More than 25 percent of adults in the UK have two or more long-term health conditions.
and congestive heart failure) develop over time, and what effect this can have on life expectancy. We chose these conditions because, together, they can lead to substantial reductions in how long someone lives.
Using statistical models, we examined the order and timing of developing psychosis, diabetes and congestive heart failure in patients of the same age, sex and area-level deprivation – and the related impact on their life expectancy.We found that the order in which people developed these diseases had an important impact on their life expectancy. People who developed diabetes, psychosis, and congestive heart failure, in that order, had the largest loss in life expectancy .
However, the development of further conditions is not always life-limiting. For example, people diagnosed with psychosis and diabetes – in any order – had a higher life expectancy than those diagnosed with psychosis alone. While this was a surprising finding, we expect people with diabetes to have more regular contact with health professionals through diabetic clinics, for example, which may improve their overall health.
Our research also helps to support healthcare delivery by looking at the factors that may increase a person's risk of developing disease, as well as identifying potential opportunities for disease screening and earlier intervention.Future research could evaluate the impact of screening programs and interventions in delaying the development of further long-term conditions and extending life.
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