Better management of multimorbidity: a critical look at the 'Ariadne principles'.

Abstract:

:Primary care clinicians and researchers are growing increasingly aware of the prevalence of multimorbidity among long-term conditions, and the impact on patient experience, health, and utilisation of care. The correspondence paper by Muth et al. entitled 'The Ariadne principles: how to handle multimorbidity in primary care consultations' outlines new thinking on a better way to manage the challenges of decision-making in multimorbidity. The paper highlights the importance of shared treatment goals as a fundamental basis for more effective management. Although a welcome contribution to the literature, the principles raise a number of challenges: the complexities of achieving effective patient-centred assessment and goal-setting; how best to encourage implementation of new practices; and the current state of the evidence around multimorbidity and its management.Please see related article: http://www.biomedcentral.com/1741-7015/12/223.

journal_name

BMC Med

journal_title

BMC medicine

authors

Bower P

doi

10.1186/s12916-014-0222-2

subject

Has Abstract

pub_date

2014-12-08 00:00:00

pages

222

issn

1741-7015

pii

s12916-014-0222-2

journal_volume

12

pub_type

社论
  • Proteinuria as a predictor of complications of pre-eclampsia.

    abstract::Proteinuria is a defining criterion for the diagnosis of pre-eclampsia. The amount of protein lost per day has been thought by some to predict both maternal and fetal outcome. The systematic review of 16 primary papers including over 6700 patients by Thangaratinam and colleagues published this month in BMC Medicine su...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-7-11

    authors: Hofmeyr GJ,Belfort M

    更新日期:2009-03-24 00:00:00

  • Associations between selected immune-mediated diseases and tuberculosis: record-linkage studies.

    abstract:BACKGROUND:Previous studies have suggested that there may be an association between some immune-mediated diseases and risk of tuberculosis (TB). METHODS:We analyzed a database of linked statistical records of hospital admissions and death certificates for the whole of England (1999 to 2011), and a similar database (th...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-97

    authors: Ramagopalan SV,Goldacre R,Skingsley A,Conlon C,Goldacre MJ

    更新日期:2013-04-04 00:00:00

  • Distinct mortality patterns at 0-2 days versus the remaining neonatal period: results from population-based assessment in the Indian state of Bihar.

    abstract:BACKGROUND:The objectives of this study were to understand the differences in mortality rate, risk factors for mortality, and cause of death distribution in three neonatal age sub-groups (0-2, 3-7, and 8-27 days) and assess the change in mortality rate with previous assessments to inform programmatic decision-making in...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1372-z

    authors: Dandona R,Kumar GA,Bhattacharya D,Akbar M,Atmavilas Y,Nanda P,Dandona L

    更新日期:2019-07-19 00:00:00

  • Controversies and challenges of vaccination: an interview with Elizabeth Miller.

    abstract::Although strong evidence exists that the benefits of vaccination by far outweigh potential adverse events, controversy still exists. This has led opponents of vaccination to question its safety, efficacy and necessity. In an interview with Professor Elizabeth Miller, we discuss the continuum of beliefs held by vaccine...

    journal_title:BMC medicine

    pub_type: 面试

    doi:10.1186/s12916-015-0508-z

    authors: Miller E

    更新日期:2015-10-16 00:00:00

  • Characterization of Plasmodium vivax-associated admissions to reference hospitals in Brazil and India.

    abstract:BACKGROUND:The benign character formerly attributed to Plasmodium vivax infection has been dismantled by the increasing number of reports of severe disease associated with infection with this parasite, prompting the need for more thorough and comprehensive characterization of the spectrum of resulting clinical complica...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-015-0302-y

    authors: Siqueira AM,Lacerda MV,Magalhães BM,Mourão MP,Melo GC,Alexandre MA,Alecrim MG,Kochar D,Kochar S,Kochar A,Nayak K,del Portillo H,Guinovart C,Alonso P,Bassat Q

    更新日期:2015-03-20 00:00:00

  • Disparities in access to diagnosis and care in Blantyre, Malawi, identified through enhanced tuberculosis surveillance and spatial analysis.

    abstract:BACKGROUND:A sizeable fraction of tuberculosis (TB) cases go undiagnosed. By analysing data from enhanced demographic, microbiological and geospatial surveillance of TB registrations, we aimed to identify modifiable predictors of inequitable access to diagnosis and care. METHODS:Governmental community health workers (...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1260-6

    authors: MacPherson P,Khundi M,Nliwasa M,Choko AT,Phiri VK,Webb EL,Dodd PJ,Cohen T,Harris R,Corbett EL

    更新日期:2019-01-29 00:00:00

  • Meat consumption and mortality--results from the European Prospective Investigation into Cancer and Nutrition.

