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Review of: Kastner M, et al. Effectiveness of interventions for managing multiple high-chronic diseases in older adults: a systematic review and meta-analysis. CMAJ 2018;190:E1004–12.
Key learning points
More than half of older adults have two or more high-burden chronic conditions.
Most interventions for managing chronic disease focus on a single condition or do not take into account the needs of older people.
This review assessed interventions that integrated the care of two or more high-burden chronic diseases.
Strategies that included various combinations of case management, education, self-management, care pathways and coordinated patient care had an impact on some objective and subjective outcome measures.
For some people with two or more long-term conditions, changes in how, when and where healthcare is organised and who delivers it had a beneficial effect on symptoms of depression, glycated haemoglobin (HbA …
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