Comments of Complex Chronic Disease Taxonomy

1. Chronic Diseases

MeSH:Chronic Diseases (

Entry terms: Chronic Diseases; Disease, Chronic Diseases; Chronic; Chronic Illness; Chronic Illnesses; Illness, Chronic; Illnesses, Chronic; Chronically Ill

Chronic diseases are diseases of long duration and generally slow progression. Chronic diseases are the principal cause of death and disability in the world. The most common are cardiovascular diseases, cancer, chronic obstructive pulmonary disease and diabetes. Out of the 35 million people who died from chronic disease in 2005, half were under70 and half were women [1].  

It is expected that by 2020 they will be responsible for 73% of deaths worldwide and 60% of the world’s disease burden (Report of the World Health Organization 2002: “reducing risks and promoting and healthy life style” [2].  

Almost 80% of these deaths will happen in developing countries and will be related to life styles or biological factors potentially modifiable (e.g., high blood pressure or cholesterol levels, and obesity).

Chronic diseases are almost always incurable. Therefore, they cannot be treated. They can be managed.

According to the Chronic Disease Management initiative in British Columbia, Canada [3] . "Chronic disease management (CDM) is a systematic approach to improving health care for people with chronic disease. Health care can be delivered more effectively and efficiently if patients with chronic diseases take an active role in their own care and providers are supported with the necessary resources and expertise to better assist their patients in managing their illness.

CDM is an approach to health care that emphasizes helping individuals maintain independence and keep as healthy as possible through prevention, early detection, and management of chronic conditions, such as congestive heart failure, asthma, diabetes, and other debilitating illnesses.Chronic conditions impose challenges for those affected, their families and care providers. A patient's ability to follow medical advice, accommodate lifestyle changes, and access resources are all factors that influence successful management of an ongoing illness."

 MeSH: Disease Management including also the previous category Patient Care Management




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