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037 _ _ |a DKFZ-2018-01564
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Quinzler, R.
|b 0
245 _ _ |a A novel superior medication-based chronic disease score (medCDS) predicted all-cause mortality in independent geriatric cohorts.
260 _ _ |a Amsterdam [u.a.]
|c 2019
|b Elsevier Science
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520 _ _ |a 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.
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700 1 _ |a Freitag, M. H.
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700 1 _ |a Wiese, B.
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700 1 _ |a Beyer, M.
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700 1 _ |a Brenner, H.
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700 1 _ |a Dahlhaus, A.
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700 1 _ |a Döring, A.
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700 1 _ |a Freund, T.
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700 1 _ |a Heier, M.
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700 1 _ |a Knopf, H.
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700 1 _ |a Luppa, M.
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700 1 _ |a Prokein, J.
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700 1 _ |a Riedel-Heller, S.
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700 1 _ |a Schäfer, I.
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700 1 _ |a Scheidt-Nave, C.
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700 1 _ |a Scherer, M.
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700 1 _ |a Schöttker, B.
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700 1 _ |a Szecsenyi, J.
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700 1 _ |a Thürmann, P.
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700 1 _ |a van den Bussche, H.
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700 1 _ |a Gensichen, J.
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700 1 _ |a Haefeli, W. E.
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773 _ _ |a 10.1016/j.jclinepi.2018.09.004
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