BMJ: ‘Adding a sulfonylurea to metformin looks safer than switching to one’

BMJ: ‘Adding a sulfonylurea to metformin looks safer than switching to one’

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DOACs associated with reduced risk of major bleeding compared to warfarin

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  • BMJ: ‘Adding a sulfonylurea to metformin looks safer than switching to one’

    BMJ: ‘Adding a sulfonylurea to metformin looks safer than switching to one’

    Wednesday, 25 July 2018 13:55
  • DOACs associated with reduced risk of major bleeding compared to warfarin

    DOACs associated with reduced risk of major bleeding compared to warfarin

    Wednesday, 11 July 2018 13:11
  • Recorded penicillin allergy associated with increased risk of MRSA and C difficile

    Recorded penicillin allergy associated with increased risk of MRSA and C difficile

    Tuesday, 03 July 2018 16:42
  • Syphilis and gonorrhoea diagnoses see significant increase

    Syphilis and gonorrhoea diagnoses see significant increase

    Monday, 11 June 2018 14:16
  • Anticholinergics linked to increased risk of dementia

    Anticholinergics linked to increased risk of dementia

    Monday, 30 April 2018 12:08

Umesh Modi is a chartered accountant, and Pamini Jatheeskumar is a chartered certified accountant at Silver Levene...
  Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead...
Don Lavoie is alcohol programme manager at Public Health England and Gul Root is lead pharmacist, Health and Wellbeing Directorate, Public Health England
More inWhite Papers  

a blood pressure monitor imageMarch 12 2018

Almost a quarter of people (24.3%) with heart disease are also living with five or more other conditions, new research has found. This is four time as many as in 2000, meaning the clinical care of patients with cardiovascular disease is becoming increasingly complex.

Researchers looked at data from 2000 to 2014 relating to 4.2 million patients across the UK, and identified 229,205 patients with newly diagnosed non-fatal CVD.

“While the proportion being diagnosed with heart disease and stroke fell by 34% during this period, among those who were diagnosed, the proportion of people with five or more other health conditions rose from 6.3% to 24.3%, after adjusting for age,” said the National Institute for Health Research.

The study found that the most common comorbid conditions were:

  • high blood pressure (experienced by 28.9% of patients);
  • depression (23.0%);
  • arthritis (20.9%);
  • asthma (17.7%);
  • anxiety (15.0%).

In addition, older patients, women, and socially deprived groups were generally found to have higher numbers of comorbidities, although the type of comorbidities varied by age and sex.

Professor Richard Hobbs, Theme Lead for Multi-Morbidity and Long-Term Conditions at the NIHR Oxford Biomedical Research Centre, said: “Patients who suffer from a number of different health conditions have higher hospital admission rates, more complications, and longer stays in hospital, so this striking rise in the proportion of people experiencing a high number of ailments has important implications for health policy and healthcare provision.”

Links:
NIHR announcement   
NIHR Oxford BRC announcement         
J Tran et al. ‘Patterns and temporal trends of comorbidity among adult patients with incident cardiovascular disease in the UK between 2000 and 2014: A population-based cohort study’. PLOS Medicine. Published online March 6 2018.

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