Having multiple chronic conditions does not alter medication efficacy: study

'No evidence' that treatment efficacy was modified by the number of comorbidities, say UK doctors.

Treatments for single conditions are just as effective in patients with multiple chronic diseases regardless of the total number or type of comorbidities, according to a review of more than 100 clinical trials. 

UK-led researchers say their results should reassure doctors and clinical guideline authors alike when recommending pharmacotherapy for those with multiple comorbidities. 

“This [meta-analysis] supports the standard assumption that treatment effects are similar when generalising from trial to non-trial eligible populations, at least for populations with limited prevalence of comorbidity, such as in these trials,” they wrote in PLOS Medicine

The University of Glasgow–led team analysed 120 industry-sponsored phase III and IV randomised controlled trials involving more than 128,000 participants (mean age 37-73) to identify differences in clinical outcomes across 23 common chronic conditions.