{"id":"https://openalex.org/W4396973129","doi":"https://doi.org/10.3389/fpubh.2024.1349723","title":"Multimorbidity patterns and trajectories in young and middle-aged adults: a large-scale population-based cohort study","display_name":"Multimorbidity patterns and trajectories in young and middle-aged adults: a large-scale population-based cohort study","publication_year":2024,"publication_date":"2024-05-16","ids":{"openalex":"https://openalex.org/W4396973129","doi":"https://doi.org/10.3389/fpubh.2024.1349723","pmid":"https://pubmed.ncbi.nlm.nih.gov/38818448","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11137269"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2024.1349723","doi":"https://doi.org/10.3389/fpubh.2024.1349723","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2024.1349723","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1349723/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1349723/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077840496","display_name":"Ignatios Ioakeim\u2010Skoufa","orcid":"https://orcid.org/0000-0002-6518-749X","observed_orcids":["https://orcid.org/0000-0002-6518-749X"]},"institutions":[{"id":"https://openalex.org/I1333353642","display_name":"Norwegian Institute of Public Health","ror":"https://ror.org/046nvst19","country_code":"NO","type":"government","lineage":["https://openalex.org/I1333353642","https://openalex.org/I4210149801","https://openalex.org/I4210163359"]},{"id":"https://openalex.org/I255234318","display_name":"Universidad de Zaragoza","ror":"https://ror.org/012a91z28","country_code":"ES","type":"education","lineage":["https://openalex.org/I255234318"]},{"id":"https://openalex.org/I2801357902","display_name":"Instituto de Salud Carlos III","ror":"https://ror.org/00ca2c886","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4210107189","display_name":"Sociedad Espa\u00f1ola de Medicina de Familia y Comunitaria","ror":"https://ror.org/01hn8xm90","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I4210107189"]},{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES","NO"],"is_corresponding":true,"raw_author_name":"Ignatios Ioakeim-Skoufa","raw_affiliation_strings":["Department of Drug Statistics, Division of Health Data and Digitalisation, Norwegian Institute of Public Health, Oslo, Norway","Department of Pharmacology, Physiology, and Legal and Forensic Medicine, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain","Drug Utilisation Work Group, Spanish Society of Family and Community Medicine (semFYC), Barcelona, Spain","Emerging Technologies Advisory Group, ISACA, Chicago, IL, United States","EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Drug Statistics, Division of Health Data and Digitalisation, Norwegian Institute of Public Health, Oslo, Norway","institution_ids":["https://openalex.org/I1333353642"]},{"raw_affiliation_string":"Department of Pharmacology, Physiology, and Legal and Forensic Medicine, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain","institution_ids":["https://openalex.org/I255234318"]},{"raw_affiliation_string":"Drug Utilisation Work Group, Spanish Society of Family and Community Medicine (semFYC), Barcelona, Spain","institution_ids":["https://openalex.org/I4210107189"]},{"raw_affiliation_string":"Emerging Technologies Advisory Group, ISACA, Chicago, IL, United States","institution_ids":[]},{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]},{"raw_affiliation_string":"Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain","institution_ids":["https://openalex.org/I2801357902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034718881","display_name":"Francisca Gonz\u00e1lez\u2010Rubio","orcid":"https://orcid.org/0000-0001-5939-4436","observed_orcids":["https://orcid.org/0000-0001-5939-4436"]},"institutions":[{"id":"https://openalex.org/I4210107189","display_name":"Sociedad Espa\u00f1ola de Medicina de Familia y Comunitaria","ror":"https://ror.org/01hn8xm90","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I4210107189"]},{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Francisca Gonz\u00e1lez-Rubio","raw_affiliation_strings":["Drug Utilisation Work Group, Spanish Society of Family and Community Medicine (semFYC), Barcelona, Spain","EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug Utilisation Work Group, Spanish Society of Family and Community Medicine (semFYC), Barcelona, Spain","institution_ids":["https://openalex.org/I4210107189"]},{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018724910","display_name":"Mercedes Aza\u2010Pascual\u2010Salcedo","orcid":"https://orcid.org/0000-0002-8937-5559","observed_orcids":["https://orcid.org/0000-0002-8937-5559"]},"institutions":[{"id":"https://openalex.org/I2801357902","display_name":"Instituto de Salud Carlos