Quality of life in diabetic patients registered with primary health care services in Sweden

Wändell, Per; Brorsson, Bengt; Åberg, H

doi:10.3109/02813439709018495

Cited by 53 publications

(36 citation statements)

References 17 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patient characteristics such as age, sex, diabetes duration, insulin treatment, and Type I diabetes in the reference population corresponded fairly well with previously described population based studies of diabetic patients in Sweden [56,57]. The reference population which provided background data for the study [18] could therefore be supposed to be representative for the Swedish population of patients with diabetes.…”

Section: Discussionsupporting

confidence: 80%

Prevention of diabetes-related foot ulcers and amputations: a cost-utility analysis based on Markov model simulations

2001

View full text Add to dashboard Cite

Interventions directed towards preventing the development or deterioration of foot ulcers in patients with diabetes mellitus have been shown to reduce the frequency of lower extremity amputations (LEA) by approximately 50 % to 85 % [1,2]. Recently published international guidelines and consensus documents emphasize the importance of educating patients and health care providers, providing foot care, appropriate footwear and employing multidisciplinary foot care teams [3±6]. The need for prevention for the individual patient depends on the presence of risk factors such as peripheral neuropathy, foot deformities, peripheral vascular disease (PVD), and previous history of foot ulcer and amputation.Despite convincing figures that foot ulcer prevention and management reduces the incidence of foot ulcers and the probability of LEA, many diabetic patients in Sweden [7,8] as well as in other countries [3, 9±12] do not receive optimal prevention. Possible reasons include an insufficient knowledge among health care providers and decision-makers as well as Diabetologia (2001) Abstract Aims/hypothesis. We analysed the cost-effectiveness of intensified prevention in diabetic patients with different risks for foot ulcers and lower extremity amputations. Specifically, we examined whether the additional prevention costs associated with present recommendations would be offset by reduced costs of future foot ulcers and amputations. Methods. Markov-based 5-year cost-utility simulations of current versus optimal prevention were done for hypothetical cohorts of diabetic patients older than 24 years. The model included eight possible health states for four risk groups. A population of 1677 diabetes patients provided data on present foot ulcer prevention and general mortality. Optimal prevention was defined according to the International Consensus on the Diabetic Foot. Model assumptions, transition probabilities and other data included in the model were based on published literature. The main outcome measures were cumulative incidences of foot ulcers, amputations and deaths, costs, cost-effectiveness, and quality-adjusted life years.Results. An intensified prevention strategy including patient education, foot care and footwear is cost-effective if the risk for foot ulcers and lower extremity amputations can be reduced by 25 %. This is valid for all patients with diabetes except those with no specific risk factors. Conclusion/interpretation. Providing all diabetic patients at risk or high risk for foot ulcers and amputations with adequate prevention would be a cost-effective or even cost-saving strategy. [Diabetologia (2001

show abstract

Section: Discussionsupporting

confidence: 80%

Prevention of diabetes-related foot ulcers and amputations: a cost-utility analysis based on Markov model simulations

2001

View full text Add to dashboard Cite

show abstract

“…This is well proven by previous studies which had found that diabetic complications pose a significant impact on quality of life (29)(30)(31)(32). This explains the significant association between the HbA1c and the domain of impact in our study.…”

Section: Discussionsupporting

confidence: 88%

Validation of the Malay version of Diabetes Quality of Life (DQOL) Questionnaire for Adult Population with Type 2 Diabetes Mellitus

Bujang

Ismail

Hatta

et al. 2017

MJMS

View full text Add to dashboard Cite

Objective: We aimed to validate the Malay version of Diabetes Quality of Life (DQOL) questionnaire for Malaysian adult population with type 2 diabetes mellitus (DM).Methods: This is a cross-sectional study to validate Malay version of DQOL among the adult diabetic patients. DQOL questionnaire has 46 items consist of three domains, namely Satisfaction Domain, Impact Domain and Worry Domain. Both forward and backward translations from the English version of DQOL into Malay version were performed. After the face validity of the Malay version was established, it was then pilot-tested. Finally, the validity and reliability of the final Malay version of DQOL questionnaire were evaluated.Results: There were 290 patients participated in this study with a mean (SD) age of 53.1 (10.0) years. The Cronbach's alpha coefficients of the overall items and the main domains were between 0.846 and 0.941. The Pearson's correlation coefficients for the three domains were between 0.228 and 0.451. HbA1C was found to be positively correlated with Impact Domain (P = 0.006). The Worry Domain was associated with diabetic retinopathy (P = 0.014) and nephropathy (P = 0.033).Conclusion: The Malay version of diabetes quality of life (DQOL) questionnaire was found to be a valid and reliable survey instrument to be used for Malaysian adult patients with diabetes mellitus.

show abstract

“…However, our data did not include information on possible non-vascular comorbidities, such as retinopathy, nephropathy or musculoskeletal disease, which have been found to be important predictors of HRQoL in diabetes [1,2,5]. It is likely that some individuals who had been classified into the groups without cardiovascular comorbidities of hypertension or diabetes had other comorbidities that potentially reduced their HRQoL.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have reported that diabetes and hypertension negatively affect participants' HRQoL [4,5,21], and that heart disease worsened these participants' HRQoL even further [6,22-27]. However, other studies have yielded conflicting results on the severity of impact of diabetes and hypertension on HRQoL [28,29], without demonstrating whether the degree of impact of cardiovascular comorbidities in these two conditions is comparable.…”

Section: Discussionmentioning

confidence: 99%

Diabetes mellitus and hypertension have comparable adverse effects on health-related quality of life

Poljičanin¹,

Ajduković²,

Šekerija³

et al. 2010

BMC Public Health

View full text Add to dashboard Cite

BackgroundWe aimed to assess health-related quality of life (HRQoL) among people with diabetes or hypertension, estimate the effect of cardiovascular comorbidities on HRQoL as well as compare HRQoL in these groups with that of healthy individuals.MethodsA total of 9,070 respondents aged 18 years and over were assessed for HRQoL. Data were obtained from the Croatian Adult Health Survey. Respondents were divided into five groups according to their medical history: participants with hypertension (RR), hypertension and cardiovascular comorbidities (RR+), diabetes mellitus (DM), diabetes and cardiovascular comorbidities (DM+) and participants free of these conditions (healthy individuals, HI). HRQoL was assessed on 8 dimensions of the SF-36 questionnaire.ResultsParticipants with diabetes and those with hypertension reported comparably limited (p > 0.05) HRQoL in all dimensions of SF-36, compared with healthy individuals (p < 0.05). If cardiovascular comorbidities were present, both participants with diabetes and participants with hypertension had lower results on all SF-36 scales (p > 0.05) than participants without such comorbidities (p < 0.05). The results remained after adjustment for sociodemographic variables (age, sex, employment, financial status and education).ConclusionDiabetes and hypertension seem to comparably impair HRQoL. Cardiovascular comorbidities further reduce HRQoL in participants with both chronic conditions. Future research of interventions aimed at improving these participants' HRQoL is needed.

show abstract

Quality of life in diabetic patients registered with primary health care services in Sweden

Cited by 53 publications

References 17 publications

Prevention of diabetes-related foot ulcers and amputations: a cost-utility analysis based on Markov model simulations

Prevention of diabetes-related foot ulcers and amputations: a cost-utility analysis based on Markov model simulations

Validation of the Malay version of Diabetes Quality of Life (DQOL) Questionnaire for Adult Population with Type 2 Diabetes Mellitus

Diabetes mellitus and hypertension have comparable adverse effects on health-related quality of life

Contact Info

Product

Resources

About