{"id":"https://openalex.org/W7213302187","doi":"https://doi.org/10.1177/26335565261490113","title":"Treatment burden across multimorbidity combinations among middle-aged and older adults in the U.S.","display_name":"Treatment burden across multimorbidity combinations among middle-aged and older adults in the U.S.","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7213302187","doi":"https://doi.org/10.1177/26335565261490113","pmid":"https://pubmed.ncbi.nlm.nih.gov/42973698","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13724836"},"language":"en","primary_location":{"id":"doi:10.1177/26335565261490113","doi":"https://doi.org/10.1177/26335565261490113","is_oa":true,"landing_page_url":"https://doi.org/10.1177/26335565261490113","pdf_url":null,"source":{"id":"https://openalex.org/S4210178640","display_name":"Journal of Multimorbidity and Comorbidity","issn_l":"2633-5565","issn":["2633-5565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Multimorbidity and Comorbidity","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://doi.org/10.1177/26335565261490113","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039461110","display_name":"Misk Al Zahidy","orcid":"https://orcid.org/0009-0007-1999-9351","observed_orcids":["https://orcid.org/0009-0007-1999-9351"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Misk Al Zahidy","raw_affiliation_strings":["Mayo Clinic"],"raw_orcid":"https://orcid.org/0009-0007-1999-9351","affiliations":[{"raw_affiliation_string":"Mayo Clinic","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081823739","display_name":"Sheila Markwardt","orcid":"https://orcid.org/0000-0002-4929-4359","observed_orcids":["https://orcid.org/0000-0002-4929-4359"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sheila Markwardt","raw_affiliation_strings":["Oregon Health & Science University (OHSU)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oregon Health & Science University (OHSU)","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060853522","display_name":"Anda Botoseneanu","orcid":"https://orcid.org/0000-0003-0628-5820","observed_orcids":["https://orcid.org/0000-0003-0628-5820"]},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]},{"id":"https://openalex.org/I4210130704","display_name":"University of Michigan\u2013Dearborn","ror":"https://ror.org/035wtm547","country_code":"US","type":"education","lineage":["https://openalex.org/I4210130704"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anda Botoseneanu","raw_affiliation_strings":["Department of Health and Human Services, University of Michigan at Dearborn"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health and Human Services, University of Michigan at Dearborn","institution_ids":["https://openalex.org/I27837315","https://openalex.org/I4210130704"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066824550","display_name":"Viet-Thi Tran","orcid":"https://orcid.org/0000-0003-1863-6739","observed_orcids":["https://orcid.org/0000-0003-1863-6739","https://orcid.org/0000-0002-2381-5873"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I204730241","display_name":"Universit\u00e9 Paris Cit\u00e9","ror":"https://ror.org/05f82e368","country_code":"FR","type":"education","lineage":["https://openalex.org/I204730241"]}],"countries":["FR","US"],"is_corresponding":false,"raw_author_name":"Viet-Thi Tran","raw_affiliation_strings":["Mayo Clinic","Universit\u00e9 Paris Cit\u00e9"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mayo Clinic","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Universit\u00e9 Paris Cit\u00e9","institution_ids":["https://openalex.org/I204730241"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114376236","display_name":"V\u00edctor M. Montori","orcid":"https://orcid.org/0000-0003-0595-2898","observed_orcids":["https://orcid.org/0000-0003-0595-2898","https://orcid.org/0009-0004-7707-1920"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Victor M. Montori","raw_affiliation_strings":["Mayo Clinic"],"raw_orcid":"https://orcid.org/0000-0003-0595-2898","affiliations":[{"raw_affiliation_string":"Mayo Clinic","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073529367","display_name":"Ana Rom\u00e0n Qui\u00f1ones","orcid":"https://orcid.org/0000-0001-6554-7734","observed_orcids":["https://orcid.org/0000-0001-6554-7734"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Ana R. Qui\u00f1ones","raw_affiliation_strings":["OHSU","Oregon Health & Science University (OHSU)"],"raw_orcid":"https://orcid.org/0000-0001-6554-7734","affiliations":[{"raw_affiliation_string":"OHSU","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Oregon Health & Science University (OHSU)","institution_ids":["https://openalex.org/I165690674"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5073529367"],"corresponding_institution_ids":["https://openalex.org/I165690674"],"apc_list":{"value":1575,"currency":"USD","value_usd":1575},"apc_paid":{"value":1575,"currency":"USD","value_usd":1575},"fwci":3.7643,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.94531378,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"16","issue":null,"first_page":"26335565261490113","last_page":"26335565261490113"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9990000128746033,"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":0.9990000128746033,"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/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.000699999975040555,"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"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/treatment-burden","display_name":"treatment