III","ror":"https://ror.org/00ca2c886","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4210101986","display_name":"Servicio Aragon\u00e9s de Salud","ror":"https://ror.org/0178yne88","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210101986"]},{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Mercedes Aza-Pascual-Salcedo","raw_affiliation_strings":["EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","Primary Care Pharmacy Service Zaragoza III, Aragon Health Service (SALUD), Zaragoza, Spain","Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]},{"raw_affiliation_string":"Primary Care Pharmacy Service Zaragoza III, Aragon Health Service (SALUD), Zaragoza, Spain","institution_ids":["https://openalex.org/I4210101986"]},{"raw_affiliation_string":"Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain","institution_ids":["https://openalex.org/I2801357902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079568234","display_name":"Clara Laguna-Berna","orcid":"https://orcid.org/0009-0007-2903-8159","observed_orcids":["https://orcid.org/0009-0007-2903-8159"]},"institutions":[{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Clara Laguna-Berna","raw_affiliation_strings":["EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018101482","display_name":"Beatriz Poblador\u2010Plou","orcid":"https://orcid.org/0000-0002-5119-5093","observed_orcids":["https://orcid.org/0000-0002-5119-5093"]},"institutions":[{"id":"https://openalex.org/I2801357902","display_name":"Instituto de Salud Carlos III","ror":"https://ror.org/00ca2c886","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Beatriz Poblador-Plou","raw_affiliation_strings":["EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]},{"raw_affiliation_string":"Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain","institution_ids":["https://openalex.org/I2801357902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024380338","display_name":"Jorge Vicente-Romero","orcid":"https://orcid.org/0000-0003-4629-6743","observed_orcids":["https://orcid.org/0000-0003-4629-6743"]},"institutions":[{"id":"https://openalex.org/I255234318","display_name":"Universidad de Zaragoza","ror":"https://ror.org/012a91z28","country_code":"ES","type":"education","lineage":["https://openalex.org/I255234318"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Jorge Vicente-Romero","raw_affiliation_strings":["Department of Pharmacology, Physiology, and Legal and Forensic Medicine, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacology, Physiology, and Legal and Forensic Medicine, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain","institution_ids":["https://openalex.org/I255234318"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Helena Coelho","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087844","display_name":"Centro Hospitalar Tondela-Viseu","ror":"https://ror.org/0025r1k74","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210087844"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Helena Coelho","raw_affiliation_strings":["Specialised Section for Regulatory Affairs & Quality, Portuguese Society of Health Care Pharmacists (SPFCS), Coimbra, Portugal","Tondela-Viseu Hospital Centre, Viseu, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Specialised Section for Regulatory Affairs & Quality, Portuguese Society of Health Care Pharmacists (SPFCS), Coimbra, Portugal","institution_ids":[]},{"raw_affiliation_string":"Tondela-Viseu Hospital Centre, Viseu, Portugal","institution_ids":["https://openalex.org/I4210087844"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050655371","display_name":"Alejandro Santos-Mej\u00edas","orcid":"https://orcid.org/0000-0002-3958-0044","observed_orcids":["https://orcid.org/0000-0002-3958-0044"]},"institutions":[{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Alejandro Santos-Mej\u00edas","raw_affiliation_strings":["EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085945089","display_name":"Alexandra Prados\u2010Torres","orcid":"https://orcid.org/0000-0002-5704-6056","observed_orcids":["https://orcid.org/0000-0002-5704-6056"]},"institutions":[{"id":"https://openalex.org/I2801357902","display_name":"Instituto de Salud Carlos III","ror":"https://ror.org/00ca2c886","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Alexandra Prados-Torres","raw_affiliation_strings":["EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]},{"raw_affiliation_string":"Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain","institution_ids":["https://openalex.org/I2801357902"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010733470","display_name":"Aida Moreno Juste","orcid":"https://orcid.org/0000-0002-8819-3278","observed_orcids":["https://orcid.org/0000-0002-8819-3278"]},"institutions":[{"id":"https://openalex.org/I2801357902","display_name":"Instituto