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      The challenges of symptom management for patients with multimorbidity in research and practice: a thematic review

      research-article
      , MD 1 , 2 , , MD, MSPH, FACP, FAAHPM 2
      Progress in palliative care
      Multimorbidity, Symptom Management, Palliative care

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          Abstract

          Multimorbidity, the presence of multiple coexisting diseases or conditions, afflicts the majority of older adults, and is associated with increased mortality and healthcare utilization. In addition, multimorbidity negatively impacts quality of life and increases symptom burden. Yet, there is a dearth of evidence on how to best manage symptoms in patients with multimorbidity. Research in this area has been hampered by inconsistent definitions of multimorbidity and challenges in outcome measurement. Investigations of symptom management strategies in specific disease states, like cancer, typically exclude medically complex patients. In the absence of evidence, the American Geriatrics Society’s recommendations for the care of adults with multimorbidity provide a useful starting point for clinicians. We present a case to demonstrate how the AGS recommendations can be tailored to the situation of symptom management in patients with multimorbidity. We also present suggestions for future research directions.

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          Author and article information

          Journal
          9421815
          39253
          Prog Palliat Care
          Prog Palliat Care
          Progress in palliative care
          0969-9260
          1743-291X
          29 September 2016
          26 July 2016
          2016
          26 September 2017
          : 24
          : 5
          : 262-267
          Affiliations
          [1 ]San Francisco Veterans Affairs Medical Center, San Francisco, California
          [2 ]Division of Geriatrics, University of California at San Francisco, San Francisco, California
          Author notes
          Corresponding author: Laura Petrillo, laura.petrillo@ 123456ucsf.edu
          Article
          PMC5613670 PMC5613670 5613670 nihpa818011
          10.1080/09699260.2016.1192320
          5613670
          28959091
          c0e1b488-a0d3-42f5-a0e5-90f4b87133e7
          History
          Categories
          Article

          Multimorbidity,Palliative care,Symptom Management
          Multimorbidity, Palliative care, Symptom Management

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