TY - JOUR
T1 - Multiple Chronic Conditions among Seriously Ill Adults Receiving Palliative Care
AU - Murali, Komal P.
AU - Yu, Gary
AU - Merriman, John D.
AU - Vorderstrasse, Allison
AU - Kelley, Amy S.
AU - Brody, Abraham A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: At the time this research was completed, KPM was a doctoral student supported by the NYU Clinical and Translational Science Institute (NCATS/NIH: TL1 TR001447; UL1 TR001445) and is now receiving postdoctoral fellowship support from the Columbia University School of Nursing Comparative and Cost-Effectiveness Research Training for Nurse Scientists (CER2) (T32NR014205). ASK received funding support from the National Institute on Aging (K24-AG062785).
Funding Information:
The authors would like to extend thanks to the Palliative Care Research Cooperative for access to the original trial data (NINR/NIH: UC4-NR012584). The authors would like to acknowledge the NYU Clinical and Translational Science Institute, NYU Rory Meyers College of Nursing P20 Center for Precision Health in Diverse Populations (NINR/NIH: 1P20NR018075-01), Columbia University School of Nursing P20 Center for Improving Palliative Care for Vulnerable Adults with Multiple Chronic Conditions (NINR/NIH: P20NR018072-01) and the Jonas Nurse Leader Scholar Program. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: At the time this research was completed, KPM was a doctoral student supported by the NYU Clinical and Translational Science Institute (NCATS/NIH: TL1 TR001447; UL1 TR001445) and is now receiving postdoctoral fellowship support from the Columbia University School of Nursing Comparative and Cost-Effectiveness Research Training for Nurse Scientists (CER2) (T32NR014205). ASK received funding support from the National Institute on Aging (K24-AG062785).
Publisher Copyright:
© The Author(s) 2021.
PY - 2023/1
Y1 - 2023/1
N2 - The objective of this study was to characterize multiple chronic conditions (MCCs) among seriously ill adults receiving palliative care at the end of life. A latent class analysis was conducted to identify latent subgroups of seriously ill older adults based on a baseline Charlson comorbidity index (CCI) measurement, a measure of comorbidity burden, and mortality risk. The three latent subgroups were: (1) low to moderate CCI with MCC, (2) high CCI with MCC, and (3) high CCI and metastatic cancer. The “low to moderate CCI and MCC” subgroup included older adults with chronic obstructive pulmonary disease (COPD), cardiovascular disease, congestive heart failure, myocardial infarction, dementia, diabetes, and lymphoma. A “high CCI and MCC” subgroup included individuals with severe illness including liver or renal disease among other MCCs. A “high CCI and metastatic cancer” included all participants with metastatic cancer. This study sheds light on the MCC profile of seriously ill adults receiving palliative care.
AB - The objective of this study was to characterize multiple chronic conditions (MCCs) among seriously ill adults receiving palliative care at the end of life. A latent class analysis was conducted to identify latent subgroups of seriously ill older adults based on a baseline Charlson comorbidity index (CCI) measurement, a measure of comorbidity burden, and mortality risk. The three latent subgroups were: (1) low to moderate CCI with MCC, (2) high CCI with MCC, and (3) high CCI and metastatic cancer. The “low to moderate CCI and MCC” subgroup included older adults with chronic obstructive pulmonary disease (COPD), cardiovascular disease, congestive heart failure, myocardial infarction, dementia, diabetes, and lymphoma. A “high CCI and MCC” subgroup included individuals with severe illness including liver or renal disease among other MCCs. A “high CCI and metastatic cancer” included all participants with metastatic cancer. This study sheds light on the MCC profile of seriously ill adults receiving palliative care.
KW - Comorbidities
KW - Multiple chronic conditions
KW - Palliative care
KW - Serious illness
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U2 - 10.1177/01939459211041174
DO - 10.1177/01939459211041174
M3 - Article
C2 - 34433344
AN - SCOPUS:85113556212
SN - 0193-9459
VL - 45
SP - 14
EP - 24
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
IS - 1
ER -