Health-related Quality of Life Deficits Associated with Varying Degrees of Disease Severity in Type 2 Diabetes

Overview

Journal Health Qual Life Outcomes

Publisher Biomed Central

Specialty Public Health

Date 2003 Dec 17

PMID 14675484

Citations 19

Authors

Sheri L Maddigan

Sumit R Majumdar

Ellen L Toth

David H Feeny

Jeffrey A Johnson

Affiliations

Soon will be listed here.

Abstract

Background: Diabetes is a chronic medical condition accompanied by a considerable health-related quality of life (HRQL) burden. The purpose of this analysis was to use generic measures of HRQL to describe HRQL deficits associated with varying degrees of severity of type 2 diabetes.

Methods: The RAND-12 physical and mental health composites (PHC and MHC, respectively) and Health Utilities Index Mark 3 (HUI3) were self-completed by 372 subjects enrolled in a prospective, controlled study of an intervention to improve care for individuals with type 2 diabetes in rural communities. Analysis of covariance was used to assess differences in HRQL according to disease severity and control of blood glucose. Disease severity was defined in terms of treatment intensity, emergency room visits and absenteeism from work specifically attributable to diabetes. To control for potential confounding, the analysis was adjusted for important sociodemographic and clinical characteristics.

Results: The PHC and MHC were significantly lower for individuals treated with insulin as compared to diet alone (PHC: 41.01 vs 45.11, MHC: 43.23 vs 47.00, p < 0.05). Individuals treated with insulin had lower scores on the vision, emotion and pain attributes of the HUI3 than individuals managed with oral medication or diet. The PHC, MHC, pain attribute and overall score on the HUI3 captured substantial decrements in HRQL associated with absenteeism from work due to diabetes, while the burden associated with emergency room utilization for diabetes was seen in the PHC and HUI3 pain attribute.

Conclusions: We concluded that generic measures of HRQL captured deficits associated with more severe disease in type 2 diabetes.

Citing Articles

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Utility of Geriatric Syndrome Indicators for Predicting Subsequent Health Care Utilization in Older Adults in Taiwan.

Chiu C, Cheng Y Int J Environ Res Public Health. 2019; 16(3).

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Negative effect of a previous diagnosis of diabetes on quality of life in a Japanese population: The Gifu Diabetes Study.

Nonoyama Y, Yamamoto M, Oba S, Nagata C, Matsui K, Takeda J Diabetol Int. 2019; 7(2):148-154.

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Relationship between chronic complications, hypertension, and health-related quality of life in Portuguese patients with type 2 diabetes.

Sepulveda E, Poinhos R, Constante M, Pais-Ribeiro J, Freitas P, Carvalho D Diabetes Metab Syndr Obes. 2015; 8:535-42.

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Analysis of some predictive factors of quality of life among type 2 diabetic patients.

Tol A, Sharifirad G, Eslami A, Shojaeizadeh D, Alhani F, Tehrani M J Educ Health Promot. 2015; 4:9.

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