Home > Publications database > A novel superior medication-based chronic disease score (medCDS) predicted all-cause mortality in independent geriatric cohorts. > print |
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024 | 7 | _ | |a 10.1016/j.jclinepi.2018.09.004 |2 doi |
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024 | 7 | _ | |a 0895-4356 |2 ISSN |
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041 | _ | _ | |a eng |
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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 |
336 | 7 | _ | |a article |2 DRIVER |
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336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1551089095_18216 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
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336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
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. |b 1 |
700 | 1 | _ | |a Wiese, B. |b 2 |
700 | 1 | _ | |a Beyer, M. |b 3 |
700 | 1 | _ | |a Brenner, H. |0 P:(DE-He78)90d5535ff896e70eed81f4a4f6f22ae2 |b 4 |u dkfz |
700 | 1 | _ | |a Dahlhaus, A. |b 5 |
700 | 1 | _ | |a Döring, A. |b 6 |
700 | 1 | _ | |a Freund, T. |b 7 |
700 | 1 | _ | |a Heier, M. |b 8 |
700 | 1 | _ | |a Knopf, H. |b 9 |
700 | 1 | _ | |a Luppa, M. |b 10 |
700 | 1 | _ | |a Prokein, J. |b 11 |
700 | 1 | _ | |a Riedel-Heller, S. |b 12 |
700 | 1 | _ | |a Schäfer, I. |b 13 |
700 | 1 | _ | |a Scheidt-Nave, C. |b 14 |
700 | 1 | _ | |a Scherer, M. |b 15 |
700 | 1 | _ | |a Schöttker, B. |0 P:(DE-He78)c67a12496b8aac150c0eef888d808d46 |b 16 |u dkfz |
700 | 1 | _ | |a Szecsenyi, J. |b 17 |
700 | 1 | _ | |a Thürmann, P. |b 18 |
700 | 1 | _ | |a van den Bussche, H. |b 19 |
700 | 1 | _ | |a Gensichen, J. |b 20 |
700 | 1 | _ | |a Haefeli, W. E. |b 21 |
773 | _ | _ | |a 10.1016/j.jclinepi.2018.09.004 |g p. S0895435618302208 |0 PERI:(DE-600)1500490-9 |p 112-124 |t Journal of clinical epidemiology |v 105 |y 2019 |x 0895-4356 |
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