Alexandra A N'Goran1, Jeremie Blaser2, Anouk Deruaz-Luyet2, Nicolas Senn3, Peter Frey4, Dagmar M Haller5, Ryan Tandjung6, Andreas Zeller7, Bernard Burnand8, Lilli Herzig2. 1. Institute of Family Medicine, Lausanne University Hospital, Lausanne, Switzerland, Adjua-Alexandra.NGoran@hospvd.ch. 2. Institute of Family Medicine, Lausanne University Hospital, Lausanne, Switzerland. 3. Department of Ambulatory Care and Community Medicine, Lausanne University Hospital, Lausanne, Switzerland. 4. Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland. 5. Primary Care Unit, Faculty of Medicine, University of Geneva, Geneva, Switzerland. 6. Institute of Primary Care, University of Zurich, Zurich, Switzerland. 7. Centre for Primary Health Care, University of Basel, Basel, Switzerland and. 8. Institute of Social and Preventive Medicine, Lausanne University Hospital, Lausanne, Switzerland.
Abstract
BACKGROUND: Chronic conditions and multimorbidity (MM) are major concerns in family medicine (FM). OBJECTIVES: Based on the International Classification of Primary Care, Second Edition (ICPC-2), this study aimed to list (i)the chronic conditions and (ii)those most relevant to MM in FM. METHODS: A panel of FM experts used a four-step process to identify chronic conditions among ICPC-2 items and list chronic conditions most relevant in MM. They also evaluated the importance of eight criteria, previously identified in the literature, for characterizing chronic conditions. Step one involved a focus group of five experts. Steps two, three and four involved 10, 25 and 25 experts, respectively. They rated ICPC-2 items via an online questionnaire using a Likert scale from 1 (never chronic/irrelevant in MM) to 9 (always chronic/always relevant in MM). A median value cut-off was used to evaluate appropriateness of each item and the inter-percentile range adjusted for symmetry to determine the agreement/disagreement between experts. In parallel, in steps two and three, experts rated the importance of eight criteria to characterize chronic conditions, using a Likert scale from 1 (strongly disagree) to 9 (strongly agree). RESULTS: Of the ICPC-2's 686 items, experts identified 139 chronic conditions, of which 75 were deemed most relevant in the context of MM. Four of the eight criteria were retained as important to define chronic conditions: duration, sequelae, recurrence/pattern and the diagnosis itself. CONCLUSION: Using this list of 75 chronic conditions most relevant in the context of MM should enhance the validity of studies of MM in FM.
BACKGROUND: Chronic conditions and multimorbidity (MM) are major concerns in family medicine (FM). OBJECTIVES: Based on the International Classification of Primary Care, Second Edition (ICPC-2), this study aimed to list (i)the chronic conditions and (ii)those most relevant to MM in FM. METHODS: A panel of FM experts used a four-step process to identify chronic conditions among ICPC-2 items and list chronic conditions most relevant in MM. They also evaluated the importance of eight criteria, previously identified in the literature, for characterizing chronic conditions. Step one involved a focus group of five experts. Steps two, three and four involved 10, 25 and 25 experts, respectively. They rated ICPC-2 items via an online questionnaire using a Likert scale from 1 (never chronic/irrelevant in MM) to 9 (always chronic/always relevant in MM). A median value cut-off was used to evaluate appropriateness of each item and the inter-percentile range adjusted for symmetry to determine the agreement/disagreement between experts. In parallel, in steps two and three, experts rated the importance of eight criteria to characterize chronic conditions, using a Likert scale from 1 (strongly disagree) to 9 (strongly agree). RESULTS: Of the ICPC-2's 686 items, experts identified 139 chronic conditions, of which 75 were deemed most relevant in the context of MM. Four of the eight criteria were retained as important to define chronic conditions: duration, sequelae, recurrence/pattern and the diagnosis itself. CONCLUSION: Using this list of 75 chronic conditions most relevant in the context of MM should enhance the validity of studies of MM in FM.
Authors: Alexandra A N'Goran; Anouk Déruaz-Luyet; Dagmar M Haller; Andreas Zeller; Thomas Rosemann; Sven Streit; Lilli Herzig Journal: PLoS One Date: 2017-12-19 Impact factor: 3.240
Authors: Silja Leiser; Anouk Déruaz-Luyet; A Alexandra N'Goran; Jérôme Pasquier; Sven Streit; Stefan Neuner-Jehle; Andreas Zeller; Dagmar M Haller; Lilli Herzig; Patrick Bodenmann Journal: PLoS One Date: 2017-07-24 Impact factor: 3.240
Authors: Lilli Herzig; Patrick Bodenmann; Alexandra A N'Goran; Jérôme Pasquier; Anouk Deruaz-Luyet; Bernard Burnand; Dagmar M Haller; Stefan Neuner-Jehle; Andreas Zeller; Sven Streit Journal: BMJ Open Date: 2018-02-13 Impact factor: 2.692
Authors: Sophie Excoffier; Lilli Herzig; Alexandra A N'Goran; Anouk Déruaz-Luyet; Dagmar M Haller Journal: BMJ Open Date: 2018-03-06 Impact factor: 2.692
Authors: Mia Messi; Yolanda Mueller; Dagmar M Haller; Andreas Zeller; Stefan Neuner-Jehle; Sven Streit; Bernard Burnand; Lilli Herzig Journal: BMC Fam Pract Date: 2020-07-27 Impact factor: 2.497
Authors: Anouk Déruaz-Luyet; A Alexandra N'Goran; Nicolas Senn; Patrick Bodenmann; Jérôme Pasquier; Daniel Widmer; Ryan Tandjung; Thomas Rosemann; Peter Frey; Sven Streit; Andreas Zeller; Dagmar M Haller; Sophie Excoffier; Bernard Burnand; Lilli Herzig Journal: BMJ Open Date: 2017-07-02 Impact factor: 2.692
Authors: Anouk Déruaz-Luyet; Alexandra A N'Goran; Jérôme Pasquier; Bernard Burnand; Patrick Bodenmann; Stefan Zechmann; Stefan Neuner-Jehle; Nicolas Senn; Daniel Widmer; Sven Streit; Andreas Zeller; Dagmar M Haller; Lilli Herzig Journal: BMC Fam Pract Date: 2018-05-17 Impact factor: 2.497