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@ARTICLE{Quinzler:137687,
author = {R. Quinzler and M. H. Freitag and B. Wiese and M. Beyer and
H. Brenner$^*$ and A. Dahlhaus and A. Döring and T. Freund
and M. Heier and H. Knopf and M. Luppa and J. Prokein and S.
Riedel-Heller and I. Schäfer and C. Scheidt-Nave and M.
Scherer and B. Schöttker$^*$ and J. Szecsenyi and P.
Thürmann and H. van den Bussche and J. Gensichen and W. E.
Haefeli},
title = {{A} novel superior medication-based chronic disease score
(med{CDS}) predicted all-cause mortality in independent
geriatric cohorts.},
journal = {Journal of clinical epidemiology},
volume = {105},
issn = {0895-4356},
address = {Amsterdam [u.a.]},
publisher = {Elsevier Science},
reportid = {DKFZ-2018-01564},
pages = {112-124},
year = {2019},
abstract = {On the basis of current treatment guidelines, we developed
and validated a medication-based chronic disease score
(medCDS) and tested its association with all-cause mortality
of older outpatients.Considering the most prevalent chronic
diseases in the elderly German population, we compiled a
list of evidence-based medicines used to treat these
disorders. Based on this list, a score (medCDS) was
developed to predict mortality using data of a large
longitudinal cohort of older outpatients (training sample;
MultiCare Cohort Study). By assessing receiver-operating
characteristics (ROC curves), the performance of medCDS was
then confirmed in independent cohorts (ESTHER, KORA-Age) of
community-dwelling older patients and compared with already
existing medication-based scores and a score using selected
anatomical-therapeutic-chemical (ATC) codes.The final medCDS
score had a ROC area-under-the-curve (AUC) of 0.73 (95
$\%-CI$ 0.70-0.76). In the validation cohorts, its ROC AUCs
were 0.79 (0.76-0.82, KORA-Age) and 0.74 (0.71-0.78,
ESTHER), which was superior to already existing
medication-based scores (RxRisk, CDS) and scores based on
pharmacological ATC code subgroups (ATC3) or age and sex
alone $(Age\&Sex).A$ new medication-based chronic disease
score (medCDS), which is based on actual treatment
standards, predicts mortality of older outpatients
significantly better than already existing scores.},
cin = {C070},
ddc = {610},
cid = {I:(DE-He78)C070-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30253216},
doi = {10.1016/j.jclinepi.2018.09.004},
url = {https://inrepo02.dkfz.de/record/137687},
}