Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-07-22 Cooperative journals: 《中国全科医学》
Abstract： China has entered an aging society, and multimorbidity is a prominent public health problem in the elderly population. It is important to summarize the research in the field of multimorbidity in the elderly population and to analyze and discuss the strategies for the comprehensive clinical management of the elderly multimorbidity population. Herein, we analyzed the current status of research in this field in terms of multimorbidity management practice, multimorbidity diagnosis and treatment model, multimorbidity medication strategy and multimorbidity medical and nursing team building. Meanwhile, we proposed to establish a patient-centered multimorbidity management research program, promote the application of geriatric multimorbidity assessment tools, conduct research on the common etiology and mechanism of co-morbidity, develop standardized guidelines/consensus on multimorbidity management, and draw on the "Holism concept of TCM" of "Treating diseases with syndrome", integrate Internet+ technology and smart wearable devices, and conduct early risk assessment and management of multimorbidity. We provided a comprehensive outlook on late research directions in the field of multimorbidity with the aim of providing a reference for further in-depth research in this field.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-07-01 Cooperative journals: 《中国全科医学》
WEI Xu
LIU Ning
ZHANG Yili
HAN Tao
SUN Kai
QI Baoyu
CHEN Xin
QIN Xiaokuan
GAO Jinghua
XIE Yanming
ZHU Liguo
Abstract：
The Patients with osteoporosis (OP) often suffer from a variety of comorbidities, including endocrine, circulatory, respiratory, urinary, immune, skeletal muscle, nerve and other multi system diseases. The incidence of OP comorbidity is high, and these comorbidities may aggravate osteoporosis and increase the risk of osteoporotic fracture, seriously affect the quality of patient's life, and make the clinical management more complex. So the situation brings a heavy burden to the families and society. At present, there is a lack of overall research on osteoporosis and its comorbidities. The existing research strategies are difficult to effectively guide clinicians to carry out comorbidity management in terms of common causes, common prevention and common treatment. In view of this, it is suggested to introduce the concept of multidisciplinary integrated treatment (MDT), and strengthen the understanding of osteoporosis related comorbidities and their pathogenesis. Patients who may be complicated with osteoporosis should be screened as early as possible. Once osteopenia and osteoporosis are found, active prevention and intervention should be carried out to reduce the risk of fracture. Early screening, early diagnosis and early treatment is necessary to realize the prevention and treatment of OP comorbidities.
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