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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">rsp</journal-id><journal-title-group><journal-title xml:lang="ru">Научно-практическая ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Rheumatology Science and Practice</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1995-4484</issn><issn pub-type="epub">1995-4492</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1995-4484-2014-362-365</article-id><article-id custom-type="elpub" pub-id-type="custom">rsp-1955</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПЕРЕДОВАЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LEADING ARTICLE</subject></subj-group></article-categories><title-group><article-title>Концепция мультиморбидности в ревматологической практике</article-title><trans-title-group xml:lang="en"><trans-title>THE CONCEPT OF MULTIMORBIDITY IN RHEUMATOLOGIC PRACTICE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гордеев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gordeev</surname><given-names>A. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галушко</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Galushko</surname><given-names>E. A.</given-names></name></name-alternatives><email xlink:type="simple">orgcom@irramn.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Насонов</surname><given-names>Е. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Nasonov</surname><given-names>E. L.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ Научно-исследовательский институт ревматологии им. В.А. Насоновой, Москва</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology, Russian Academy of Sciences, Moscow</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>02</day><month>09</month><year>2014</year></pub-date><volume>52</volume><issue>4</issue><fpage>362</fpage><lpage>365</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гордеев А.В., Галушко Е.А., Насонов Е.Л., 2014</copyright-statement><copyright-year>2014</copyright-year><copyright-holder xml:lang="ru">Гордеев А.В., Галушко Е.А., Насонов Е.Л.</copyright-holder><copyright-holder xml:lang="en">Gordeev A.V., Galushko E.A., Nasonov E.L.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://rsp.mediar-press.net/rsp/article/view/1955">https://rsp.mediar-press.net/rsp/article/view/1955</self-uri><abstract><p>Несомненный и оправданный интерес исследователей к коморбидным состояниям при ревматических заболеваниях не угасает в последнее десятилетие, однако концепция мультиморбидности еще не интегрирована ни в клиническую практику, ни в научные исследования в области ревматологии. Термины «коморбидность» и «мультиморбидность» часто (и не всегда осознанно) используются как взаимозаменяемые, что приводит к определенной путанице в терминологии и, соответственно, в разработке стратегий дальнейших научных исследований. Понятия «сопутствующая патология» и «мультиморбидность» не являются взаимоисключающими или противоречащими друг другу, но рассматривать их необходимо с иной точки зрения, нежели «коморбидность». Для клиницистов, занимающихся лечением в первую очередь «типовых» ревматологических пациентов, проблема «мультиморбидной болезни» является скорее правилом, чем исключением. Проведенные за последние годы научные исследования позволили очертить несколько ключевых направлений для дальнейшего изучения концепции мультиморбидности в ревматологической практике, которая позволит развернуть мировое ревматологическое научное сообщество от «ревматической болезни» к больному как единому целому.</p></abstract><trans-abstract xml:lang="en"><p>The undoubted and legitimate interest of investigators in comorbidities in rheumatic diseases has not faded in the past decade; however, the concept of multimorbidity has not yet been integrated into either clinical practice or rheumatology researches. The terms comorbidity and multimorbidity are frequently and not always consciously used as interchangeable, which leads to some confusion in their terminology and accordingly in the development of further research strategies. The concepts of concurrent pathology and multimorbidity are not mutually exclusive or contradictory to each other, but they should be considered from another point of view than comorbidity. The problem of multimorbidity disease is a rule rather than an exception to clinicians who are engaged in the treatment of mainly typical patients with rheumatic diseases. Recent researches could outline few key areas to further study the conception of multimorbidity in rheumatology practice, which would be able to turn international rheumatology research community from rheumatic disease to the patient as a whole.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>мультиморбидность</kwd><kwd>коморбидность</kwd><kwd>ревматические заболевания</kwd></kwd-group><kwd-group xml:lang="en"><kwd>multimorbidity</kwd><kwd>comorbidity</kwd><kwd>rheumatic diseases</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Perruccio AV, Power JD, Badley EM The relative impact of 13 chronic conditions across three different outcomes. J Epidemiol Community Health. 2007;61(12):1056–61.</mixed-citation><mixed-citation xml:lang="en">Perruccio AV, Power JD, Badley EM The relative impact of 13 chronic conditions across three different outcomes. 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