Comorbidity - Inception of The Term

Inception of The Term

Many centuries ago the doctors propagated the viability of a complex approach in the diagnosis of disease and the treatment of the patient, however modern medicine, which boasts a wide range of diagnostic methods and variety of therapeutic procedures, stresses specification. This brought up a question: How to wholly evaluate the state of a patient who suffers from a number of diseases simultaneously, where to start from and which disease(s) require(s) primary and subsequent treatment? For many years this question stood out unanswered, until 1970, when a renowned American doctor epidemiologist and researcher, A.R. Feinstein, who had greatly influenced the methods of clinical diagnosis and particularly methods used in the field of clinical epidemiology, came out with the term of “comorbidity”. The appearance of comorbidity was demonstrated by Dr. Feinstein using the example of patients physically suffering from rheumatic fever, discovering the worst state of the patients, who simultaneously suffered from multiple diseases. In due course of time after its discovery, comorbidity was distinguished as a separate scientific-research discipline in many branches of medicine.

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