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Views And Reviews Acute Perspective

David Oliver: A manifesto for multimorbidity

BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k1044 (Published 06 March 2018) Cite this as: BMJ 2018;360:k1044
  1. David Oliver, consultant in geriatrics and acute general medicine
  1. Berkshire
  1. davidoliver372{at}googlemail.com

In 2012 a Scottish study of over three million people showed that living with three or more long term medical conditions was the norm for people over 65.1 In 2016 a study that used data from more than 200 000 people in England aged over 75 showed that 7% had severe frailty and 21% moderate frailty.2 This year, researchers predicted that the proportion of people in the UK with four or more long term conditions would nearly double between 2015 and 2035, from 9.8% to 17%.3 Two thirds of these would also have dementia, depression, or cognitive impairment.

The need for a greater focus on prevention of ill health is something I have argued for …

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