de Salud Carlos III","ror":"https://ror.org/00ca2c886","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Aida Moreno-Juste","raw_affiliation_strings":["Aragon Health Service (SALUD), Zaragoza, Spain","EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aragon Health Service (SALUD), Zaragoza, Spain","institution_ids":[]},{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]},{"raw_affiliation_string":"Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain","institution_ids":["https://openalex.org/I2801357902"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017824075","display_name":"Antonio Gimeno Miguel","orcid":"https://orcid.org/0000-0002-5440-1710","observed_orcids":["https://orcid.org/0000-0002-5440-1710"]},"institutions":[{"id":"https://openalex.org/I2801357902","display_name":"Instituto de Salud Carlos III","ror":"https://ror.org/00ca2c886","country_code":"ES","type":"nonprofit","lineage":["https://openalex.org/I2801357902","https://openalex.org/I4387152914"]},{"id":"https://openalex.org/I4210114530","display_name":"Hospital Universitario Miguel Servet","ror":"https://ror.org/01r13mt55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210114530"]},{"id":"https://openalex.org/I4210136512","display_name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n","ror":"https://ror.org/03njn4610","country_code":"ES","type":"other","lineage":["https://openalex.org/I4210136512"]},{"id":"https://openalex.org/I4210155704","display_name":"Instituto Aragon\u00e9s de Ciencias de la Salud","ror":"https://ror.org/05p0enq35","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210155704"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Antonio Gimeno-Miguel","raw_affiliation_strings":["EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EpiChron Research Group on Chronic Diseases, Aragon Health Sciences Institute (IACS), Aragon Health Research Institute (IIS Arag\u00f3n), Miguel Servet University Hospital, Zaragoza, Spain","institution_ids":["https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"]},{"raw_affiliation_string":"Research Network on Chronicity, Primary Care, and Health Promotion (RICAPPS), Institute of Health Carlos III (ISCIII), Madrid, Spain","institution_ids":["https://openalex.org/I2801357902"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5077840496"],"corresponding_institution_ids":["https://openalex.org/I1333353642","https://openalex.org/I255234318","https://openalex.org/I2801357902","https://openalex.org/I4210107189","https://openalex.org/I4210114530","https://openalex.org/I4210136512","https://openalex.org/I4210155704"],"apc_list":{"value":3295,"currency":"USD","value_usd":3295},"apc_paid":{"value":3295,"currency":"USD","value_usd":3295},"fwci":7.7008,"has_fulltext":true,"cited_by_count":29,"citation_normalized_percentile":{"value":0.98248223,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"12","issue":null,"first_page":"1349723","last_page":"1349723"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/multimorbidity","display_name":"multimorbidity","score":0.9509999752044678},{"id":"https://openalex.org/keywords/multimorbidity-patterns","display_name":"multimorbidity patterns","score":0.9210000038146973},{"id":"https://openalex.org/keywords/multimorbidity-trajectories","display_name":"multimorbidity trajectories","score":0.9959999918937683},{"id":"https://openalex.org/keywords/young-and-middle-aged-adults","display_name":"young and middle-aged adults","score":0.9549999833106995},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.7749999761581421},{"id":"https://openalex.org/keywords/cardiovascular-risk-factors","display_name":"cardiovascular risk factors","score":0.9800000190734863},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.9869999885559082},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":1.0},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9760000109672546},{"id":"https://openalex.org/keywords/chronic-inflammation","display_name":"chronic inflammation","score":0.7459999918937683},{"id":"https://openalex.org/keywords/clustering","display_name":"clustering","score":0.6230000257492065}],"concepts":[{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.5532848834991455},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4940929710865021},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.43919551372528076},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4360947608947754},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.42009836435317993},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.40589550137519836},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.380346417427063},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.2502143979072571},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