Illness trajectories in the age of big data

Tanuseputro, Webber, and Downar discuss how advanced analytics can help shift from population-based predictions to personalized predictions in healthcare. They highlight traditional trajectories of health decline at the end of life, including sudden death, terminal illness, organ failure, and frailty. Two BMJ articles by Murray et al and Geijteman et al explore new dimensions of health decline, beyond just physical function, to include social, psychological, and spiritual aspects. They introduce the concept of multimorbidity, where individuals may have conditions from multiple trajectories. These insights can help healthcare providers better anticipate and address the needs of patients approaching the end of life.

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