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Subjects and Methods: Data from the EHR of a general population, 3799885 adults, followed by 5 years. Model were performed using Spark and Scikit-learn and accuracy for the models was analyzed. Results: The number of models generated depends in part on the number of chronic diseases included (ex testing a sample of six diseases, a total number of 397 models for all-cause mortality and 431 models for hospitalization). The estimated models offered an ordered selection for the relevant clinical variables and their estimated risk as a group and for the individual patient in the group. Accuracy was assessed according to age, sex and the cardinality of the comorbid groups. A mobile version and dashboard were developed. Conclusion: The software developed stratified hospital admission and mortality risk in clusters of chronic diseases, and for a given patient, it could advise intensifying treatment or reallocating the patient risk. <\/jats:p>","DOI":"10.1177\/14604582231212494","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T01:43:51Z","timestamp":1702259031000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Towards a personalized health care using a divisive hierarchical clustering approach for comorbidity and the prediction of conditioned group risks"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6692-5941","authenticated-orcid":false,"given":"J.Ram\u00f3n","family":"Navarro-Cerd\u00e1n","sequence":"first","affiliation":[{"name":"InstitutoTecnol\u00f3gico de Inform\u00e1tica, Universitat Polit\u00e8cnia de Val\u00e8ncia, Valencia, Spain"}]},{"given":"Manuel","family":"S\u00e1nchez-Gomis","sequence":"additional","affiliation":[{"name":"InstitutoTecnol\u00f3gico de Inform\u00e1tica, Universitat Polit\u00e8cnia de Val\u00e8ncia, Valencia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6407-4960","authenticated-orcid":false,"given":"Patricia","family":"Pons","sequence":"additional","affiliation":[{"name":"InstitutoTecnol\u00f3gico de Inform\u00e1tica, Universitat Polit\u00e8cnia de Val\u00e8ncia, Valencia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3479-8367","authenticated-orcid":false,"given":"Santiago","family":"G\u00e1lvez-Settier","sequence":"additional","affiliation":[{"name":"InstitutoTecnol\u00f3gico de Inform\u00e1tica, Universitat Polit\u00e8cnia de Val\u00e8ncia, Valencia, Spain"}]},{"given":"Francisco","family":"Valverde","sequence":"additional","affiliation":[{"name":"Universitat de Val\u00e8ncia, Valencia, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7642-916X","authenticated-orcid":false,"given":"Ana","family":"Ferrer-Albero","sequence":"additional","affiliation":[{"name":"INCLIVA, Valencia, Spain"}]},{"given":"Inmaculada","family":"Saur\u00ed","sequence":"additional","affiliation":[{"name":"INCLIVA, Valencia, Spain"}]},{"given":"Antonio","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"INCLIVA, Valencia, Spain"}]},{"given":"Josep","family":"Redon","sequence":"additional","affiliation":[{"name":"INCLIVA, Valencia, Spain"},{"name":"CIBEROBN, Instituto de Salud Carlos III, Madrid, Spain"}]}],"member":"179","published-online":{"date-parts":[[2023,12,10]]},"reference":[{"key":"bibr1-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2017"},{"key":"bibr2-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1370\/afm.983"},{"key":"bibr3-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1968.tb02103.x"},{"key":"bibr4-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410150101039"},{"key":"bibr5-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000102367.93252.70"},{"key":"bibr6-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-363"},{"key":"bibr7-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2012"},{"key":"bibr8-14604582231212494","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3525"},{"key":"bibr9-14604582231212494","unstructured":"Commission E. 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