    abstract:BACKGROUND:Recently, some US cohorts have shown a moderate association between red and processed meat consumption and mortality supporting the results of previous studies among vegetarians. The aim of this study was to examine the association of red meat, processed meat, and poultry consumption with the risk of early d...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-63

    authors: Rohrmann S,Overvad K,Bueno-de-Mesquita HB,Jakobsen MU,Egeberg R,Tjønneland A,Nailler L,Boutron-Ruault MC,Clavel-Chapelon F,Krogh V,Palli D,Panico S,Tumino R,Ricceri F,Bergmann MM,Boeing H,Li K,Kaaks R,Khaw KT,Wareha

    更新日期:2013-03-07 00:00:00

  • Promoting networks between evidence-based medicine and values-based medicine in continuing medical education.

    abstract:BACKGROUND:In recent years, medical practice has followed two different paradigms: evidence-based medicine (EBM) and values-based medicine (VBM). There is an urgent need to promote medical education that strengthens the relationship between these two paradigms. This work is designed to establish the foundations for a c...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-39

    authors: Altamirano-Bustamante MM,Altamirano-Bustamante NF,Lifshitz A,Mora-Magaña I,de Hoyos A,Avila-Osorio MT,Quintana-Vargas S,Aguirre JA,Méndez J,Murata C,Nava-Diosdado R,Martínez-González O,Calleja E,Vargas R,Mejía-Arangure JM,C

    更新日期:2013-02-15 00:00:00

  • Healthcare system responses to intimate partner violence in low and middle-income countries: evidence is growing and the challenges become clearer.

    abstract::The damage to health caused by intimate partner violence demands effective responses from healthcare providers and healthcare systems worldwide. To date, most evidence for the few existing, effective interventions in use comes from high-income countries. Gupta et al. provide rare evidence of a nurse-delivered intimate...

    journal_title:BMC medicine

    pub_type: 评论,信件

    doi:10.1186/s12916-017-0886-5

    authors: Taft A,Colombini M

    更新日期:2017-07-12 00:00:00

  • Lifestyle factors in preventing mental health disorders: an interview with Felice Jacka.

    abstract::In this video Q&A, we talk to Associate Professor Felice Jacka about population health approaches to the primary prevention of mental disorders across the lifespan. These include addressing lifestyle factors, such as diet, smoking and physical activity. Latest strategies are being developed through epidemiological stu...

    journal_title:BMC medicine

    pub_type: 面试

    doi:10.1186/s12916-015-0490-5

    authors: Jacka FN

    更新日期:2015-10-14 00:00:00

  • Food for thought: why does the medical community struggle with research about nutritional therapy in the acute care setting?

    abstract::Although clinical nutrition is a frequently used intervention in inpatient care, high quality trials proving its effectiveness and safety when used in the acutely-ill polymorbid medical inpatient population are largely lacking. From an evolutionary perspective, illness-related low appetite is protective and part of th...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-017-0812-x

    authors: Schuetz P

    更新日期:2017-02-24 00:00:00

  • Rate of first recorded diagnosis of autism and other pervasive developmental disorders in United Kingdom general practice, 1988 to 2001.

    abstract:BACKGROUND:There has been concern that the incidence of autism and other pervasive developmental disorders (PDDs) is increasing. Previous studies have been smaller, restricted to autism (excluding other pervasive developmental disorders such as Asperger's syndrome), included boys only, or have not been based on a natio...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-2-39

    authors: Smeeth L,Cook C,Fombonne PE,Heavey L,Rodrigues LC,Smith PG,Hall AJ

    更新日期:2004-11-09 00:00:00

  • Association between childhood trauma and risk for obesity: a putative neurocognitive developmental pathway.

    abstract:BACKGROUND:Childhood trauma increases the risk for adult obesity through multiple complex pathways, and the neural substrates are yet to be determined. METHODS:Participants from three population-based neuroimaging cohorts, including the IMAGEN cohort, the UK Biobank (UKB), and the Human Connectome Project (HCP), were ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01743-2

    authors: Luo Q,Zhang L,Huang CC,Zheng Y,Kanen JW,Zhao Q,Yao Y,Quinlan EB,Jia T,Banaschewski T,Bokde ALW,Bromberg U,Büchel C,Flor H,Frouin V,Garavan H,Gowland P,Heinz A,Ittermann B,Martinot JL,Martinot MP,Nees F,Orfanos

    更新日期:2020-10-15 00:00:00

  • Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies.

    abstract:BACKGROUND:Although nut consumption has been associated with a reduced risk of cardiovascular disease and all-cause mortality, data on less common causes of death has not been systematically assessed. Previous reviews missed several studies and additional studies have since been published. We therefore conducted a syst...

    journal_title:BMC medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/s12916-016-0730-3

    authors: Aune D,Keum N,Giovannucci E,Fadnes LT,Boffetta P,Greenwood DC,Tonstad S,Vatten LJ,Riboli E,Norat T

