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Definitions of Chronic Health Conditions in Childhood—Reply
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In Reply: In response to the comments of Dr Valderas and colleagues, the measurement of multimorbidity indeed poses a methodological challenge. Because the goal of our Review was to find definitions of chronic conditions in childhood, we restricted our search to the literature concerning "children" (aged 0-18 years). Thus, we did not include potentially important articles on this subject from the adult literature. Their comments, coming from a primary care research and development center, emphasize that there is a need for consensus on the definition of chronic health conditions in children and that the associated measurement methods should involve all relevant disciplines including general practice, internal medicine, rehabilitation medicine, and public health.
Financial Disclosures: None reported.
Johanna H. van der Lee, MD, PhD
j.h.vanderlee@amc.uva.nl
Department of Pediatric Clinical Epidemiology
Emma Children's Hospital
Academic Medical Center
University of Amsterdam
Amsterdam, the Netherlands
Lidwine B. Mokkink, MSc
Pediatric Psychosocial Department
EMGO Research Institute
VU University Medical Center
Amsterdam, the Netherlands
Hugo S. Heymans, MD, PhD
Department of Pediatrics
Martin Offringa, MD, PhD
Department of Pediatric Clinical Epidemiology
Emma Children's Hospital
Academic Medical Center
University of Amsterdam
Amsterdam, the Netherlands
Letters Section Editor: Robert M. Golub, MD, Senior Editor.
JAMA. 2007;298:1636-1637.
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RELATED LETTER
Definitions of Chronic Health Conditions in Childhood
Jose M. Valderas, Barbara Starfield, and Chris Salisbury
JAMA. 2007;298(14):1636.
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