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Cohort profile: The prospective study on Chinese elderly with multimorbidity in primary care in Hong Kong
PurposeThis is an ongoing prospective cohort aiming to examine the biopsychosocial health profiles and predictors of health outcomes of older patients with multimorbidity in primary care in Hong Kong.ParticipantsFrom April 2016 to October 2017, 1077 patients aged 60+ years with at least two chronic...
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Published in: | BMJ open 2020-02, Vol.10 (2), p.e027279-e027279 |
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description | PurposeThis is an ongoing prospective cohort aiming to examine the biopsychosocial health profiles and predictors of health outcomes of older patients with multimorbidity in primary care in Hong Kong.ParticipantsFrom April 2016 to October 2017, 1077 patients aged 60+ years with at least two chronic diseases were recruited in four public primary care clinics in the New Territories East Region of Hong Kong.Findings to dateAfter weighting, the patients had 4.1 (1.8) chronic conditions and 2.5 (1.9) medications on average; 37% forgot taking medication sometimes; 71% rated their health as fair or poor; 17% were frail; 73% reported one (21%) or two or more (52%) body pain areas; 62% were overweight/obese; 23% reported chewing difficulty, 18% reported incontinence; 36% had current stage 1/2 hypertension; 38% had handgrip strength below the cut-off; 10% screened positive in sarcopenia; 17% had mild or severer cognitive impairment; 17% had mild to severe depression; 16% had mild to severe anxiety; 50% had subthreshold to severe insomnia; 28% indicated being lonely; 12% needed help in at least one out of the five daily functions and the EuroQoL-5-Dimensions-5-Level index score was 0.81 (0.20) and its Visual Analogue Scale (VAS) score was 67.6 (14.6). In the past 12 months, 17% were hospitalised, 92% attended general outpatient clinics, 70% attended specialist outpatient clinics and 10% used elderly daycare centre services, the median out-of-pocket health cost was HK$1000 (US$150). Female and male patients showed significant differences in many biopsychosocial health aspects.Future plansWith assessments and clinical data, the cohort can be used for understanding longitudinal trajectories of biopsychosocial health profiles of Chinese older patients with multimorbidity in primary care. We are also initially planning cohort studies on factors associated with various health outcomes, as well as quality of life and healthcare use.Cohort registration numberChiCTR-OIC-16008477 |
doi_str_mv | 10.1136/bmjopen-2018-027279 |
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In the past 12 months, 17% were hospitalised, 92% attended general outpatient clinics, 70% attended specialist outpatient clinics and 10% used elderly daycare centre services, the median out-of-pocket health cost was HK$1000 (US$150). Female and male patients showed significant differences in many biopsychosocial health aspects.Future plansWith assessments and clinical data, the cohort can be used for understanding longitudinal trajectories of biopsychosocial health profiles of Chinese older patients with multimorbidity in primary care. We are also initially planning cohort studies on factors associated with various health outcomes, as well as quality of life and healthcare use.Cohort registration numberChiCTR-OIC-16008477</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2018-027279</identifier><identifier>PMID: 32086349</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Aged ; Asian Continental Ancestry Group ; Chronic illnesses ; Clinical outcomes ; Cohort Studies ; Comorbidity ; Data Collection ; Female ; Functional Status ; Health Services Accessibility - statistics & numerical data ; Health Services for the Aged - supply & distribution ; Health Status Disparities ; Hong Kong - epidemiology ; Humans ; Male ; Middle Aged ; Models, Biopsychosocial ; Multiple Chronic Conditions - epidemiology ; Multiple Chronic Conditions - psychology ; Multiple Chronic Conditions - therapy ; Older people ; Patient-Centred Medicine ; Primary care ; Primary Health Care - methods ; Primary Health Care - statistics & numerical data ; Prospective Studies ; Quality of Life</subject><ispartof>BMJ open, 2020-02, Vol.10 (2), p.e027279-e027279</ispartof><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. 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Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b538t-c655ce78e2b56ec03f3f52636f180fc1179bd221f9c5638cae66fcc9f67fe50c3</citedby><cites>FETCH-LOGICAL-b538t-c655ce78e2b56ec03f3f52636f180fc1179bd221f9c5638cae66fcc9f67fe50c3</cites><orcidid>0000-0002-4717-7773 ; 0000-0003-0073-4752 ; 0000-0002-4660-3099</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2364988711/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2364988711?