burden","score":0.9829999804496765},{"id":"https://openalex.org/keywords/multimorbidity","display_name":"multimorbidity","score":0.9810000061988831},{"id":"https://openalex.org/keywords/cardiometabolic-multimorbidity","display_name":"cardiometabolic multimorbidity","score":0.9739999771118164},{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.8339999914169312},{"id":"https://openalex.org/keywords/middle-aged-and-older-adults","display_name":"middle-aged and older adults","score":0.925000011920929},{"id":"https://openalex.org/keywords/financial-stress","display_name":"financial stress","score":0.6439999938011169},{"id":"https://openalex.org/keywords/administrative-complexity","display_name":"administrative complexity","score":0.9129999876022339},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.6019999980926514}],"concepts":[{"id":"https://openalex.org/C2909273474","wikidata":"https://www.wikidata.org/wiki/Q1952420","display_name":"Multimorbidity","level":3,"score":0.9085000157356262},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8456000089645386},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.6302000284194946},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5616000294685364},{"id":"https://openalex.org/C2909048080","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Multiple Chronic Conditions","level":3,"score":0.49549999833106995},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.4860999882221222},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.4708000123500824},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.4697999954223633},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.45719999074935913},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4471000134944916},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.4316999912261963},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.41100001335144043},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.38199999928474426},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.38119998574256897},{"id":"https://openalex.org/C2780600951","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic condition","level":3,"score":0.36730000376701355},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.36010000109672546},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3361999988555908},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.31949999928474426},{"id":"https://openalex.org/C3020448403","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Burden of disease","level":3,"score":0.3188999891281128},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.31450000405311584},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3109000027179718},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.3095000088214874},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.3012000024318695},{"id":"https://openalex.org/C2776807786","wikidata":"https://www.wikidata.org/wiki/Q5113964","display_name":"Chronic care","level":3,"score":0.29899999499320984},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.28450000286102295},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.2797999978065491},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.27300000190734863},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.27239999175071716},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.2599000036716461},{"id":"https://openalex.org/C64332521","wikidata":"https://www.wikidata.org/wiki/Q614165","display_name":"Quality-adjusted life year","level":3,"score":0.25369998812675476}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1177/26335565261490113","doi":"https://doi.org/10.1177/26335565261490113","is_oa":true,"landing_page_url":"https://doi.org/10.1177/26335565261490113","pdf_url":null,"source":{"id":"https://openalex.org/S4210178640","display_name":"Journal of Multimorbidity and Comorbidity","issn_l":"2633-5565","issn":["2633-5565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Multimorbidity and Comorbidity","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13724836","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724836/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724836/pdf/10.1177_26335565261490113.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-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Multimorb Comorb","raw_type":"Text"},{"id":"pmid:42973698","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42973698","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":"Journal of multimorbidity and comorbidity","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:86eb12bb59d24567b39069a40eaaa009","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/86eb12bb59d24567b39069a40eaaa009","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":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Multimorbidity and Comorbidity, Vol 16 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/26335565261490113","doi":"https://doi.org/10.1177/26335565261490113","is_oa":true,"landing_page_url":"https://doi.org/10.1177/26335565261490113","pdf_url":null,"source":{"id":"https://openalex.org/S4210178640","display_name":"Journal of Multimorbidity and Comorbidity","issn_l":"2633-5565","issn":["2633-5565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Multimorbidity and Comorbidity","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2320507728","display_name":"Changes in Multimorbidity and Disability Among Race/Ethnic Older Adults","funder_award_id":"R01AG055681","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213302187.pdf","grobid_xml":"https://content.openalex.org/works/W7213302187.