TY - JOUR

T1 - New horizons in multimorbidity in older adults

AU - Yarnall, Alison J

AU - Sayer, Avan A

AU - Clegg, Andrew

AU - Rockwood, Kenneth

AU - Parker, Stuart

AU - Hindle, John V

N1 - © The Author 2017. Published by Oxford University Press on behalf of the British Geriatrics Society.All rights reserved. For permissions, please email: journals.permissions@oup.com.

PY - 2017/11/1

Y1 - 2017/11/1

N2 - The concept of multimorbidity has attracted growing interest over recent years, and more latterly with the publication of specific guidelines on multimorbidity by the National Institute for Health and Care Excellence (NICE). Increasingly it is recognised that this is of particular relevance to practitioners caring for older adults, where multimorbidity may be more complex due to the overlap of physical and mental health disorders, frailty and polypharmacy. The overlap of frailty and multimorbidity in particular is likely to be due to the widespread health deficit accumulation, leading in some cases to functional impairment. The NICE guidelines identify 'target groups' who may benefit from a tailored approach to care that takes their multimorbidity into account, and make a number of research recommendations. Management includes a proactive individualised assessment and care plan, which improves quality of life by reducing treatment burden, adverse events, and unplanned or uncoordinated care.

AB - The concept of multimorbidity has attracted growing interest over recent years, and more latterly with the publication of specific guidelines on multimorbidity by the National Institute for Health and Care Excellence (NICE). Increasingly it is recognised that this is of particular relevance to practitioners caring for older adults, where multimorbidity may be more complex due to the overlap of physical and mental health disorders, frailty and polypharmacy. The overlap of frailty and multimorbidity in particular is likely to be due to the widespread health deficit accumulation, leading in some cases to functional impairment. The NICE guidelines identify 'target groups' who may benefit from a tailored approach to care that takes their multimorbidity into account, and make a number of research recommendations. Management includes a proactive individualised assessment and care plan, which improves quality of life by reducing treatment burden, adverse events, and unplanned or uncoordinated care.

KW - Multimorbidity

KW - Long term conditions

KW - Frailty

KW - Older People

U2 - 10.1093/ageing/afx150

DO - 10.1093/ageing/afx150

M3 - Article

C2 - 28985248

VL - 46

SP - 882

EP - 888

JO - Age and Ageing

JF - Age and Ageing

SN - 0002-0729

IS - 6

ER -