Understanding Disparities in Persons with Multiple Chronic Conditions: Research Approaches and Datasets. 4.2 Most Common Disease Clusters in Men and Women

09/30/2013

A number of studies have examined the most common chronic condition clusters in men and women (Ashman et al. 2013, Lochner et al. 2013, Steiner et al. 2013, Steinman et al. 2012, Ward et al. 2013). Exhibit 6 contains chronic condition dyads (2) and triads (3) that were examined in the studies. Although many chronic condition clusters, such as hypertension, hyperlipidemia and heart disease occur in both men and women, they occur at different rates. Other MCC clusters are found predominately in one gender, for example depression, osteoporosis, asthma and chronic obstructive pulmonary disease are more common in women.

Exhibit 6: Most Prevalent Chronic Disease Clusters in Men and Women in National Datasets; Preventing Chronic Disease Supplement, May 2013

Author Dyads Triads
Males Females Males Females
Legend: Dyads, two-way chronic disease combinations; Triads, three-way chronic disease combinations.

Ashman et al. 2013

Adult Civilian Patients (≥65 years)

National Ambulatory Medical Care Survey

  • Hypertension & Hyperlipidemia
  • Hypertension & Diabetes
  • Hypertension & Arthritis
  • Hyperlipidemia & Diabetes
  • Ischemic Heart Disease & Hypertension
  • Hypertension & Hyperlipidemia
  • Hypertension & Arthritis
  • Hypertension & Diabetes
  • Hyperlipidemia & Arthritis
  • Hyperlipidemia & Diabetes
  • Hypertension, Hyperlipidemia, & Diabetes
  • Ischemic Heart Disease, Hypertension, & Hyperlipidemia
  • Hypertension, Hyperlipidemia, & Arthritis
  • Hypertension, Diabetes & Arthritis
  • Hypertension, Hyperlipidemia, & Cancer
  • Hypertension, Hyperlipidemia, & Arthritis
  • Hypertension, Hyperlipidemia, & Diabetes
  • Osteoporosis, Hypertension, & Hyperlipidemia
  • Hypertension, Diabetes & Arthritis
  • Hypertension, Hyperlipidemia, & Depression

Lochner et al. 2013

Medicare Patients (≥65 years)

Medicare Claims

  • Hypertension & Hyperlipidemia
  • Ischemic Heart Disease & Hyperlipidemia
  • Ischemic Heart Disease & Hypertension
  • Hypertension & Hyperlipidemia
  • Diabetes & Hypertension
  • Arthritis & Hyperlipidemia
  • Ischemic Heart Disease & Hyperlipidemia
  • Ischemic Heart Disease, Hypertension, & Hyperlipidemia
  • Diabetes & Hyperlipidemia
  • Arthritis & Hypertension
  • Ischemic Heart Disease,
    Hypertension, &
    Hyperlipidemia
  • Diabetes, Hypertension, & Hyperlipidemia
  • Diabetes Ischemic  Heart Disease, & Hyperlipidemia
  • Diabetes, Ischemic  Heart Disease, & Hypertension
  • Arthritis,  Hypertension, & Hyperlipidemia
  • Arthritis, Hypertension, & Hyperlipidemia
  • Ischemic Heart Disease, Hypertension, & Hyperlipidemia
  • Diabetes,
    Hypertension, &
    Hyperlipidemia
  • Ischemic Heart
    Disease, Arthritis, &
    Hyperlipidemia
  • Diabetes, Ischemic
    Heart Disease, &
    Hyperlipidemia

Steiner et al. 2013

Adult Inpatients (≥65 years)

Nationwide
Inpatient
Sample

  • Hyperlipidemia & Coronary Artery Disease
  • Hypertension & Hyperlipidemia
  • Hypertension & Cardiac Arrhythmia
  • Hypertension & Diabetes
  • Hyperlipidemia & Coronary Artery Disease

 

  • Hypertension & Hyperlipidemia
  • Hypertension & Coronary Artery Disease
  • Hypertension & Diabetes
  • Hypertension & Cardiac Arrhythmia
  • Hypertension & Congestive Heart Failure
  • Hypertension, Hyperlipidemia, & Coronary Artery Disease
  • Hypertension, Coronary Artery Disease, & Cardiac Arrhythmia
  • Diabetes, Hypertension, & Coronary Artery Disease
  • Diabetes, Hyperlipidemia, & Hypertension
  • Hyperlipidemia, Hypertension, & Cardiac Arrhythmia
  • Hypertension, Hyperlipidemia, & Coronary Artery Disease
  • Diabetes, Hyperlipidemia, & Hypertension
  • Hypertension, Coronary Artery Disease, & Cardiac Arrhythmia
  • Diabetes, Hypertension, & Coronary Artery Disease
  • Hyperlipidemia, Hypertension, & Cardiac Arrhythmia

Steinman et al. 2012

VA Patients (≥65 years)

VA Databases

Not Reported Not Reported
  • Hypertension, Hyperlipidemia, & Coronary Heart Disease
  • Hypertension, Hyperlipidemia, & Diabetes
  • Hypertension, Hyperlipidemia, & Gastroesophageal Reflux Disease
  • Hypertension, Hyperlipidemia, & Benign Prostatic Hypertrophy
  • Hypertension, Coronary Heart Disease, & Diabetes
  • Hypertension, Hyperlipidemia, & Arthritis
  • Hypertension, Hyperlipidemia, & Diabetes,
  • Hypertension, Hyperlipidemia, & Gastroesophageal Reflux Disease
  • Hypertension, Hyperlipidemia, & Coronary Heart Disease
  • Hypertension, Hyperlipidemia, & Osteoporosis

Ward et al. 2013

Adult Civilians (≥65 years)

National Health Interview Survey

  • Hypertension & Arthritis
  • Hypertension & Diabetes
  • Hypertension & Cancer
  • Hypertension & Coronary Heart Disease
  • Arthritis & Diabetes
  • Hypertension & Arthritis
  • Hypertension & Diabetes
  • Arthritis & Diabetes
  • Hypertension & Cancer
  • Arthritis & Cancer
  • Hypertension, Arthritis & Diabetes
  • Hypertension, Arthritis & Cancer
  • Hypertension, Arthritis & Coronary Heart Disease
  • Hypertension, Coronary Heart Disease, & Diabetes
  • Hypertension, Coronary Heart Disease, & Cancer
  • Hypertension, Arthritis & Diabetes
  • Hypertension, Arthritis & Cancer
  • Hypertension, Arthritis, & Coronary Heart Disease
  • Hypertension, Chronic Obstructive Pulmonary Disease, & Arthritis
  • Hypertension, Arthritis, & Asthma

 

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