Characteristics and Classification
Defining chronic conditions requires considering factors such as duration, prognosis, pattern, and sequelae. A study applied these characteristics to the ICPC-2 classification, identifying 129 rubrics as chronic and another 20 with elements of chronicity. This standardized approach aids in monitoring the prevalence and management of chronic conditions in general practice.
Prevalence of Chronic Conditions in the US
National Health Surveys
Data from the National Health Interview Survey (NHIS) indicate that over half of US adults have at least one chronic condition, with 27.2% having multiple chronic conditions (MCC). Common chronic conditions include arthritis, cancer, COPD, coronary heart disease, asthma, diabetes, hepatitis, hypertension, stroke, and kidney issues . These findings highlight the widespread prevalence of chronic conditions and the need for effective management strategies.
Conclusion
Chronic conditions are prevalent and pose significant challenges in healthcare management. Standardized definitions and comprehensive documentation in EHRs, along with targeted prevention and treatment strategies, are crucial for addressing the burden of chronic diseases. Understanding the interplay between different chronic conditions, such as musculoskeletal issues and other chronic diseases, can inform better healthcare practices and policies.
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