.16264095902442932},{"id":"https://openalex.org/C58640448","wikidata":"https://www.wikidata.org/wiki/Q42515","display_name":"Cartography","level":1,"score":0.12525874376296997},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.07380294799804688},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.06390392780303955}],"mesh":[{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008137","descriptor_name":"Longitudinal Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013030","descriptor_name":"Spain","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.3389/fpubh.2024.1349723","doi":"https://doi.org/10.3389/fpubh.2024.1349723","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2024.1349723","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1349723/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11137269","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11137269","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11137269/pdf/fpubh-12-1349723.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmid:38818448","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38818448","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:zaguan.unizar.es:135782","doi":null,"is_oa":true,"landing_page_url":"http://zaguan.unizar.es/record/135782","pdf_url":"https://zaguan.unizar.es/record/135782/files/texto_completo.pdf","source":{"id":"https://openalex.org/S4306401812","display_name":"Zaguan (University of Zaragoza Repository)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I255234318","host_organization_name":"Universidad de Zaragoza","host_organization_lineage":["https://openalex.org/I255234318"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:doaj.org/article:03f7946724914035bce705d32a47d892","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/03f7946724914035bce705d32a47d892","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 12 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2024.1349723","doi":"https://doi.org/10.3389/fpubh.2024.1349723","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2024.1349723","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1349723/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G1944561245","display_name":"Grupo EpiChron de Investigaci\u00f3n en Enfermedades Cr\u00f3nicas","funder_award_id":"B01_20R","funder_id":"https://openalex.org/F4320326208","funder_display_name":"Gobierno de Arag\u00f3n"}],"funders":[{"id":"https://openalex.org/F4320322930","display_name":"Ministerio de Ciencia e Innovaci\u00f3n","ror":null},{"id":"https://openalex.org/F4320326208","display_name":"Gobierno de Arag\u00f3n","ror":"https://ror.org/0425pg203"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4396973129.pdf","grobid_xml":"https://content.openalex.org/works/W4396973129.grobid-xml"},"referenced_works_count":79,"referenced_works":["https://openalex.org/W135471466","https://openalex.org/W1932640386","https://openalex.org/W1957910991","https://openalex.org/W1978804804","https://openalex.org/W2005940446","https://openalex.org/W2006125672","https://openalex.org/W2017978677","https://openalex.org/W2059424469","https://openalex.org/W2071889896","https://openalex.org/W2075103004","https://openalex.org/W2080696239","https://openalex.org/W2082485240","https://openalex.org/W2085487226","https://openalex.org/W2092902579","https://openalex.org/W2102999566","https://openalex.org/W2107732097","https://openalex.org/W2115110182","https://openalex.org/W2122231459","https://openalex.org/W2122284120","https://openalex.org/W2133526648","https://openalex.org/W2134027168","https://openalex.org/W2150959326","https://openalex.org/W2266821176","https://openalex.org/W2289034714","https://openalex.org/W2304393714","https://openalex.org/W2400541749","https://openalex.org/W2466192476","https://openalex.org/W2478056891","https://openalex.org/W2567552487","https://openalex.org/W2583862987","https://openalex.org/W2619892723","https://openalex.org/W2630845936","https://openalex.org/W2782606626","https://openalex.org/W2783976765","https://openalex.org/W2807745201","https://openalex.org/W2811280893","https://openalex.org/W2884310198","https://openalex.org/W2884812779","https://openalex.org/W2896748285","https://openalex.org/W2898752447","https://openalex.org/W2965791390","https://openalex.org/W2969264344","https://openalex.org/W2995886183","https://openalex.org/W2997181810","https://openalex.org/W3013722704","https://openalex.org/W3026744924","https://openalex.org/W3035015103","https://openalex.org/W3035972886","https://openalex.org/W3037909228","https://openalex.org/W3038961165","https://openalex.org/W3092246410","https://openalex.org/W3095212229","https://openalex.org/W3097102643","https://openalex.org/W3111375007","https://openalex.org/W3125030132","https://openalex.org/W3128915711