Health‐related quality of life among Tianjin Chinese patients with type 2 diabetes: A cross‐sectional survey

Cong, Ji-Yan; Zhao, RN Yue; Xu, Qunyan; Zhong, Chun-De; Xing, Qiuling

doi:10.1111/j.1442-2018.2012.00734.x

Cited by 24 publications

(29 citation statements)

References 34 publications

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“…However, this study was conducted in a limited number of subjects ( N = 174) that they did not study the impact of the whole spectrum of complications on HRQoL. Also, the disease-specific HRQoL questionnaire only provides one single score to measure the HRQoL that it could not tell the impact of complications on different HRQoL domains [16]. …”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life and health preference of Chinese patients with diabetes mellitus managed in primary care and secondary care setting: decrements associated with individual complication and number of complications

Jiao

Wong

Gangwani

et al. 2017

Health Qual Life Outcomes

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BackgroundHealth-related quality of life (HRQoL) and health preference of patients with diabetes mellitus (DM) are essential in health economic evaluations but data on Chinese population is rare. This study aims to evaluate HRQoL and health preference of diabetic patients with different diabetic complications in Chinese population.MethodsA cross-sectional study was conducted in 1275 patients with DM, including 518 subjects with various DM-related complications. HRQoL and health preference were estimated using SF-12 and SF-6D questionnaires, respectively. Disease status of DM and complications were identified from documented clinical diagnosis. Multivariable regression was used to investigate the effects of specific complications on HRQoL and health preference, adjusting for socio-demographic and clinical parameters.ResultsThe presence of any diabetic complication was associated with lower physical component summary (−3.81 points, P < 0.01), and end-stage renal disease (ESRD) showed greatest reduction (−7.05 points, P < 0.01). Mental component summary and mental health (MH) scores were not decreased in any of the diabetic complications. The health preference score for diabetic subjects without complications was 0.882 (95% CI, 0.778 to 0.989). The reductions of health preference score were significant for stroke (−0.042, 95% CI -0.072 to −0.012), ESRD (−0.055, 95% CI -0.093 to −0.017), and sight-threatening diabetic retinopathy (STDR) (−0.043, 95% CI -0.075 to −0.010), while heart disease had an insignificant reduction (−0.017, 95% CI -0.042 to 0.008).ConclusionsThe presence of any of the four major diabetic complications (heart disease, stroke, ESRD and STDR) was associated with lower HRQoL and health preference scores. Findings of this study facilitated the cost-effectiveness studies of alternative management strategies for prevention of diabetic complications in Chinese population.Electronic supplementary materialThe online version of this article (doi:10.1186/s12955-017-0699-4) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Health-related quality of life and health preference of Chinese patients with diabetes mellitus managed in primary care and secondary care setting: decrements associated with individual complication and number of complications

Jiao

Wong

Gangwani

et al. 2017

Health Qual Life Outcomes

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“…Increase in physical inactivity, unhealthy eating habits, obesity, and smoking have led to widespread incidence of diabetes [5, 6]. According to an epidemiological study of diabetes in China, the age-standardized prevalence of total diabetes and prediabetes were 9.7 and 15.5%, respectively, accounting for 92.4 million adults with diabetes and 148.2 million adults with prediabetes [7].…”

Section: Introductionmentioning

confidence: 99%

Assessment of hospital length of stay and direct costs of type 2 diabetes in Hubei Province, China

