Institute for Hospital Management, Tsinghua Shenzhen International Graduate School, Tsinghua University, Shenzhen 518055, China.
Int J Environ Res Public Health. 2021 Dec 30;19(1):353. doi: 10.3390/ijerph19010353.
This study aimed to analyze the progression and trends of multimorbidity in the elderly in China and internationally from a bibliometric perspective, and compare their differences on hotspots and research fronts.
Publications between January 2001 and August 2021 were retrieved from WOS and CNKI databases. Endnote 20 and VOSviewer 1.6.8 were used to summarize bibliometric features, including publication years, journals, and keywords, and the co-occurrence map of countries, institutions, and keywords was drawn.
3857 research papers in English and 664 research papers in Chinese were included in this study. The development trends of multimorbidity in the elderly are fully synchronized in China and other countries. They were divided into germination period, development period, and prosperity period. Research literature in English was found to be mainly focused on public health, and the IF of the literature is high; In China, however, most research papers are in general medicine and geriatrics with fewer core journals. Co-occurrence analysis based on countries and institutions showed that the most productive areas were the United States, Canada, the United Kingdom, and Australia, while the Chinese researchers have made little contribution. The clustering analysis of high-frequency keywords in China and around the globe shows that the hotspots have shifted from individual multimorbidity to group multimorbidity management. Sorting out the top 10 highly cited articles and highly cited authors, Barnett, K's article published in Lancet in 2012 is regarded as a milestone in the field.
Multimorbidity in the elderly leads to more attention in the world. Although China lags behind global research the research fronts from disease-centered to patient-centered, and individual management to population management is consistent.
本研究旨在从文献计量学角度分析中、外老年人多病共存的发展趋势，并比较其热点和研究前沿的差异。
检索 2001 年 1 月至 2021 年 8 月间 WOS 和 CNKI 数据库的相关文献。使用 Endnote 20 和 VOSviewer 1.6.8 对文献计量学特征进行总结，包括发表年份、期刊和关键词，并绘制国家、机构和关键词的共现图谱。
共纳入英文文献 3857 篇，中文文献 664 篇。中、外老年人多病共存的发展趋势完全同步，分为萌芽期、发展期和繁荣期。英文文献主要集中在公共卫生领域，IF 较高；中文文献则主要集中在普通内科和老年医学领域，核心期刊较少。基于国家和机构的共现分析显示，最具生产力的地区是美国、加拿大、英国和澳大利亚，而中国研究者的贡献较少。中、外高频关键词聚类分析表明，热点已从个体多病共存向群体多病共存管理转移。梳理高被引文献和高被引作者前 10 名，2012 年 Lancet 上 Barnett，K 的文章被认为是该领域的一个里程碑。
老年人多病共存问题在全球受到更多关注。尽管中国在研究方面落后于全球，但从以疾病为中心到以患者为中心、从个体管理到人群管理的研究前沿是一致的。
