Comorbidity Assessment in XXXX @entity1 : A Pilot Study Comparing Medical Interview with a @entity1 -Reported Questionnaire.

@entity1 @entity1489 @entity910
Background. Comorbidities are conditions that occur simultaneously but independently of another disorder. Among @entity1489 @entity1 , comorbidities are common and may influence management. Objective. We compared comorbidity assessment by traditional @entity910 ( @entity910 ) and by standardized @entity1 -reported questionnaire based on the Adult Comorbidity Evaluation-27 (ACE-27). Methods. Between September 2011 and October 2013, @entity1489 @entity1 underwent prospective comorbidity assessment by a Mohs surgeon ( @entity910 ) and a radiation oncologist (using a standardized @entity1 -reported questionnaire based on the ACE-27, the PRACE-27). Comorbidities were identified and graded according to the ACE-27 and compared for agreement. Results. Forty-four @entity1 were evaluated. @entity910 and PRACE-27 identified comorbidities in 79.5% and 88.6% (p = 0.12) of @entity1 , respectively. Among 27 comorbid ailments, the @entity910 identified 9.9% as being present, while the PRACE-27 identified 12.5%. When there were discordant observations, PRACE-27 was more likely than @entity910 to identify the comorbidity (OR = 5.4, 95% CI = 2.4-14.4, p < 0.001). Overall comorbidity scores were moderate or severe in 43.2% ( @entity910 ) versus 59.1% (PRACE-27) (p = 0.016). Limitations. Small sample size from a single institution. Conclusion. Comorbidities are common in @entity1489 @entity1 , and a standardized questionnaire may better identify and grade them. More accurate comorbidity assessments may help guide @entity1489 management.