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W69997206","https://openalex.org/W1832399255","https://openalex.org/W1998902846","https://openalex.org/W2020494695","https://openalex.org/W2046913611","https://openalex.org/W2068892774","https://openalex.org/W2074151142","https://openalex.org/W2109175507","https://openalex.org/W2113359487","https://openalex.org/W2122615311","https://openalex.org/W2127960841","https://openalex.org/W2134605330","https://openalex.org/W2167877406","https://openalex.org/W2275737843","https://openalex.org/W2408160586","https://openalex.org/W2683224332","https://openalex.org/W2735856415","https://openalex.org/W2980292304","https://openalex.org/W3122847645","https://openalex.org/W3207645068","https://openalex.org/W3215372781","https://openalex.org/W4200325118","https://openalex.org/W4205800513","https://openalex.org/W4210409124","https://openalex.org/W4283065667","https://openalex.org/W4309458067","https://openalex.org/W4386980208","https://openalex.org/W4402204659","https://openalex.org/W4404407122","https://openalex.org/W4408076249","https://openalex.org/W4408161519","https://openalex.org/W4411441422","https://openalex.org/W4412164829","https://openalex.org/W4414751381","https://openalex.org/W4417516615"],"related_works":["https://openalex.org/W4405969697","https://openalex.org/W3111301888","https://openalex.org/W44279294","https://openalex.org/W4410610064","https://openalex.org/W4408916492","https://openalex.org/W4225412934","https://openalex.org/W4296719908","https://openalex.org/W4402937915","https://openalex.org/W7147594116","https://openalex.org/W7221791091"],"abstract_inverted_index":{"Background:":[0],"The":[1,195],"workload":[2],"of":[3,25,49,66,183,229,247],"accessing":[4],"and":[5,13,21,53,97,107,114,118,126,206,226,257],"using":[6,77,92],"healthcare":[7],"can":[8],"be":[9,251],"substantial":[10],"for":[11],"middle-aged":[12],"older":[14],"adults":[15,39,68],"with":[16,83,158,180,187,217,221],"multimorbidity":[17,35,124,143,146,167,171,177,189,215,219],"(\u22652":[18],"chronic":[19,94,248],"conditions)":[20],"may":[22,234],"reduce":[23],"quality":[24],"life.":[26],"However,":[27],"how":[28],"treatment":[29,131,160],"burden":[30,74,113,116,132,151,185,212,225],"varies":[31],"across":[32,142,214],"clinically":[33],"meaningful":[34],"combinations":[36,233],"in":[37,61],"U.S.":[38,67],"remains":[40],"poorly":[41],"understood.":[42],"Methods:":[43],"We":[44],"conducted":[45],"a":[46,62,100,244],"cross-sectional":[47],"analysis":[48],"the":[50,78,148,162,222],"2022":[51],"Health":[52],"Retirement":[54],"Study":[55],"Treatment":[56,73,211],"Burden":[57],"Questionnaire":[58],"(TBQ)":[59],"module":[60],"nationally":[63],"representative":[64],"sample":[65],"aged":[69],"\u226551":[70],"years":[71],"(N=1,551).":[72],"was":[75,90,133,178],"assessed":[76],"15-item":[79],"TBQ":[80],"(range":[81],"0-150),":[82],"scores":[84],"\u226559":[85],"indicating":[86],"unsustainable":[87,115,127,159,184,230],"burden.":[88,128,231],"Multimorbidity":[89],"characterized":[91],"nine":[93],"condition":[95,236],"categories":[96],"mutually":[98],"exclusive,":[99],"priori,":[101],"literature-informed":[102],"combinations:":[103],"cardiovascular,":[104],"metabolic,":[105],"cardiometabolic,":[106],"other":[108],"multimorbidity.":[109],"Survey-weighted":[110],"analyses":[111],"estimated":[112],"prevalence,":[117],"logistic":[119],"regression":[120],"examined":[121],"associations":[122],"between":[123],"patterns":[125],"Results:":[129],"Mean":[130],"modest":[134],"(TBQ":[135],"21;":[136],"95%":[137,153,192],"CI,":[138,154,193],"19-23)":[139],"but":[140],"varied":[141,213],"combinations.":[144],"Cardiometabolic":[145],"had":[147,165],"highest":[149,223],"mean":[150,224],"(27;":[152],"23-30).":[155],"Among":[156],"respondents":[157],"burden,":[161],"largest":[163],"proportions":[164],"cardiometabolic":[166,176,218],"(44%)":[168],"or":[169],"cardiovascular":[170],"(34%).":[172],"In":[173],"adjusted":[174],"analyses,":[175],"associated":[179,220],"higher":[181],"odds":[182,228],"compared":[186],"no":[188],"(OR":[190],"4.9;":[191],"1.9-12.7).":[194],"most":[196],"burdensome":[197],"items":[198],"were":[199,241],"administrative":[200],"complexity,":[201],"financial":[202],"strain,":[203],"lifestyle":[204],"demands,":[205],"ongoing":[207],"care":[208],"reminders.":[209],"Conclusions:":[210],"combinations,":[216],"greater":[227],"These":[232],"complement":[235],"counts":[237],"but,":[238],"because":[239],"they":[240],"derived":[242],"from":[243],"limited":[245],"set":[246],"conditions,":[249],"should":[250],"interpreted":[252],"alongside":[253],"patient":[254],"capacity,":[255],"resources,":[256],"social":[258],"context.":[259]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-09-16T00:00:00"}
