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Measuring multimorbidity inequality across Italy through the multisource comorbidity score: a nationwide study

2020; Oxford University Press; Volume: 30; Issue: 5 Linguagem: Inglês

10.1093/eurpub/ckaa063

1464-360X

Giovanni Corrao, Federico Rea, Flavia Carle, Mirko Di Martino, Rossana De Palma, Paolo Francesconi, Vito Lepore, Luca Merlino, Salvatore Scondotto, Donatella Garau, Liana Spazzafumo, Giuseppe Montagano, Elena Clagnan, Nello Martini, Andrea Bucci, Flavia Carle, Marianxhela Dajko, Silvia Arcà, Donata Bellentani, Velia Bruno, Simona Carbone, Carla Ceccolini, Angela De Feo, Lucia Lispi, Rosanna Mariniello, Maurizio Masullo, Federica Medici, Paola Pisanti, Modesta Visca, Rinaldo Zanini, Teresa Di Fiandra, Natalia Magliocchetti, Giovanna Romano, Anna Cantarutti, Giovanni Corrao, Pietro Pugni, Federico Rea, Marina Davoli, Danilo Fusco, Mirko Di Martino, Adele Lallo, Chiara Marinacci, Aldo P. Maggioni, Patrizia Vittori, Laura Maria Beatrice Belotti, Rossana De Palma, Enza Di Felice, Roberta Chiandetti, Elena Clagnan, Stefania Del Zotto, Andrea Di Lenarda, Aldo Mariotto, Loris Zanier, Mauro Agnello, Antonio Lora, Luca Merlino, Carlo Alberto Scirè, Giuseppe Maria Sechi, Liana Spazzafumo, Giuseppe Massaro, Maria Simiele, Mimma Cosentino, Maria Grazia Marvulli, Ettore Attolini, Lucia Bisceglia, Vito Lepore, Vito Petrarolo, Letizia Dondi, Nello Martini, Antonella Pedrini, Carlo Piccinni, Giovanna Fantaci, Sebastiano Pollina Addario, Salvatore Scondotto, Francesco Bellomo, Mario Braga, Valeria Di Fabrizio, Silvia Forni, Paolo Francesconi, Francesco Profili, Francesco Avossa, Matteo Corradin, Andrea Bucci, Flavia Carle, Marianxhela Dajko, Silvia Arcà, Donata Bellentani, Velia Bruno, Simona Carbone, Carla Ceccolini, Angela De Feo, Lucia Lispi, Rosanna Mariniello, Maurizio Masullo, Federica Medici, Paola Pisanti, Modesta Visca, Rinaldo Zanini, Teresa Di Fiandra, Natalia Magliocchetti, Giovanna Romano, Anna Cantarutti, Giovanni Corrao, Pietro Pugni, Federico Rea, Marina Davoli, Danilo Fusco, Mirko Di Martino, Adele Lallo, Chiara Marinacci, Aldo P. Maggioni, Patrizia Vittori, Laura Maria Beatrice Belotti, Rossana De Palma, Enza Di Felice, Roberta Chiandetti, Elena Clagnan, Stefania Del Zotto, Andrea Di Lenarda, Aldo Mariotto, Loris Zanier, Mauro Agnello, Antonio Lora, Luca Merlino, Carlo Alberto Scirè, Giuseppe Maria Sechi, Liana Spazzafumo, Giuseppe Massaro, Maria Simiele, Mimma Cosentino, Maria Grazia Marvulli, Ettore Attolini, Lucia Bisceglia, Vito Lepore, Vito Petrarolo, Letizia Dondi, Nello Martini, Antonella Pedrini, Carlo Piccinni, Giovanna Fantaci, Sebastiano Pollina Addario, Salvatore Scondotto, Francesco Bellomo, Mario Braga, Valeria Di Fabrizio, Silvia Forni, Paolo Francesconi, Francesco Profili, Francesco Avossa, Matteo Corradin,

Frailty in Older Adults

Abstract Background Multimorbidity is a growing concern for healthcare systems, with many countries experiencing demographic transition to older population profiles. A simple multisource comorbidity score (MCS) has been recently developed and validated. A very large real-world investigation was conducted with the aim of measuring inequalities in the MCS distribution across Italy. Methods Beneficiaries of the Italian National Health Service aged 50–85 years who in 2018 were resident in one of the 10 participant regions formed the study population (15.7 million of the 24.9 million overall resident in Italy). MCS was assigned to each beneficiary by categorizing the individual sum of the comorbid values (i.e. the weights corresponding to the comorbid conditions of which the individual suffered) into one of the six categories denoting a progressive worsening comorbidity status. MCS distributions in women and men across geographic partitions were compared. Results Compared with beneficiaries from northern Italy, those from centre and south showed worse comorbidity profile for both women and men. MCS median age (i.e. the age above which half of the beneficiaries suffered at least one comorbidity) ranged from 60 (centre and south) to 68 years (north) in women and from 63 (centre and south) to 68 years (north) in men. The percentage of comorbid population was lower than 50% for northern population, whereas it was around 60% for central and southern ones. Conclusion MCS allowed of capturing geographic variability of multimorbidity prevalence, thus showing up its value for addressing health policy in order to guide national health planning.