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Interventions for older people with multiple chronic diseases

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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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