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January 6, 2025BMC MedicineOpen Access

Multimorbidity latent classes in relation to 11-year mortality, risk factors and health-related quality of life in Malaysia: a prospective health and demographic surveillance system study

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Key result

Complex multimorbidity was associated with an 83% higher risk of 11-year all-cause mortality compared to a relatively healthy pattern (HR 1.83) in community-dwelling adults.

Why the study?

The authors aimed to identify specific multimorbidity latent classes among multi-ethnic community-dwelling adults in Malaysia, explore associated risk factors, and examine relationships with 11-year all-cause mortality risk and health-related quality of life.

Population

18,101 community-dwelling adults aged 18-97 years in Malaysia

Comparison

Four multimorbidity latent classes identified from 13 chronic health conditions

Design

Prospective health and demographic surveillance system study

Follow-up

11 years

Authors

MTMichelle M. C. TanCHCharlotte HanlonGMGraciela Muñiz‐Terrera

Discussion

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Member takes

Overview

Complex multimorbidity patterns were associated with highest mortality and lowest HRQoL; leaves open whether pattern-specific interventions improve outcomes in LMIC settings.

Study Design

Type

Cohort (n=18,101)

Structured PICO

P
Population
18,101 multi-ethnic community-dwelling adults aged 18 to 97 years in Malaysia, followed for up to 11 years to assess the impact of multimorbidity patterns on mortality and quality of life.
O
Outcome
11-year all-cause mortality and health-related quality of life (HRQoL)hard clinical

Main Result

Hazard Ratio: 1.83 (95% CI 1.44–2.33)

p-value: p=<0.001

Complex multimorbidity is associated with significantly lower health-related quality of life and higher 11-year mortality risk compared to being relatively healthy.

Limitations

  • Depressive symptoms were measured using a short recall period of 1 week, potentially limiting robustness.
  • Self-reported diagnosis of chronic health conditions.

Cite This Study

Tan et al. (2025) conducted a cohort in Multimorbidity (n=18,101). Complex multimorbidity pattern vs. Relatively healthy pattern was evaluated on 11-year all-cause mortality (HR 1.83, 95% CI 1.44-2.33, p=<0.001). Complex multimorbidity was associated with an 83% higher risk of 11-year all-cause mortality compared to a relatively healthy pattern (HR 1.83) in community-dwelling adults.

synapsesocial.com/papers/6a75e117030f9eaaaae69878https://doi.org/10.1186/s12916-024-03796-z
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Multimorbidity pattern and risk of dementia in later life: an 11-year follow-up study using a large community cohort and linked electronic health records2023 · 32 citations
  2. 2Assessing and Measuring Chronic Multimorbidity in the Older Population: A Proposal for Its Operationalization2016 · 440 citations
  3. 3Let's talk about death: data collection for verbal autopsies in a demographic and health surveillance site in Malaysia2015 · 26 citations
  4. 4Latent Class Analysis: A Guide to Best Practice2020 · 2,224 citations
  5. 5Multimorbidity patterns and health-related quality of life in Jamaican adults: a cross sectional study exploring potential pathways2023 · 11 citations