Population
Medicare population aged 65 years and above in Hawaii
Design
Cohort
Follow-up
2009 to 2013
Authors
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Multistate models map DM-IHD-CKD transitions in older adults; hypothesis-generating for multimorbidity trajectories but requires prospective confirmation before practice implications.
Patient-specific factors such as age, gender, race, and financial status significantly influence the progression and interconnectedness of diabetes, ischemic heart disease, and chronic kidney disease in older adults.
Siriwardhana et al. (2018) studied this question.
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