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Critical review of multimorbidity outcome measures suitable for low-income and middle-income country settings: perspectives from the Global Alliance for Chronic Diseases (GACD) researchers

机译:适用于低收入和中等收入国家设施的多元化结果措施的批判性评论:来自全球慢性病(GACD)研究人员的全球联盟的观点

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摘要

There is growing recognition around the importance of multimorbidity in low-income and middle-income country (LMIC) settings, and specifically the need for pragmatic intervention studies to reduce the risk of developing multimorbidity, and of mitigating the complications and progression of multimorbidity in LMICs. One of many challenges in completing such research has been the selection of appropriate outcomes measures. A 2018 Delphi exercise to develop a core-outcome set for multimorbidity research did not specifically address the challenges of multimorbidity in LMICs where the global burden is greatest, patterns of disease often differ and health systems are frequently fragmented. We, therefore, aimed to summarise and critically review outcome measures suitable for studies investigating mitigation of multimorbidity in LMIC settings.
机译:围绕低收入和中等收入国家(LMIC)环境中多重无水性的重要性,特别是需要务实干预研究的需要,以降低发展多重性能的风险,并减轻LMIC中多药物的并发症和进展。完成此类研究的许多挑战之一是选择适当的结果措施。 2018年Delphi练习开发多元化研究核心结果的核心结果并未具体解决了LMIC中多元化的挑战,其中全球负担最大,疾病模式通常不同,卫生系统经常分散。因此,我们旨在总结和批判性地审查适用于研究LMIC环境中多重无水性的减轻的研究结果。

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