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>112,113,230,314,727,780,784,885,3194,25753,27549,27550,27924,27925,37012,37013,44590,53791,53793,75126,77594,77595,77601,77632</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32086349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Dexing</creatorcontrib><creatorcontrib>Sit, Regina Wing Shan</creatorcontrib><creatorcontrib>Wong, Carmen</creatorcontrib><creatorcontrib>Zou, Dan</creatorcontrib><creatorcontrib>Mercer, Stewart W</creatorcontrib><creatorcontrib>Johnston, Marjorie C</creatorcontrib><creatorcontrib>Wong, Samuel Yeung Shan</creatorcontrib><title>Cohort profile: The prospective study on Chinese elderly with multimorbidity in primary care in Hong Kong</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>PurposeThis is an ongoing prospective cohort aiming to examine the biopsychosocial health profiles and predictors of health outcomes of older patients with multimorbidity in primary care in Hong Kong.ParticipantsFrom April 2016 to October 2017, 1077 patients aged 60+ years with at least two chronic diseases were recruited in four public primary care clinics in the New Territories East Region of Hong Kong.Findings to dateAfter weighting, the patients had 4.1 (1.8) chronic conditions and 2.5 (1.9) medications on average; 37% forgot taking medication sometimes; 71% rated their health as fair or poor; 17% were frail; 73% reported one (21%) or two or more (52%) body pain areas; 62% were overweight/obese; 23% reported chewing difficulty, 18% reported incontinence; 36% had current stage 1/2 hypertension; 38% had handgrip strength below the cut-off; 10% screened positive in sarcopenia; 17% had mild or severer cognitive impairment; 17% had mild to severe depression; 16% had mild to severe anxiety; 50% had subthreshold to severe insomnia; 28% indicated being lonely; 12% needed help in at least one out of the five daily functions and the EuroQoL-5-Dimensions-5-Level index score was 0.81 (0.20) and its Visual Analogue Scale (VAS) score was 67.6 (14.6). In the past 12 months, 17% were hospitalised, 92% attended general outpatient clinics, 70% attended specialist outpatient clinics and 10% used elderly daycare centre services, the median out-of-pocket health cost was HK$1000 (US$150). Female and male patients showed significant differences in many biopsychosocial health aspects.Future plansWith assessments and clinical data, the cohort can be used for understanding longitudinal trajectories of biopsychosocial health profiles of Chinese older patients with multimorbidity in primary care. We are also initially planning cohort studies on factors associated with various health outcomes, as well as quality of life and healthcare use.Cohort registration numberChiCTR-OIC-16008477</description><subject>Aged</subject><subject>Asian Continental Ancestry Group</subject><subject>Chronic illnesses</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Data Collection</subject><subject>Female</subject><subject>Functional Status</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Health Services for the Aged - supply & distribution</subject><subject>Health Status Disparities</subject><subject>Hong Kong - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Biopsychosocial</subject><subject>Multiple Chronic Conditions - epidemiology</subject><subject>Multiple Chronic Conditions - psychology</subject><subject>Multiple Chronic Conditions - therapy</subject><subject>Older people</subject><subject>Patient-Centred Medicine</subject><subject>Primary care</subject><subject>Primary Health Care - methods</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkk1v1DAQhiMEolXpL0BClrhwSfFH7CQckNAKaEUlLuVsOZPxrldJvNhO0f57HLJULSd8sD32O4_G47coXjN6xZhQ77tx7w84lZyypqS85nX7rDjntKpKRaV8_mh_VlzGuKd5VLKVkr8szgSnjRJVe164jd_5kMgheOsG_EDudrgE8YCQ3D2SmOb-SPxENjs3YUSCQ49hOJJfLu3IOA_JjT50rnfpSNyUc91owpGACbjE137akm95elW8sGaIeHlaL4ofXz7fba7L2-9fbzafbstOiiaVoKQErBvknVQIVFhhJVdCWdZQC4zVbddzzmwLUokGDCplAVqraouSgrgoblZu781en8rR3jj958CHrTYhORhQNzXDxkCdmwGVscJQCthLi52FPgMz6-PKOszdiD3glIIZnkCf3kxup7f-Xte517QSGfDuBAj-54wx6dFFwGEwE_o5ai4Up4rySmbp23-kez-HKbdqUVVtk6tlWSVWFeQ_igHtQzGM6sUZ-uQMvThDr87IWW8ev-Mh568PsuBqFeTs_yL-BjaCxxY</recordid><startdate>20200220</startdate><enddate>20200220</enddate><creator>Zhang, Dexing</creator><creator>Sit, Regina Wing Shan</creator><creator>Wong, Carmen</creator><creator>Zou, Dan</creator><creator>Mercer, Stewart W</creator><creator>Johnston, Marjorie C</creator><creator>Wong, Samuel Yeung Shan</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4717-7773</orcidid><orcidid>https://orcid.org/0000-0003-0073-4752</orcidid><orcidid>https://orcid.org/0000-0002-4660-3099</orcidid></search><sort><creationdate>20200220</creationdate><title>Cohort profile: The prospective study on Chinese elderly with multimorbidity in primary care in Hong Kong</title><author>Zhang, Dexing ; Sit, Regina Wing Shan ; Wong, Carmen ; Zou, Dan ; Mercer, Stewart W ; Johnston, Marjorie C ; Wong, Samuel Yeung