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A network-based approach to explore comorbidity patterns among community-dwelling older adults living alone
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Chiyoung | - |
dc.contributor.author | Park, Yeon-Hwan | - |
dc.contributor.author | Cho, Belong | - |
dc.contributor.author | Lee, Hye Ah | - |
dc.date.accessioned | 2024-06-03T04:22:30Z | - |
dc.date.available | 2024-06-03T04:22:30Z | - |
dc.date.created | 2023-12-15 | - |
dc.date.created | 2023-12-15 | - |
dc.date.issued | 2024-04 | - |
dc.identifier.citation | Geroscience, Vol.46 No.2, pp.2253-2264 | - |
dc.identifier.issn | 2509-2715 | - |
dc.identifier.uri | https://hdl.handle.net/10371/204059 | - |
dc.description.abstract | The detailed comorbidity patterns of community-dwelling older adults have not yet been explored. This study employed a network-based approach to investigate the comorbidity patterns of community-dwelling older adults living alone. The sample comprised a cross-sectional cohort of adults 65 or older living alone in a Korean city (n = 1041; mean age = 77.7 years, 77.6% women). A comorbidity network analysis that estimates networks aggregated from measures of significant co-occurrence between pairs of diseases was employed to investigate comorbid associations between 31 chronic conditions. A cluster detection algorithm was employed to identify specific clusters of comorbidities. The association strength was expressed as the observed-to-expected ratio (OER). As a result, fifteen diseases were interconnected within the network (OER > 1, p-value < .05). While hypertension had a high prevalence, osteoporosis was the most central disease, co-occurring with numerous other diseases. The strongest associations among comorbidities were found between thyroid disease and urinary incontinence, chronic otitis media and osteoporosis, gastric duodenal ulcer/gastritis and anemia, and depression and gastric duodenal ulcer/gastritis (OER > 1.85). Three distinct clusters were identified as follows: (a) cataracts, osteoporosis, chronic otitis media, osteoarthritis/rheumatism, low back pain/sciatica, urinary incontinence, post-accident sequelae, and thyroid diseases; (b) hyperlipidemia, diabetes mellitus, and hypertension; and (c) depression, skin disease, gastric duodenal ulcer/gastritis, and anemia. The results may prove valuable in guiding the early diagnosis, management, and treatment of comorbidities in older adults living alone. | - |
dc.language | 영어 | - |
dc.publisher | SPRINGER | - |
dc.title | A network-based approach to explore comorbidity patterns among community-dwelling older adults living alone | - |
dc.type | Article | - |
dc.identifier.doi | 10.1007/s11357-023-00987-z | - |
dc.citation.journaltitle | Geroscience | - |
dc.identifier.wosid | 001103924000001 | - |
dc.identifier.scopusid | 2-s2.0-85175706960 | - |
dc.citation.endpage | 2264 | - |
dc.citation.number | 2 | - |
dc.citation.startpage | 2253 | - |
dc.citation.volume | 46 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Park, Yeon-Hwan | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | URINARY-INCONTINENCE | - |
dc.subject.keywordPlus | PEPTIC-ULCER | - |
dc.subject.keywordPlus | OTITIS-MEDIA | - |
dc.subject.keywordPlus | DEPRESSION | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordPlus | REGULATOR | - |
dc.subject.keywordPlus | WOMEN | - |
dc.subject.keywordAuthor | Aged | - |
dc.subject.keywordAuthor | Comorbidity | - |
dc.subject.keywordAuthor | Chronic disease | - |
dc.subject.keywordAuthor | Network analysis | - |
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