    更新日期:2016-12-05 00:00:00

  • The inevitable colonisation of Singapore by Zika virus.

    abstract::Singapore is endemic for Dengue virus, with approximately 10,000 to 20,000 annual cases reported in recent years. In 2012, Chikungunya was introduced, although the numbers of cases reported is much fewer. The current Zika virus pandemic originating in Brazil represents a threat to all regions with Aedes mosquitoes, pa...

    journal_title:BMC medicine

    pub_type: 社论

    doi:10.1186/s12916-016-0737-9

    authors: Fisher D,Cutter J

    更新日期:2016-11-21 00:00:00

  • Causes of death after fluid bolus resuscitation: new insights from FEAST.

    abstract::The Fluid Expansion as Supportive Therapy (FEAST study) was an extremely well conducted study that gave unexpected results. The investigators had reported that febrile children with impaired perfusion treated in low-income countries without access to intensive care are more likely to die if they receive bolus resuscit...

    journal_title:BMC medicine

    pub_type: 评论,杂志文章

    doi:10.1186/1741-7015-11-67

    authors: Myburgh J,Finfer S

    更新日期:2013-03-14 00:00:00

  • Cross-border movement, economic development and malaria elimination in the Kingdom of Saudi Arabia.

    abstract::Malaria at international borders presents particular challenges with regards to elimination. International borders share common malaria ecologies, yet neighboring countries are often at different stages of the control-to-elimination pathway. Herein, we present a case study on malaria, and its control, at the border be...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1081-z

    authors: Al Zahrani MH,Omar AI,Abdoon AMO,Ibrahim AA,Alhogail A,Elmubarak M,Elamin YE,AlHelal MA,Alshahrani AM,Abdelgader TM,Saeed I,El Gamri TB,Alattas MS,Dahlan AA,Assiri AM,Maina J,Li XH,Snow RW

    更新日期:2018-06-26 00:00:00

  • Definitions and potential health benefits of the Mediterranean diet: views from experts around the world.

    abstract::The Mediterranean diet has been linked to a number of health benefits, including reduced mortality risk and lower incidence of cardiovascular disease. Definitions of the Mediterranean diet vary across some settings, and scores are increasingly being employed to define Mediterranean diet adherence in epidemiological st...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-12-112

    authors: Trichopoulou A,Martínez-González MA,Tong TY,Forouhi NG,Khandelwal S,Prabhakaran D,Mozaffarian D,de Lorgeril M

    更新日期:2014-07-24 00:00:00

  • Estimating indirect mortality impacts of armed conflict in civilian populations: panel regression analyses of 193 countries, 1990-2017.

    abstract:BACKGROUND:Armed conflict can indirectly affect population health through detrimental impacts on political and social institutions and destruction of infrastructure. This study aimed to quantify indirect mortality impacts of armed conflict in civilian populations globally and explore differential effects by armed confl...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01708-5

    authors: Jawad M,Hone T,Vamos EP,Roderick P,Sullivan R,Millett C

    更新日期:2020-09-10 00:00:00

  • Perceived morbidity and community burden after a Chikungunya outbreak: the TELECHIK survey, a population-based cohort study.

    abstract:BACKGROUND:Persistent disabilities are key manifestations of Chikungunya virus (CHIKV) infection, especially incapacitating polyarthralgia and fatigue. So far, little is known about their impact on health status. The present study aimed at describing the burden of CHIKV prolonged or late-onset symptoms on the self-perc...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-9-5

    authors: Gérardin P,Fianu A,Malvy D,Mussard C,Boussaïd K,Rollot O,Michault A,Gaüzere BA,Bréart G,Favier F

    更新日期:2011-01-14 00:00:00

  • The challenges of colposcopy for cervical cancer screening in LMICs and solutions by artificial intelligence.

    abstract:BACKGROUND:The World Health Organization (WHO) called for global action towards the elimination of cervical cancer. One of the main strategies is to screen 70% of women at the age between 35 and 45 years and 90% of women managed appropriately by 2030. So far, approximately 85% of cervical cancers occur in low- and midd...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01613-x

    authors: Xue P,Ng MTA,Qiao Y

    更新日期:2020-06-03 00:00:00

  • Atrazine-induced apoptosis of splenocytes in BALB/C mice.

    abstract:BACKGROUND:Atrazine (2-chloro-4-ethytlamino-6-isopropylamine-1,3,5-triazine; ATR), is the most commonly applied broad-spectrum herbicide in the world. Unintentional overspray of ATR poses an immune function health hazard. The biomolecular mechanisms responsible for ATR-induced immunotoxicity, however, are little unders...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-9-117

    authors: Zhang X,Wang M,Gao S,Ren R,Zheng J,Zhang Y

    更新日期:2011-10-27 00:00:00

  • Migration and tuberculosis transmission in a middle-income country: a cross-sectional study in a central area of São Paulo, Brazil.

