Clusters of multiple long-term conditions in three UK datasets: a latent class analysis

Publication type

Journal Article

Authors

Publication date

September 6, 2023

Summary:

Introduction: Latent class analysis (LCA) can be used to identify subgroups within populations based on unobserved variables. LCA can be used to explore whether certain long-term conditions (LTC) occur together more frequently than others in patients with multiple-long term conditions. In this manuscript we present findings from applying LCA in three large-scale UK databanks.

Methods: We applied LCA to three different UK databanks: Secure Anonymised Information Linkage databank [SAIL], UK Biobank, and Understanding Society: the UK Household Longitudinal Study [UKHLS] and four different age groups: 18-36, 37-54, 55-73, and 74+ years. The optimal number of classes in each LCA was determined using maximum likelihood. Sample size adjusted Bayesian Information Criterion (aBIC) was used to assess model fit and elbow plots and model entropy were used to assess the best number of latent classes in each model.

Results: Between three to six clusters were identified in the different datasets and age groups. Although different in detail, similar types of clusters were identified between datasets and age groups which combine disorders around similar systems incl. Cardiometabolic clusters, Pulmonary clusters, Mental health clusters, Painful conditions clusters, and cancer clusters.

Published in

medRxiv

DOI

https://doi.org/10.1101/2023.09.05.23294158

Subjects

Notes

Open Access

The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license.

#567947

News

Latest findings, new research

Publications search

Search all research by subject and author

Podcasts

Researchers discuss their findings and what they mean for society

Projects

Background and context, methods and data, aims and outputs

Events

Conferences, seminars and workshops

Survey methodology

Specialist research, practice and study

Taking the long view

ISER's annual report

Themes

Key research themes and areas of interest