Journal article

Accumulation Of Chronic Conditions At The Time Of Death Increased In Ontario From 1994 To 2013

Laura Rosella, Kathy Kornas, Anjie Huang, Catherine Bornbaum, David Henry, Walter P Wodchis



With falling mortality rates for several diseases, patients are living longer with complex multimorbidities. We explored the burden of multimorbidity at the time of death, how it varies by socioeconomic status, and trends over time in Ontario, Canada. We calculated the proportions of decedents with varying degrees of multimorbidity and types of conditions at death, and we analyzed the trend from 1994 to 2013 in the number of conditions at the time of death. The prevalence of multimorbidity at death increased from 79.6 percent in 1994 to 95.3 percent in 2013. An upward trend in the number of conditions per person at death was observed for all chronic conditions except chronic coronary syndrom..

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Awarded by Canadian Institutes for Health Research

Funding Acknowledgements

A previous version of this article was presented at the Society of Epidemiologic Research Meeting, Seattle, Washington, June 19-22, 2017. This study was funded by the Canadian Institutes for Health Research (Operating Grant No. FRN-142498). Laura Rosella is supported by a Canada Research Chair in Population Health Analytics. The funders of this study had no role in the study design, data collection, data analysis, data interpretation, or writing of the report. Rosella had full access to all study data and had final responsibility for the decision to submit the paper for publication. This study was supported by the Institute for Clinical Evaluative Sciences (ICES), which is funded by an annual grant from the Ontario Ministry of Health and Long-Term Care (MOHLTC). The opinions, results, and conclusions reported in this article are those of the authors and are independent from the funding sources. No endorsement by ICES or the MOHLTC is intended or should be inferred. Parts of this material are based on data and information compiled and provided by the MOHLTC, the Canadian Institute for Health Information (CIHI), Cancer Care Ontario (CCO), and the Office of the Registrar General (ORG). However, the analyses, conclusions, opinions, and statements expressed herein are those of the authors, and not necessarily those of the MOHLTC, CIHI, CCO, or ORG.