Comorbidity indices disillusion

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چکیده

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Comorbidity indices.

Comorbidities are conditions that coexist with a disease of interest, and may lead to a delayed diagnosis, be confounders in analysis of clinical status and course, and increase morbidity and mortality. Therefore, it appears desirable to summarise efficiently one or multiple comorbidities into a single score in an efficient manner, using comorbidity indices and self-administered comorbidity que...

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The estimation power of alternative comorbidity indices.

OBJECTIVE Health-care expenditures are strongly influenced by overall illness burden. Appropriate risk adjustment is required for correct policy analysis. We compared three risk adjustment methods: the Charlson comorbidity index (CCI), the chronic disease score (CDS), and the Agency for Healthcare Research and Quality's comorbidity index (AHRQCI) in terms of their estimation power in analyzing ...

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[Usefulness of comorbidity indices in operative gastric cancer cases].

OBJECTIVES The purpose of the current study was to evaluate the usefulness of the following four comorbidity indices in gastric cancer patients who underwent surgery: Charlson Comorbidity Index (CCI), Cumulative Illness rating scale (CIRS), Index of Co-existent Disease (ICED), and Kaplan-Feinstein Scale (KFS). METHODS The study subjects were 614 adults who underwent surgery for gastric cancer...

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Mortality prediction after kidney transplantation: comparative clinical use of 7 comorbidity indices.

OBJECTIVES Despite comorbidity associated with chronic kidney disease, little data exist applying comorbidity scoring systems to renal transplant recipients. This study compared the performance of 7 established comorbidity scores in predicting mortality after kidney transplantation. MATERIALS AND METHODS We retrospectively analyzed prospectively collected data from 2033 incident renal transpl...

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A systematic review identifies valid comorbidity indices derived from administrative health data.

OBJECTIVES To conduct a systematic review of studies reporting on the development or validation of comorbidity indices using administrative health data and compare their ability to predict outcomes related to comorbidity (ie, construct validity). STUDY DESIGN AND SETTING We conducted a comprehensive literature search of MEDLINE and EMBASE, until September 2012. After title and abstract screen...

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ژورنال

عنوان ژورنال: Journal of Clinical Epidemiology

سال: 2016

ISSN: 0895-4356

DOI: 10.1016/j.jclinepi.2015.05.014