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Le Reste JY, Nabbe P, Rivet C, Lygidakis C, Doerr C, Czachowski S, Lingner H, Argyriadou S, Lazic D, Assenova R, Hasaganic M, Munoz MA, Thulesius H, Le Floch B, Derriennic J, Sowinska A, Van Marwijk H, Lietard C, Van Royen P. The European general practice research network presents the translations of its comprehensive definition of multimorbidity in family medicine in ten European languages. PLoS One 2015; 10:e0115796. [PMID: 25607642 PMCID: PMC4301631 DOI: 10.1371/journal.pone.0115796] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Accepted: 11/26/2014] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for the holistic approach to Family Medicine (FM) and long-term care. To avoid this pitfall the European General Practitioners Research Network (EGPRN) designed a comprehensive definition of multimorbidity using a systematic literature review. OBJECTIVE To translate that English definition into European languages and to validate the semantic, conceptual and cultural homogeneity of the translations for further research. METHOD Forward translation of the EGPRN's definition of multimorbidity followed by a Delphi consensus procedure assessment, a backward translation and a cultural check with all teams to ensure the homogeneity of the translations in their national context. Consensus was defined as 70% of the scores being higher than 6. Delphi rounds were repeated in each country until a consensus was reached. RESULTS 229 European medical expert FPs participated in the study. Ten consensual translations of the EGPRN comprehensive definition of multimorbidity were achieved. CONCLUSION A comprehensive definition of multimorbidity is now available in English and ten European languages for further collaborative research in FM and long-term care.
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Affiliation(s)
- Jean Yves Le Reste
- Department of General Practice, Université de Bretagne occidentale, Brest, France
| | - Patrice Nabbe
- Department of General Practice, Université de Bretagne occidentale, Brest, France
| | - Charles Rivet
- Department of General Practice, Université de Bretagne occidentale, Brest, France
| | | | - Christa Doerr
- Allgemein Medizin Hochschule Göttingen, Göttingen, Germany
| | | | | | - Stella Argyriadou
- The Greek Association of General Practitioners (ELEGEIA), Thessaloniki, Greece
| | - Djurdjica Lazic
- University of Zagreb, School of Medicine, Andrija Stampar School of Public Health, Department of Family Medicine, Zagreb, Croatia
| | - Radost Assenova
- Department of General Practice, University of Plovdiv, Plovdiv, Bulgaria
| | - Melida Hasaganic
- Department of General Practice, University of Sarajevo, Sarajevo, Bosnia
| | | | - Hans Thulesius
- Department of Clinical Sciences, Lund University, Malmo, Sweden
| | - Bernard Le Floch
- Department of General Practice, Université de Bretagne occidentale, Brest, France
| | - Jeremy Derriennic
- Department of General Practice, Université de Bretagne occidentale, Brest, France
| | - Agnieska Sowinska
- Department of English, Nicolaus Copernicus University, Torun, Poland
| | - Harm Van Marwijk
- Department of General Practice, VU University Medical Center, Amsterdam, The Nederland
| | - Claire Lietard
- Department of Public Health, Université de Bretagne occidentale, Brest, France
| | - Paul Van Royen
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, Universiteit Antwerpen, Antwerpen, Belgium
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