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General practice and associated health conditions in patients aged 65 years or over Ahead of print

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Authors
1 Collège universitaire de médecine générale, université Claude-Bernard Lyon-1, LyonFrance
2 Hospices civils de Lyon, service de biostatistique bio-informatique, LyonFrance
3 Université de Lyon, université Lyon-1, CNRS, laboratoire de biométrie et biologie évolutive, UMR 5558, VilleurbanneFrance
4 Hospices civils de Lyon, centre hospitalier Lyon-Sud, service de médecine gériatrique, Pierre-BéniteFrance
5 Laboratoire CarMeN (cardiovasculaire, métabolisme, diabétologie et nutrition), université de Lyon, université Claude-Bernard Lyon-1, Inserm U1060, Pierre-BéniteFrance
6 Research on Healthcare Performance RESHAPE, Inserm U1290, université Claude-Bernard Lyon-1, LyonFrance
* Correspondence

Introduction

We aimed at identifying associations of health conditions addressed during general practice consultations involving patients aged 65 years or over, according to sex.

Methods

This is an ancillary study of the ECOGEN study on the consultation practices of French general practitioners. We studied the 15 most frequent health issues addressed in patients aged 65 years or over and identified the pairs most frequently and strongly associated.

Results

The sample included 5,782 consultations corresponding to 17,182 health issues addressed. Each consultation involved an average of 3.0 [2.9-3.0] health issues. The strongest associations mainly included cardio-metabolic conditions. The most frequent and strong pair (OR: 3.8 [3.3-4.4]) associated non-complicated arterial hypertension with a lipid disorder. Some associations were specific to the patient's sex.

Conclusion

Significant associations identified may improve the management of elderly patients with multiple morbidities by encouraging synergic treatments.