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    1. Moscow state medical and dental University. A. I. Evdokimov (Moscow, Russian Federation)

    Keywords:polymorbidity, comorbidity, multimorbidity, definition, analysis

    Abstract:The semantic problem of designation of a set of diseases is a subject for wide discussion both in the world medical community and in Russia. The article analyzes and clarifies the definitions of “polymorbidity”, “comorbidity” and “multi-morbidity” proposed to refer to the plurality of diseases in one patient. This allows you to objectively look at such a complex and multifaceted problem, which is a multiple pathology.

      1. Tokmachev Yu.K., Lazebnik L. B., Efremov L. I. And etc. the Reasons for diagnostic difficulties and errors in geriatrics. Rubbed.archive, 1984, – № 10, 145–148;
      2. Tokmachev Yu.K., Lazebnik L. B., Efremov L. I., etc. Ethics in geriatrics. Rubbed.archive, 1987, – № 11, 119–122
      3. Lazebnik L. B. Aging and polymorbidity // Consil. med. – 2005. – № 12. – P. 993–996.
      4. Feinstein AR. The pre-therapeutic classification of comorbidity in chronic disease. Journal of Chronic Diseases. 1970;23(7):455–468.
      5. Aryeva G. T., Sovetkina N. V. Ovsyannikova N. A. etc. and multimorbidity Comorbid condition in geriatrics (review) // Uspekhi gerantol. 2011. No. 4. S. 612–619
      6. Vertkin A. L., Skotnikov A. S. Comorbidity. lechashchij vrach. 6, 2013, 54–65
      7. Gudkov R. A., Konovalov O. E. the Comorbidity, multimorbidity, polypathy – three views of concurrent pathology. Bulletin of The peoples ‘ Friendship University of Russia. Series: medicine. 2015, 1,39–45
      8. van Oostrom S. H., Picave tHS, van Gelder B. M., Lemmens L. C., Hoeymans N., van Dijk C. E., Verheij R. A. Multimorbidity and comorbidity in the Dutch population – data from general practices. FGBMCPublicHealth. 2013 Aug30;12:715. doi: 10.1186/1471–2458–12–715.
      9. Komorbidnaya patologiya v klinicheskoj praktike. Klinicheskie rekomendacii. Obshcherossijskaya obshchestvennaya organizaciya Associaciya vrachej obshchej praktiki (semejnyh vrachej). Sekciya “Sochetannye patologii” 2017, otv. red. R. G. Oganov
      10. Tokmachev Yu. K., Lazebnik L. B., Efremov L. I. and others on the teaching of geriatrics in the clinic of internal diseases. Sov.medicine., 1988, vol. 9, 95–98
      11. Lazebnik L. B., Vyortkin A. L., Konev Yu.V., Li E. D., Skotnikov A. S. Starenie. Professional’nyj vrachebnyj podhod. EHksimo. Moskva.2014. 319 S.
      12. Lazebnik L. B., Konev V. Yu., Yefremov, I. L. Polypharmacy: geriatric aspect of the problem. Consilium medicum. 2007, vol. 9, № 12, 29–34
      13. Uemura M, Imataki O., Kawachi Y., Kawakami K., Hoshijima Y., Matsuoka A., Kadowaki. More detailed discussion of the nature of the NNT measure can be found in the EBM Note on summarising the effects of therapy in the journal Evidence-Based Medicine 1997;2:103–4.
      14. N. Charlson comorbidity index predicts poor outcome in CML patients treated with tyrosine kinase inhibitor. Int J Hematol. 2016 Nov;104(5):621–627. Epub 2016 Aug 4.
      15. Dunlay S. M., Chamberlain A. M. Multimorbidity in Older Patients with Cardiovascular Disease. Curr Cardiovasc Risk Rep. Author manuscript; available in PMC2017 Jan 1. Published in final edited form as: Curr Cardiovasc Risk Rep. 2016 Jan; 10: 3. Published online 2016 Jan 26. doi: 10.1007/s12170–016–0491–8 PMCID: PMC4889124
      16. Multimorbidity: Assessment, Prioritisation and Management of Care for People with Commonly Occurring Multimorbidity. NICE Guideline, No. 56. National Guideline Centre (UK).2017
      17. Jakovljević M., Ostojić L. Comorbidity and multimorbidity in medicine today: challenges and opportunities for bringing separated branches of medicine closer to each other. PsychiatrDanub. 2013 Jun;25 Suppl 1:18–28
      18. Morrison D, Agur K, Mercer S, Eiras A, González-Montalvo JI, Gruffydd-Jones K. Managing multimorbidity in primary care in patients with chronic respiratory conditions. NPJ Prim Care Respir Med. 2016 Sep 15;26:16043. doi: 10.1038/npjpcrm.2016.43.

    Full text is published :
    Lazebnik L. B., Konev Yu. V. HISTORICAL FEATURES AND SEMANTIC DIFFICULTIES OF USING THE TERMS DENOTING MULTIPLICITY OF DISEASES IN ONE PATIENT.Experimental and Clinical Gastroenterology Journal. 2018;154(06):04-09
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