Could clustering of comorbidities be useful for better defining the internal medicine patients’ complexity?

Internal medicine patients are mostly elderly with multiple comorbidities, usually chronic. The high prevalence of comorbidity and multimorbidity has a significant impact on both positive responses to treatment and the occurrence of adverse events. Clustering is the process of nosography grouping in...

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Bibliographic Details
Main Authors: Flavio Tangianu, Paola Gnerre, Fabrizio Colombo, Roberto Frediani, Giuliano Pinna, Franco Berti, Giovanni Mathieu, Micaela La Regina, Francesco Orlandini, Antonino Mazzone, Clelia Canale, Daniele Borioni, Roberto Nardi
Format: Article
Language:English
Published: PAGEPress Publications 2018-06-01
Series:Italian Journal of Medicine
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Online Access:https://www.italjmed.org/index.php/ijm/article/view/940
Description
Summary:Internal medicine patients are mostly elderly with multiple comorbidities, usually chronic. The high prevalence of comorbidity and multimorbidity has a significant impact on both positive responses to treatment and the occurrence of adverse events. Clustering is the process of nosography grouping into meaningful associations with some index disease, so that the objects within a cluster have high similarity in comparison with one another. In the decision-making process it is imperative that, in addition to understanding the immediate clinical problems, we are able to explicit all the contextual factors that have to be taken into account for the best outcome of care. Cluster analysis could be leveraged in developing better interventions targeted to improve health outcomes in subgroups of patients.
ISSN:1877-9344
1877-9352