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February 25, 2026BMJ Medicine0 citationsOpen Access

Rethinking care for multiple long term conditions: beyond guidelines for single diseases

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BNBarbara I NichollRJRachel JohnsonFDFelicity Dewhurst

Key Points

  • The aim is to enhance integrated management strategies for individuals with multiple long term conditions.
  • Review existing clinical guidelines on managing long term conditions.
  • Gather perspectives from individuals with lived experience and generalist healthcare providers.
  • Analyze evidence supporting adaptations in guideline development.
  • Identified gaps in current guidelines regarding the complexity of multiple conditions.
  • Highlighted the need for incorporating personal experiences into care models.
  • Emphasized the importance of a stronger evidence base to inform guideline changes.

Abstract

To improve the integrated management of multiple long term conditions, clinical guidelines must encompass adapted care for disease complexity, incorporate perspectives from those with lived experience and generalist healthcare providers, and be supported by a stronger evidence baseMultiple long term conditions (MLTC or multimorbidity) refer to the presence of two or more long term conditions.

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Cite This Study

Nicholl et al. (2026) studied this question.

synapsesocial.com/papers/699e91fdf5123be5ed04fd56https://doi.org/10.1136/bmjmed-2026-002605
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Also Consider

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

  1. 1Making clinical guidelines work for people with multiple long term conditions: analysis and recommendations from review of single condition guidelines2026 · 2 citations
  2. 2Rising to the challenge of defining and operationalising multimorbidity in a UK hospital setting: the ADMISSION research collaborative2024 · 18 citations
  3. 3Comorbidity or multimorbidity1996 · 882 citations
  4. 4Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study2012 · 7,178 citations
  5. 5The Impact of Comorbid Chronic Conditions on Diabetes Care2006 · 739 citations