Shan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b538t-c655ce78e2b56ec03f3f52636f180fc1179bd221f9c5638cae66fcc9f67fe50c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Asian Continental Ancestry Group</topic><topic>Chronic illnesses</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Data Collection</topic><topic>Female</topic><topic>Functional Status</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Health Services for the Aged - supply & distribution</topic><topic>Health Status Disparities</topic><topic>Hong Kong - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Biopsychosocial</topic><topic>Multiple Chronic Conditions - epidemiology</topic><topic>Multiple Chronic Conditions - psychology</topic><topic>Multiple Chronic Conditions - therapy</topic><topic>Older people</topic><topic>Patient-Centred Medicine</topic><topic>Primary care</topic><topic>Primary Health Care - methods</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Dexing</creatorcontrib><creatorcontrib>Sit, Regina Wing Shan</creatorcontrib><creatorcontrib>Wong, Carmen</creatorcontrib><creatorcontrib>Zou, Dan</creatorcontrib><creatorcontrib>Mercer, Stewart W</creatorcontrib><creatorcontrib>Johnston, Marjorie C</creatorcontrib><creatorcontrib>Wong, Samuel Yeung Shan</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>ProQuest - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Dexing</au><au>Sit, Regina Wing Shan</au><au>Wong, Carmen</au><au>Zou, Dan</au><au>Mercer, Stewart W</au><au>Johnston, Marjorie C</au><au>Wong, Samuel Yeung Shan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cohort profile: The prospective study on Chinese elderly with multimorbidity in primary care in Hong Kong</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2020-02-20</date><risdate>2020</risdate><volume>10</volume><issue>2</issue><spage>e027279</spage><epage>e027279</epage><pages>e027279-e027279</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>PurposeThis is an ongoing prospective cohort aiming to examine the biopsychosocial health profiles and predictors of health outcomes of older patients with multimorbidity in primary care in Hong Kong.ParticipantsFrom April 2016 to October 2017, 1077 patients aged 60+ years with at least two chronic diseases were recruited in four public primary care clinics in the New Territories East Region of Hong Kong.Findings to dateAfter weighting, the patients had 4.1 (1.8) chronic conditions and 2.5 (1.9) medications on average; 37% forgot taking medication sometimes; 71% rated their health as fair or poor; 17% were frail; 73% reported one (21%) or two or more (52%) body pain areas; 62% were overweight/obese; 23% reported chewing difficulty, 18% reported incontinence; 36% had current stage 1/2 hypertension; 38% had handgrip strength below the cut-off; 10% screened positive in sarcopenia; 17% had mild or severer cognitive impairment; 17% had mild to severe depression; 16% had mild to severe anxiety; 50% had subthreshold to severe insomnia; 28% indicated being lonely; 12% needed help in at least one out of the five daily functions and the EuroQoL-5-Dimensions-5-Level index score was 0.81 (0.20) and its Visual Analogue Scale (VAS) score was 67.6 (14.6). In the past 12 months, 17% were hospitalised, 92% attended general outpatient clinics, 70% attended specialist outpatient clinics and 10% used elderly daycare centre services, the median out-of-pocket health cost was HK$1000 (US$150). Female and male patients showed significant differences in many biopsychosocial health aspects.Future plansWith assessments and clinical data, the cohort can be used for understanding longitudinal trajectories of biopsychosocial health profiles of Chinese older patients with multimorbidity in primary care. We are also initially planning cohort studies on factors associated with various health outcomes, as well as quality of life and healthcare use.Cohort registration numberChiCTR-OIC-16008477</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>32086349</pmid><doi>10.1136/bmjopen-2018-027279</doi><orcidid>https://orcid.org/0000-0002-4717-7773</orcidid><orcidid>https://orcid.org/0000-0003-0073-4752</orcidid><orcidid>https://orcid.org/0000-0002-4660-3099</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aged Asian Continental Ancestry Group Chronic illnesses Clinical outcomes Cohort Studies Comorbidity Data Collection Female Functional Status Health Services Accessibility - statistics & numerical data Health Services for the Aged - supply & distribution Health Status Disparities Hong Kong - epidemiology Humans Male Middle Aged Models, Biopsychosocial Multiple Chronic Conditions - epidemiology Multiple Chronic Conditions - psychology Multiple Chronic Conditions - therapy Older people Patient-Centred Medicine Primary care Primary Health Care - methods Primary Health Care - statistics & numerical data Prospective Studies Quality of Life |
title | Cohort profile: The prospective study on Chinese elderly with multimorbidity in primary care in Hong Kong |
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