","https://openalex.org/W3131021624","https://openalex.org/W3154910216","https://openalex.org/W3155810784","https://openalex.org/W3156425747","https://openalex.org/W3159592054","https://openalex.org/W3196842351","https://openalex.org/W3197233987","https://openalex.org/W3212918570","https://openalex.org/W4206905511","https://openalex.org/W4231939410","https://openalex.org/W4282969348","https://openalex.org/W4285390610","https://openalex.org/W4288046917","https://openalex.org/W4292261757","https://openalex.org/W4293153624","https://openalex.org/W4309402761","https://openalex.org/W4309826673","https://openalex.org/W4310554582","https://openalex.org/W4311263989","https://openalex.org/W4321133152","https://openalex.org/W4364351985","https://openalex.org/W4365145695","https://openalex.org/W4382181985"],"related_works":["https://openalex.org/W3035015103","https://openalex.org/W2783570585","https://openalex.org/W3092246410","https://openalex.org/W2266821176","https://openalex.org/W2783343302","https://openalex.org/W4213137455","https://openalex.org/W3160041259","https://openalex.org/W7155019384","https://openalex.org/W4399182437","https://openalex.org/W7160613065"],"abstract_inverted_index":{"Introduction:":[0],"The":[1],"presence":[2],"of":[3,24,43,48,113,119,174,198,232,244,278],"multiple":[4],"chronic":[5,253,265],"conditions,":[6],"also":[7],"referred":[8],"to":[9,61,86,165,182,194,262,271,287],"as":[10,117,236],"multimorbidity,":[11],"is":[12],"a":[13,64,100,249],"common":[14],"finding":[15],"in":[16,92,105,151,161,226],"adults.":[17],"Epidemiologic":[18],"research":[19],"can":[20,68],"help":[21,288],"identify":[22,87,166],"groups":[23],"individuals":[25],"with":[26,76,149,201,252,281],"similar":[27,34],"clinical":[28],"profiles":[29],"who":[30],"could":[31],"benefit":[32],"from":[33,131,135],"interventions.":[35],"Many":[36],"cross-sectional":[37],"studies":[38,50,268],"have":[39],"revealed":[40],"the":[41,54,106,120,127,196,215,230,274,279],"existence":[42],"different":[44,77,212],"multimorbidity":[45,58,74,88,150,167,184],"patterns.":[46],"Most":[47],"these":[49],"were":[51,223],"focused":[52],"on":[53,79],"older":[55],"population.":[56],"However,":[57],"patterns":[59,89,168,209,213],"begin":[60],"form":[62],"at":[63,126,157,169],"young":[65],"age":[66],"and":[67,90,138,160,163,171,176,189,203,234,257,286,290,293],"evolve":[69],"over":[70],"time":[71],"following":[72],"distinct":[73],"trajectories":[75,91],"impact":[78],"health.":[80],"In":[81],"this":[82],"study,":[83],"we":[84,177],"aimed":[85],"adults":[93],"18-65":[94,146],"years":[95,147,173],"old.":[96],"Methods:":[97],"We":[98,141,153,186],"conducted":[99],"retrospective":[101],"longitudinal":[102],"epidemiologic":[103],"study":[104,195],"EpiChron":[107],"Cohort,":[108],"which":[109],"includes":[110],"all":[111,143],"inhabitants":[112],"Arag\u00f3n":[114],"(Spain)":[115],"registered":[116],"users":[118],"Spanish":[121],"National":[122],"Health":[123],"System,":[124],"linking,":[125],"patient":[128],"level,":[129],"information":[130],"electronic":[132],"health":[133],"records":[134],"both":[136],"primary":[137],"specialised":[139],"care.":[140],"included":[142],"293,923":[144],"patients":[145,247],"old":[148],"2011.":[152],"used":[154],"cluster":[155],"analysis":[156,193],"baseline":[158],"(2011)":[159],"2015":[162],"2019":[164],"four":[170],"eight":[172],"follow-up,":[175],"then":[178],"created":[179],"alluvial":[180],"plots":[181],"visualise":[183],"trajectories.":[185],"performed":[187],"age-":[188],"sex-adjusted":[190],"logistic":[191],"regression":[192],"association":[197],"each":[199],"pattern":[200,285],"four-":[202],"eight-year":[204],"mortality.":[205,241],"Results:":[206],"pattern.":[207],"Baseline":[208],"evolved":[210],"into":[211],"during":[214],"follow-up.":[216],"Discussion:":[217],"Well-known":[218],"preventable":[219],"cardiovascular":[220,250],"risk":[221,237],"factors":[222,238],"key":[224],"elements":[225],"most":[227],"patterns,":[228],"highlighting":[229],"role":[231],"hypertension":[233],"obesity":[235,258],"for":[239],"higher":[240],"Two":[242],"out":[243],"every":[245],"three":[246],"had":[248],"profile":[251],"conditions":[254],"like":[255],"diabetes":[256],"that":[259],"are":[260,269],"linked":[261],"low-grade":[263],"systemic":[264],"inflammation.":[266],"More":[267],"encouraged":[270],"better":[272],"characterise":[273],"relatively":[275],"large":[276],"portion":[277],"population":[280],"an":[282],"unspecific":[283],"disease":[284],"design":[289],"implement":[291],"effective":[292],"comprehensive":[294],"strategies":[295],"towards":[296],"healthier":[297],"ageing.":[298]},"counts_by_year":[{"year":2026,"cited_by_count":11},{"year":2025,"cited_by_count":18}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2024-05-17T00:00:00"}
