HLTHAGE 3N03 Lecture Notes - Lecture 13: Disease Burden, Comorbidity, Insomnia
29 Oct 2018
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Document Summary
An additional entity (condition/illness) that has existed or may occur during the clinical course of a patient who has the index disease (the illness the clinician"s focused on) under study. Statistical association of two distinct diseases in the same individual at a rate higher than expected by chance. Hyper-comorbidity: 2+ diseases, impacted by a significant social determinant of health. Concurrent comorbidity: conditions are occurring at the same time. Causal comorbidity: one condition causes another condition (ex. anxiety insomnia) Disease-specific complicating comorbidity: the second condition complicates the index condition. Multimorbidity: having 2 or more conditions occurring at the same time; no index condition. : the nature of the condition (ex. mental illness, disorder, physical illness, etc. ) : deciding which condition is the index disease, choosing which one to. Order of diagnoses, time period (has implications for prognosis and treatment) treat first based on severity, difficult to determine. The rule, not the exception - very common to have more than one condition.
