Current definitions of advanced multimorbidity: a protocol for a scoping review

Introduction People living with and dying from multimorbidity are increasing in number, and ensuring quality care for this population is one of the major challenges facing healthcare providers. People with multimorbidity often have a high burden of palliative and end-of-life care needs, though they...

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Main Authors: Jo Bowden, Linda Williams, Utkarsh Agrawal, Polly Black, Sarah P Bowers, Frances Quirk, Lewis McCheyne, Darcy Wilson, Sarah E E Mills
Format: Article
Language:English
Published: BMJ Publishing Group 2023-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/11/e076903.full
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author Jo Bowden
Linda Williams
Utkarsh Agrawal
Polly Black
Sarah P Bowers
Frances Quirk
Lewis McCheyne
Darcy Wilson
Sarah E E Mills
author_facet Jo Bowden
Linda Williams
Utkarsh Agrawal
Polly Black
Sarah P Bowers
Frances Quirk
Lewis McCheyne
Darcy Wilson
Sarah E E Mills
author_sort Jo Bowden
collection DOAJ
description Introduction People living with and dying from multimorbidity are increasing in number, and ensuring quality care for this population is one of the major challenges facing healthcare providers. People with multimorbidity often have a high burden of palliative and end-of-life care needs, though they do not always access specialist palliative care services. A key reason for this is that they are often not identified as being in the last stages of their life by current healthcare providers and systems.This scoping review aims to identify and present the available evidence on how people with multimorbidity are currently included in research, policy and clinical practice.Methods and analysis Scoping review methodology, based on Arksey and O’Malley’s framework, will be undertaken and presented using the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews. Search terms have been generated using the key themes of ‘multimorbidity’, ‘end of life’ and ‘palliative care’. Peer-reviewed research will be obtained through systematic searching of Medline, EMBASE, CINAHL, Scopus and PsycINFO. Grey literature will be searched in a systematic manner. Literature containing a definition for adults with multimorbidity in a terminal phase of their illness experience will be included. After screening studies for eligibility, included studies will be described in terms of setting and characteristics as well as using inductive content analysis to highlight the commonalities in definitions.Ethics and dissemination Ethical approval is not required for this scoping review. The findings of the scoping review will be used internally as part of SPB’s PhD thesis at the University of St Andrews through the Multimorbidity Doctoral Training Programme for Health Professionals, which is supported by the Wellcome Trust (223499/Z/21/Z) and published in an open access, peer-reviewed journal for wider dissemination.
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spelling doaj.art-12634781874c4c978d557229278dd4af2023-12-02T10:20:08ZengBMJ Publishing GroupBMJ Open2044-60552023-11-01131110.1136/bmjopen-2023-076903Current definitions of advanced multimorbidity: a protocol for a scoping reviewJo Bowden0Linda Williams1Utkarsh Agrawal2Polly Black3Sarah P Bowers4Frances Quirk5Lewis McCheyne6Darcy Wilson7Sarah E E Mills8University of St Andrews School of Medicine, St Andrews, UKUsher Institute, University of Edinburgh, Edinburgh, UKUniversity of Oxford Nuffield Department of Primary Care Health Sciences, Oxford, UKUniversity of St Andrews School of Medicine, St Andrews, UKUniversity of St Andrews School of Medicine, St Andrews, UKUniversity of St Andrews School of Medicine, St Andrews, UKNHS Fife, Kirkcaldy, UKNHS Tayside, Dundee, UKUniversity of St Andrews School of Medicine, St Andrews, UKIntroduction People living with and dying from multimorbidity are increasing in number, and ensuring quality care for this population is one of the major challenges facing healthcare providers. People with multimorbidity often have a high burden of palliative and end-of-life care needs, though they do not always access specialist palliative care services. A key reason for this is that they are often not identified as being in the last stages of their life by current healthcare providers and systems.This scoping review aims to identify and present the available evidence on how people with multimorbidity are currently included in research, policy and clinical practice.Methods and analysis Scoping review methodology, based on Arksey and O’Malley’s framework, will be undertaken and presented using the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews. Search terms have been generated using the key themes of ‘multimorbidity’, ‘end of life’ and ‘palliative care’. Peer-reviewed research will be obtained through systematic searching of Medline, EMBASE, CINAHL, Scopus and PsycINFO. Grey literature will be searched in a systematic manner. Literature containing a definition for adults with multimorbidity in a terminal phase of their illness experience will be included. After screening studies for eligibility, included studies will be described in terms of setting and characteristics as well as using inductive content analysis to highlight the commonalities in definitions.Ethics and dissemination Ethical approval is not required for this scoping review. The findings of the scoping review will be used internally as part of SPB’s PhD thesis at the University of St Andrews through the Multimorbidity Doctoral Training Programme for Health Professionals, which is supported by the Wellcome Trust (223499/Z/21/Z) and published in an open access, peer-reviewed journal for wider dissemination.https://bmjopen.bmj.com/content/13/11/e076903.full
spellingShingle Jo Bowden
Linda Williams
Utkarsh Agrawal
Polly Black
Sarah P Bowers
Frances Quirk
Lewis McCheyne
Darcy Wilson
Sarah E E Mills
Current definitions of advanced multimorbidity: a protocol for a scoping review
BMJ Open
title Current definitions of advanced multimorbidity: a protocol for a scoping review
title_full Current definitions of advanced multimorbidity: a protocol for a scoping review
title_fullStr Current definitions of advanced multimorbidity: a protocol for a scoping review
title_full_unstemmed Current definitions of advanced multimorbidity: a protocol for a scoping review
title_short Current definitions of advanced multimorbidity: a protocol for a scoping review
title_sort current definitions of advanced multimorbidity a protocol for a scoping review
url https://bmjopen.bmj.com/content/13/11/e076903.full
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