GENDER AND AGE STRUCTURE OF MULTIPLE CHRONIC DISEASES IN PATIENTS OF RYAZAN REGION

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Abstract

The study objective is to investigate gender and age structure of multiple chronic conditions (MCC) among patients seeking medical help from a primary care physician.

Materials and methods. In total, 1940 patients under the care of primary care physicians in several polyclinics of Ryazan and the Ryazan Region were examined: 646 men and 1294 women aged 18–99. The list of conditions included cardiovascular disorders, lung, gastrointestinal, kidney diseases, oncological diseases, diabetes mellitus, etc. All diagnoses were made per the generally accepted criteria. The patients were divided into 5 age groups; age and gender structure of MCC, as well as polymorbidity index (total number of conditions per 1 patient), were determined.

Results. Among all patients with MCC in all age groups, the number of women was larger than men. In the structure of MCC, predominance of cardiovascular disorders, diseases of the kidneys and joints was observed. With age, the fraction of patients in whom the majority of organs and systems was affected increased. However, in older patients, peptic ulcer disease, diabetes mellitus, oncological and autoimmune diseases were comparatively rare. In men, the mean number of diseases per 1 patient was higher, but after 75 years of age the number  of conditions in women exceeded the number in men. In obese patients, age increase led to quicker polymorbidity increase than in normal patients. The gender differences consisted of the prevalence of stomach/duodenal peptic ulcer, non-specific lung diseases, obliterating atherosclerosis of the lower extremities in men, and kidney diseases, diabetes mellitus type 2 in women.

Conclusion. The main causes of polymorbidity are old age and obesity. In the structure of MCC, cardiovascular diseases, kidney and joint disorders are the most common. A gender difference in the incidence of some diseases is observed.

About the authors

N. S. Asfandiyarova

I.P. Pavlov Ryazan State Medical University, Ministry of Health of Russia

Author for correspondence.
Email: n.asfandiyarova2010@yandex.ru
ORCID iD: 0000-0002-2025-8119

9 Vysokovoltnaya St., Ryazan 390026

Russian Federation

O. V. Dashkevich

I.P. Pavlov Ryazan State Medical University, Ministry of Health of Russia

ORCID iD: 0000-0002-6383-5078

9 Vysokovoltnaya St., Ryazan 390026

Russian Federation

E. V. Zaikina

I.P. Pavlov Ryazan State Medical University, Ministry of Health of Russia

ORCID iD: 0000-0002-6615-6222

9 Vysokovoltnaya St., Ryazan 390026

Russian Federation

E. I. Suchkova

I.P. Pavlov Ryazan State Medical University, Ministry of Health of Russia

ORCID iD: 0000-0002-7997-0338

9 Vysokovoltnaya St., Ryazan 390026

Russian Federation

N. V. Khoteenkova

City polyclinic № 6

ORCID iD: 0000-0002-2628-0333
53 Gagarin St., Ryazan 390005 Russian Federation

A. N. Yakubenko

City polyclinic № 6

ORCID iD: 0000-0002-0870-1077

53 Gagarin St., Ryazan 390005

Russian Federation

I. А. Prokudina

City polyclinic № 6

ORCID iD: 0000-0002-7773-9984

53 Gagarin St., Ryazan 390005

Russian Federation

Т. S. Volkhontseva

City polyclinic № 6

ORCID iD: 0000-0002-7928-1743
53 Gagarin St., Ryazan 390005 Russian Federation

E. A. Pechenkina

City polyclinic № 6

ORCID iD: 0000-0002-0532-4720
53 Gagarin St., Ryazan 390005 Russian Federation

E. V. Krasilnikova

City polyclinic № 6

ORCID iD: 0000-0001-7472-2004
53 Gagarin St., Ryazan 390005 Russian Federation

O. A. Markina

City Clinical Hospital № 10

ORCID iD: 0000-0002-7018-551X

26 Krupskaya St., Ryazan 390044

Russian Federation

M. N. Alekseeva

City Clinical Hospital № 10

ORCID iD: 0000-0001-5403-5194

26 Krupskaya St., Ryazan 390044

Russian Federation

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