NICE will probably produce more clinical guidelines which cover the management of multiple-morbidities, because the number of people with long-term medical conditions is growing. A recent study in the Lancet (see below) found that almost a quarter of people in Scotland have two or more chronic diseases.
Previously, healthcare services, medical research and medical education have tended to focus on individual diseases. One exception is the NICE Clinical Guideline CG91 “Depression in adults with a chronic physical health problem: treatment and management. (2009)”.
The list of such long-term medical conditions includes coronary heart disease, diabetes, cancer, stroke and depression, but epilepsy, dementia and trauma were added to the list of conditions included in one recent Evidence Update.
Full Text Link (An Athens password is required to access this article).
Barnett, K. Mercer, SW. [and] Norbury, M. [et al] (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet, May 9th 2012. [Epub ahead of print]. (Click here to view the PubMed abstract).