{"id":"https://openalex.org/W4409838951","doi":"https://doi.org/10.1016/j.ijmedinf.2025.105954","title":"Exploring Multimorbidity Patterns in older hospitalized Norwegian patients using Network Analysis modularity","display_name":"Exploring Multimorbidity Patterns in older hospitalized Norwegian patients using Network Analysis modularity","publication_year":2025,"publication_date":"2025-04-26","ids":{"openalex":"https://openalex.org/W4409838951","doi":"https://doi.org/10.1016/j.ijmedinf.2025.105954","pmid":"https://pubmed.ncbi.nlm.nih.gov/40300484"},"language":"en","primary_location":{"id":"doi:10.1016/j.ijmedinf.2025.105954","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2025.105954","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.ijmedinf.2025.105954","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041840684","display_name":"Mohsen Askar","orcid":"https://orcid.org/0000-0002-9257-5164"},"institutions":[{"id":"https://openalex.org/I78037679","display_name":"UiT The Arctic University of Norway","ror":"https://ror.org/00wge5k78","country_code":"NO","type":"education","lineage":["https://openalex.org/I78037679"]}],"countries":["NO"],"is_corresponding":true,"raw_author_name":"Mohsen Askar","raw_affiliation_strings":["Department of Pharmacy, Faculty of Health Sciences, UiT, The Arctic University of Norway, Norway. Electronic address: mohsen.g.askar@uit.no"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, Faculty of Health Sciences, UiT, The Arctic University of Norway, Norway. Electronic address: mohsen.g.askar@uit.no","institution_ids":["https://openalex.org/I78037679"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059921600","display_name":"Beate Hennie Garcia","orcid":"https://orcid.org/0000-0002-0815-0383"},"institutions":[{"id":"https://openalex.org/I78037679","display_name":"UiT The Arctic University of Norway","ror":"https://ror.org/00wge5k78","country_code":"NO","type":"education","lineage":["https://openalex.org/I78037679"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Beate Hennie Garcia","raw_affiliation_strings":["Department of Pharmacy, Faculty of Health Sciences, UiT, The Arctic University of Norway, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, Faculty of Health Sciences, UiT, The Arctic University of Norway, Norway","institution_ids":["https://openalex.org/I78037679"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085930431","display_name":"Kristian Svendsen","orcid":"https://orcid.org/0000-0003-3481-3539"},"institutions":[{"id":"https://openalex.org/I78037679","display_name":"UiT The Arctic University of Norway","ror":"https://ror.org/00wge5k78","country_code":"NO","type":"education","lineage":["https://openalex.org/I78037679"]}],"countries":["NO"],"is_corresponding":false,"raw_author_name":"Kristian Svendsen","raw_affiliation_strings":["Department of Pharmacy, Faculty of Health Sciences, UiT, The Arctic University of Norway, Norway"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, Faculty of Health Sciences, UiT, The Arctic University of Norway, Norway","institution_ids":["https://openalex.org/I78037679"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5041840684"],"corresponding_institution_ids":["https://openalex.org/I78037679"],"apc_list":{"value":3210,"currency":"USD","value_usd":3210},"apc_paid":{"value":3210,"currency":"USD","value_usd":3210},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.11667234,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"201","issue":null,"first_page":"105954","last_page":"105954"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9821000099182129,"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":0.9821000099182129,"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/T13702","display_name":"Machine Learning in Healthcare","score":0.00930000003427267,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T13283","display_name":"Mental Health Research Topics","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/norwegian","display_name":"Norwegian","score":0.7951223850250244},{"id":"https://openalex.org/keywords/modularity","display_name":"Modularity (biology)","score":0.7293673157691956},{"id":"https://openalex.org/keywords/multimorbidity","display_name":"Multimorbidity","score":0.644762396812439},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5184757113456726},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.4315846562385559},{"id":"https://openalex.org/keywords/comorbidity","display_name":"Comorbidity","score":0.35101383924484253},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3378554582595825}],"concepts":[{"id":"https://openalex.org/C63428231","wikidata":"https://www.wikidata.org/wiki/Q9043","display_name":"Norwegian","level":2,"score":0.7951223850250244},{"id":"https://openalex.org/C2779478453","wikidata":"https://www.wikidata.org/wiki/Q6889748","display_name":"Modularity (biology)","level":2,"score":0.7293673157691956},{"id":"https://openalex.org/C2909273474","wikidata":"https://www.wikidata.org/wiki/Q1952420","display_name":"Multimorbidity","level":3,"score":0.644762396812439},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5184757113456726},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.4315846562385559},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.35101383924484253},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3378554582595825},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","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":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","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":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","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":"D006801","descriptor_name":"Humans","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":"D008297","descriptor_name":"Male","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":"D009664","descriptor_name":"Norway","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D009664","descriptor_name":"Norway","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D009664","descriptor_name":"Norway","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012042","descriptor_name":"Registries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012042","descriptor_name":"Registries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012042","descriptor_name":"Registries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.ijmedinf.2025.105954","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2025.105954","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},{"id":"pmid:40300484","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40300484","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,"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":"International journal of medical informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.1016/j.ijmedinf.2025.105954","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ijmedinf.2025.105954","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320309820","display_name":"Universitetet i Troms\u00f8","ror":"https://ror.org/00wge5k78"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":83,"referenced_works":["https://openalex.org/W184703898","https://openalex.org/W1480987913","https://openalex.org/W1606224069","https://openalex.org/W1809230663","https://openalex.org/W1838579321","https://openalex.org/W1937334562","https://openalex.org/W1957910991","https://openalex.org/W1971937094","https://openalex.org/W1977474991","https://openalex.org/W1978804804","https://openalex.org/W1986780835","https://openalex.org/W1991148521","https://openalex.org/W1997338257","https://openalex.org/W2008209917","https://openalex.org/W2009913923","https://openalex.org/W2037457790","https://openalex.org/W2068269468","https://openalex.org/W2068902551","https://openalex.org/W2071992959","https://openalex.org/W2079474654","https://openalex.org/W2080696239","https://openalex.org/W2087194317","https://openalex.org/W2095293504","https://openalex.org/W2113359487","https://openalex.org/W2114913522","https://openalex.org/W2116189532","https://openalex.org/W2117059102","https://openalex.org/W2128366083","https://openalex.org/W2131681506","https://openalex.org/W2135435686","https://openalex.org/W2141316540","https://openalex.org/W2145077328","https://openalex.org/W2152415104","https://openalex.org/W2166001339","https://openalex.org/W2169644999","https://openalex.org/W2183877827","https://openalex.org/W2265134483","https://openalex.org/W2266821176","https://openalex.org/W2321429525","https://openalex.org/W2328134526","https://openalex.org/W2337616621","https://openalex.org/W2341432800","https://openalex.org/W2413702649","https://openalex.org/W2414466705","https://openalex.org/W2611466376","https://openalex.org/W2683224332","https://openalex.org/W2737586399","https://openalex.org/W2768131048","https://openalex.org/W2811280893","https://openalex.org/W2884310198","https://openalex.org/W2943345774","https://openalex.org/W2963302977","https://openalex.org/W2991551461","https://openalex.org/W3003141360","https://openalex.org/W3027715520","https://openalex.org/W3099768174","https://openalex.org/W3132331133","https://openalex.org/W3170940710","https://openalex.org/W3176121444","https://openalex.org/W3176710976","https://openalex.org/W3180085805","https://openalex.org/W4206182959","https://openalex.org/W4206363787","https://openalex.org/W4211211592","https://openalex.org/W4214860512","https://openalex.org/W4226153880","https://openalex.org/W4246683166","https://openalex.org/W4289346115","https://openalex.org/W4289929826","https://openalex.org/W4306406602","https://openalex.org/W4309533988","https://openalex.org/W4310364132","https://openalex.org/W4310554582","https://openalex.org/W4317830131","https://openalex.org/W4362458009","https://openalex.org/W4366770780","https://openalex.org/W4378468759","https://openalex.org/W4382810445","https://openalex.org/W4386851487","https://openalex.org/W4390548406","https://openalex.org/W6674068858","https://openalex.org/W6681224503","https://openalex.org/W6856773044"],"related_works":["https://openalex.org/W2061564463","https://openalex.org/W2127095710","https://openalex.org/W4392940440","https://openalex.org/W4405570797","https://openalex.org/W2417046997","https://openalex.org/W179885478","https://openalex.org/W4404888963","https://openalex.org/W4389670774","https://openalex.org/W2057894692","https://openalex.org/W2903186995"],"abstract_inverted_index":{"BACKGROUND:":[0],"Understanding":[1],"Multimorbidity":[2,69],"Patterns":[3],"(MPs)":[4],"is":[5],"crucial":[6],"for":[7,129,137,208],"planning":[8],"healthcare":[9],"interventions,":[10],"allocating":[11],"resources,":[12],"and":[13,52,106,122,163,169,175,179,186,205,239],"improving":[14],"patients'":[15],"outcomes.":[16],"OBJECTIVE:":[17],"We":[18,38,132],"aim":[19],"to":[20,28,108,149],"demonstrate":[21],"the":[22,30,42,73,87,195,218,230,237,240],"use":[23,219],"of":[24,47,75,111,143,161,220,233,242],"Network":[25],"Analysis":[26],"(NA)":[27],"explore":[29],"MPs":[31,123],"in":[32,199,224,236,245],"hospitalized":[33],"Norwegian":[34,43],"older":[35],"patients.":[36],"METHODS:":[37],"utilized":[39],"data":[40],"from":[41],"Patient":[44],"Registry":[45],"(NPR)":[46],"all":[48],"admissions":[49],"between":[50,96],"2017":[51],"2019.":[53],"The":[54,94,215,227],"study":[55,216],"population":[56],"included":[57,159],"patients":[58],"\u2265":[59],"65":[60],"years":[61],"old":[62],"with":[63],"two":[64,76],"or":[65,77],"more":[66,78],"different":[67],"conditions.":[68,81],"was":[70,99,120],"defined":[71],"as":[72,182,184],"co-occurrence":[74],"associated":[79],"chronic":[80,97,145,234],"Chronic":[82,88],"conditions":[83,98,112,146,198,235],"were":[84,124,147],"identified":[85,194],"using":[86,126],"Condition":[89],"Indicator":[90],"Refined":[91],"(CCIR)":[92],"list.":[93],"association":[95],"determined":[100],"by":[101],"calculating":[102],"Relative":[103],"Risk":[104],"(RR)":[105],"Phi-correlation":[107],"detect":[109],"pairs":[110],"that":[113],"co-occur":[114],"beyond":[115],"chance.":[116],"A":[117,141],"multimorbidity":[118,152],"network":[119,153,204],"created,":[121],"detected":[125],"Louvain":[127],"method":[128],"community":[130],"detection.":[131],"suggested":[133],"a":[134,151],"clinical":[135],"interpretation":[136],"these":[138,247],"MPs.":[139,156,226],"RESULTS:":[140],"total":[142],"539":[144],"used":[148],"create":[150],"revealing":[154],"several":[155],"These":[157],"modules":[158],"patterns":[160],"vision":[162],"hearing":[164],"disorders,":[165,171,173,181],"cardiorenal":[166],"syndrome,":[167],"metabolic":[168],"cardiovascular":[170],"respiratory":[172],"endocrine":[174],"skin":[176],"conditions,":[177],"autoimmune":[178],"musculoskeletal":[180],"well":[183],"mental":[185],"behavioral":[187],"disorders.":[188],"Using":[189],"NA":[190,221,243],"centrality":[191],"measures,":[192],"we":[193],"most":[196],"influential":[197],"each":[200,209],"module.":[201],"An":[202],"interactive":[203],"sunburst":[206],"graphs":[207],"module":[210],"are":[211],"publicly":[212],"available.":[213],"CONCLUSION:":[214],"demonstrates":[217],"modularity":[222],"detection":[223],"identifying":[225],"findings":[228],"highlight":[229],"complex":[231],"interaction":[232],"elderly":[238],"potential":[241],"methodology":[244],"exploring":[246],"relationships.":[248]},"counts_by_year":[],"updated_date":"2026-06-14T06:11:07.267592","created_date":"2025-10-10T00:00:00"}