    abstract:BACKGROUND:Little is known about the impact of growing migration on the pattern of tuberculosis (TB) transmission in middle-income countries. We estimated TB recent transmission and its associated factors and investigated the presence of cross-transmission between South American migrants and Brazilians. METHODS:We stu...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1055-1

    authors: Pescarini JM,Simonsen V,Ferrazoli L,Rodrigues LC,Oliveira RS,Waldman EA,Houben R

    更新日期:2018-04-30 00:00:00

  • Infant fungal communities: current knowledge and research opportunities.

    abstract::The microbes colonizing the infant gastrointestinal tract have been implicated in later-life disease states such as allergies and obesity. Recently, the medical research community has begun to realize that very early colonization events may be most impactful on future health, with the presence of key taxa required for...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s12916-017-0802-z

    authors: Ward TL,Knights D,Gale CA

    更新日期:2017-02-13 00:00:00

  • Superior efficacy of St John's wort extract WS 5570 compared to placebo in patients with major depression: a randomized, double-blind, placebo-controlled, multi-center trial [ISRCTN77277298].

    abstract:BACKGROUND:The aim of the current study was to assess the antidepressant efficacy and safety of Hypericum perforatum (St. John's wort) extract WS 5570 at doses of 600 mg/day in a single dose and 1200 mg/day in two doses. METHODS:The participants in this double-blind, randomized, placebo-controlled, multi-center clinic...

    journal_title:BMC medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1741-7015-4-14

    authors: Kasper S,Anghelescu IG,Szegedi A,Dienel A,Kieser M

    更新日期:2006-06-23 00:00:00

  • Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan.

    abstract::Polycystic ovary syndrome (PCOS) is of clinical and public health importance as it is very common, affecting up to one in five women of reproductive age. It has significant and diverse clinical implications including reproductive (infertility, hyperandrogenism, hirsutism), metabolic (insulin resistance, impaired gluco...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-8-41

    authors: Teede H,Deeks A,Moran L

    更新日期:2010-06-30 00:00:00

  • So depression is an inflammatory disease, but where does the inflammation come from?

    abstract:BACKGROUND:We now know that depression is associated with a chronic, low-grade inflammatory response and activation of cell-mediated immunity, as well as activation of the compensatory anti-inflammatory reflex system. It is similarly accompanied by increased oxidative and nitrosative stress (O&NS), which contribute to ...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-11-200

    authors: Berk M,Williams LJ,Jacka FN,O'Neil A,Pasco JA,Moylan S,Allen NB,Stuart AL,Hayley AC,Byrne ML,Maes M

    更新日期:2013-09-12 00:00:00

  • Profiling of the muscle-specific dystroglycan interactome reveals the role of Hippo signaling in muscular dystrophy and age-dependent muscle atrophy.

    abstract:BACKGROUND:Dystroglycanopathies are a group of inherited disorders characterized by vast clinical and genetic heterogeneity and caused by abnormal functioning of the ECM receptor dystroglycan (Dg). Remarkably, among many cases of diagnosed dystroglycanopathies, only a small fraction can be linked directly to mutations ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1478-3

    authors: Yatsenko AS,Kucherenko MM,Xie Y,Aweida D,Urlaub H,Scheibe RJ,Cohen S,Shcherbata HR

    更新日期:2020-01-21 00:00:00

  • Effects of an 18-week exercise programme started early during breast cancer treatment: a randomised controlled trial.

    abstract:BACKGROUND:Exercise started shortly after breast cancer diagnosis might prevent or diminish fatigue complaints. The Physical Activity during Cancer Treatment (PACT) study was designed to primarily examine the effects of an 18-week exercise intervention, offered in the daily clinical practice setting and starting within...

    journal_title:BMC medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12916-015-0362-z

    authors: Travier N,Velthuis MJ,Steins Bisschop CN,van den Buijs B,Monninkhof EM,Backx F,Los M,Erdkamp F,Bloemendal HJ,Rodenhuis C,de Roos MA,Verhaar M,ten Bokkel Huinink D,van der Wall E,Peeters PH,May AM

    更新日期:2015-06-08 00:00:00

  • Dark matter RNA illuminates the puzzle of genome-wide association studies.

    abstract::In the past decade, numerous studies have made connections between sequence variants in human genomes and predisposition to complex diseases. However, most of these variants lie outside of the charted regions of the human genome whose function we understand; that is, the sequences that encode proteins. Consequently, t...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-12-97

    authors: St Laurent G,Vyatkin Y,Kapranov P

    更新日期:2014-06-12 00:00:00