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Definitions of Chronic Health Conditions in Childhood
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To the Editor: In their Review, Dr van der Lee and colleagues1 found wide variability in the reported prevalence of chronic health conditions in childhood, largely a result of different definitions. Only 1 of the 64 articles included in the Review reported the percentage of children with more than 1 condition.2 Multimorbidity, the co-occurrence of multiple chronic conditions in 1 individual, is increasingly recognized as having a major effect on patient outcomes and health care costs, posing a significant challenge to current models of health care.3
Certain features of multimorbidity in children make it a very promising field for investigation. First, although the proportion of children and adolescents with more than 1 disease is lower than in adults and older patients, the number of those with 3 or more different diseases is also greater than would be expected due to chance alone, more so than for any other age group.4 . . . [Full Text of this Article]
Jose M. Valderas, MD, PhD, MPH
jose.valderas@manchester.ac.uk
National Primary Care Research and Development Centre
University of Manchester
Manchester, England
Barbara Starfield, MD, MPH
Johns Hopkins Bloomberg School of Public Health
Baltimore, Maryland
Chris Salisbury, MD, MBChB, MSc, FRCGP
School of Primary Care Research
University of Bristol
Bristol, England
RELATED LETTER
Definitions of Chronic Health Conditions in Childhood—Reply
Johanna H. van der Lee, Lidwine B. Mokkink, Hugo S. Heymans, and Martin Offringa
JAMA. 2007;298(14):1636-1637.
EXTRACT
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RELATED ARTICLE
Definitions and Measurement of Chronic Health Conditions in Childhood: A Systematic Review
Johanna H. van der Lee, Lidwine B. Mokkink, Martha A. Grootenhuis, Hugo S. Heymans, and Martin Offringa
JAMA. 2007;297(24):2741-2751.
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