Chen

Shuai

Tan

et al. 2017

BMC Health Serv Res

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BackgroundThe incidence of type 2 diabetes is increasing, creating a huge burden for China’s social healthcare system. This study aimed to evaluate hospital length of stay (LOS) based on admission characteristics and direct costs correlated with various types of complications for type 2 diabetic inpatients in Hubei Province, China.MethodsA total of 1528 inpatients diagnosed with type 2 diabetes discharged between April 1, 2013, and March 31, 2014, were included in this study. Information regarding patients’ admission and hospitalization were obtained from the hospital information system. The relationship between admission characteristics and LOS, distribution of total costs, and types of complications were described and analysed.Results(1) The mean LOS was 11.65 days (median: 10 days). Multiple linear regression analysis demonstrated that inpatients with New Cooperative Medical Scheme (NCMS), aged 80 and above, had longer LOS than the reference group, and inpatients with chronic or acute + chronic complications had shorter LOS than those without. (2) Mean total costs per patient were US$159.72 ± 130.83 (median: US$135.33), US$240.60 ± 166.58 (median: US$192.09), and US$247.98 ± 166.22 (median: US$200.99) for inpatients with no complications, chronic complications, and acute + chronic complications, respectively. Total and individual costs were significantly less for patients without complications than for those with the two types of complications (p < 0.001). (3) Mean total costs per patient were US$225.40 ± 115.32 (median: US$200.34), US$221.25 ± 177.64 (median: US$170.05), and US$275.18 ± 193.14 (median: US$217.91) for inpatients with microvascular complications, macrovascular complications, and microvascular + macrovascular complications, respectively. Total costs were significantly higher for patients with microvascular + macrovascular complications than for those with other types of chronic complications (p < 0.001). (4) Drugs were the greatest expense for patients, and the least expensive treatment was nursing care.ConclusionsMedical insurance status, age, and type of complication may help to predict LOS for patients with type 2 diabetes in Hubei Province, China. The total and individual costs for patients with complications were higher than for those without, and hospitalization expenses posed a heavy burden. Efforts should be made to reduce the financial impact on patients by integrating the medical insurance system of urban and rural areas, and by reducing the risk of complications, especially microvascular complications.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2140-4) contains supplementary material, which is available to authorized users.

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“…Diabetes mellitus (DM) is associated with multiple medical complications that decrease the health-related quality of life (HRQOL) and contribute to suboptimal physical and mental functioning and earlier mortality [2,3]. Coronary heart disease, depression, and unhealthy eating habits have significant negative effects on quality of life (QOL) of DM patients [2,4,5]. …”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Health-Related Quality of Life among Saudi Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Survey

et al. 2014

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BackgroundDiabetes mellitus (DM) is associated with high mortality, morbidity, poor general health, and loss of health-related quality of life (HRQOL). The objective of the study was to assess the factors associated with HRQOL among patients with type 2 diabetes mellitus (T2DM).MethodsThis was a cross sectional study conducted among 283 T2DM patients during June 2011 and September 2012 at a major tertiary hospital in Riyadh, Saudi Arabia. The respondents were purposively and conveniently selected according to their availability during their routine visit to the outpatient clinics and they were interviewed using the Arabic version of the Short-Form 36-item survey (SF-36) to assess the HRQOL.ResultsThe mean age of the participants was 56.4±13.2 years. Around 63% (178) were males and 37% (105) were females. Glycosylated hemoglobin level was found to be significantly higher among female and HRQOL was higher among male. Respondents who were more than 50 years old had poor HRQOL than less than 50 years age group. Poor economic status, reported diabetic complications and longer duration of diabetes were significantly associated with poor HRQOL. The respondents treated with combination of therapies (oral medication plus insulin) indicated better HRQOL than patients with insulin therapy alone. Multivariate analysis indicated that gender, economic status (except subscale energy), and complications of DM (except subscale energy) as independent risk factor for HRQOL.ConclusionGender, economic status, and complication of DM were independent risk factors for majority of the subscales of HRQOL.

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Health‐related quality of life among Tianjin Chinese patients with type 2 diabetes: A cross‐sectional survey

Cited by 24 publications

References 34 publications

Health-related quality of life and health preference of Chinese patients with diabetes mellitus managed in primary care and secondary care setting: decrements associated with individual complication and number of complications

Health-related quality of life and health preference of Chinese patients with diabetes mellitus managed in primary care and secondary care setting: decrements associated with individual complication and number of complications

Assessment of hospital length of stay and direct costs of type 2 diabetes in Hubei Province, China

Factors Associated with Health-Related Quality of Life among Saudi Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Survey

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