Quality of Life in Patients with Type 2 Diabetes
in Poland – Comparison with the General Population
Using the EQ-5D Questionnaire

Golicki, Dominik; Dudzińska, Marta; Zwolak, Agnieszka; Tarach, Jerzy S.

doi:10.17219/acem/38137

Cited by 28 publications

(9 citation statements)

References 11 publications

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“…Our study showed that the impact of asthma on patients’ HRQoL is moderate in most age-gender groups studied. This impact is greater than other chronic conditions previously evaluated with this approach, such as type 2 diabetes mellitus [ 13 ], epilepsy [ 12 ], and thalassemia [ 11 ], but lower than that of rheumathoid arthritis in the physical component of health [ 10 ]. The impact of type 2 diabetes mellitus was small, deviation of EQ-5D index from general population only reached the MID of +/-0.07 units in patients aged 55–64 years (-0.085) [ 13 ], while the youngest presented lower deviations.…”

Section: Discussionmentioning

confidence: 99%

“…This impact is greater than other chronic conditions previously evaluated with this approach, such as type 2 diabetes mellitus [ 13 ], epilepsy [ 12 ], and thalassemia [ 11 ], but lower than that of rheumathoid arthritis in the physical component of health [ 10 ]. The impact of type 2 diabetes mellitus was small, deviation of EQ-5D index from general population only reached the MID of +/-0.07 units in patients aged 55–64 years (-0.085) [ 13 ], while the youngest presented lower deviations. Similarly, the 36-item Short-Form Health Survey (SF-36) indicated that the impact of epilepsy on HRQoL was small in role physical and emotional (effect sizes of 0.29 and 0.42) [ 12 ], and that of thalassemia was small on the physical and mental health components [ 11 ] (effect sizes of 0.32 and 0.20).…”

Section: Discussionmentioning

confidence: 99%

“…Reference norms have been mainly developed to interpret generic HRQoL questionnaires, permitting comparisons of a disease-specific sample with counterparts from the general population. This approach has been successfully applied in diseases such as fibromyalgia and rheumatoid arthritis [ 10 ], thalassemia [ 11 ], epilepsy [ 12 ], and type 2 diabetes [ 13 ]. To our knowledge, there are no studies that have assessed asthma impact on HRQoL using reference norms.…”

Section: Introductionmentioning

confidence: 99%

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Impact of asthma on women and men: Comparison with the general population using the EQ-5D-5L questionnaire

et al. 2018

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BackgroundThe aim was to evaluate the impact of asthma on patients’ Health-Related Quality of Life (HRQoL) by comparing asthmatic women and men with reference norms, to examine the factors which contributed to an impaired HRQoL, and to identify groups at higher risk.MethodsCross-sectional evaluation of 222 primary care patients with persistent asthma (18–40 years old). HRQoL impact was estimated with the EuroQol-5 Dimensions (EQ-5D), which allows calculating Quality-Adjusted Life-Years (QALYs) by applying society preferences. Participants self-completed the EQ-5D questionnaire online. Telephonic interviews collected information on medication and adherence, and administered the Asthma Control Questionnaire. Severity markers included asthma-related comorbidity, previous oral corticosteroids course prescription, and inhaled corticosteroids daily dose. After bivariate analyses, multiple linear regression models were constructed to examine the relations between HRQoL asthma impact and socio-demographic and clinical variables, using as dependent variable the deviation from general population-based EQ-5D reference norms.ResultsDeviation from the EQ-5D index norms was moderate in most age/gender groups (-0.1, which corresponds to 0.6 standard deviations), while it was large in women aged 18–24 years (-0.18, corresponding to 1.1 standard deviations). In regression models, a poor asthma control was the only factor independently associated to HRQoL impact in both women and men: β -0.18 (p<0.001) and -0.15 (p = 0.01) respectively. Translating these β coefficients to QALYs, they are interpretable as 66 fewer days of full health per year in women with uncontrolled asthma and 55 for men, compared with those with controlled asthma.ConclusionPersistent asthma has a moderately negative HRQoL impact on patients of both genders, and the youngest women have been identified as a high risk group which merits further research. We identified asthma control as the major contributor to impaired HRQoL in patients, regardless of their gender, suggesting that asthma HRQoL impact could be alleviated by achieving a good control of symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of asthma on women and men: Comparison with the general population using the EQ-5D-5L questionnaire

et al. 2018

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“…The findings in the literature regarding the QoL of patients with DM2 and its association with sociodemographic factors have been variable. Previous reports found that lower educational level, lower income and belonging to the female sex were associated with poor QoL in people with diabetes [31]. …”

Section: Discussionmentioning

confidence: 99%

Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: a cross-sectional study

Zurita‐Cruz

Manuel‐Apolinar

Arellano-Flores

et al. 2018

Health Qual Life Outcomes

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BackgroundType 2 diabetes mellitus (DM2) is a chronic disease, and for treatment to succeed, it is necessary to harmonize the mental health of the patient with the environment, which impacts quality of life and adherence to medical regimens. The objetive of this study is describe the quality of life of patients with DM2 and the factors relates to its modification.MethodsThis investigation was a cross-sectional study. Patients over 18 years of age with DM2 were selected. The following variables related to quality of life were studied: age, sex, occupation, marital status, years of DM2 evolution, comorbidities and presence of depression (Beck Depression Inventory). Perceived quality of life was measured with a health-related quality of life (HRQoL) scale, the 36-Item Short-Form Survey (SF-36). Patients were classified according to SF-36 HRQoL score (< 50, 51-75 and > 76 points).ResultsAmong the 1394 patients included, the median age was 62 years. Global HRQoL had a median of 50.1 points. Bivariate analysis showed that age, marital status, sex, occupation, comorbidities, duration of DM2 and comorbidities had impacts on HRQoL. The logistic regression model identified age (odds ratio [OR] 1.04) and depression (OR 4.4) as independent factors that influenced overall quality of life.ConclusionsPatients with DM2 have poor HRQoL, which is associated with a high frequency of depression. Older age and the presence of depression impair patient HRQoL.Trial registrationR-2013-781-052. Registered 20 December 2014.

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“…In particular, depression, heart disease, and diabetes seem to have strong negative effects on HRQoL. Golicki et al [44] reported between 15.7 and 23.2 points lower VAS means for participants with type 2 diabetes compared with the general population. A study from Korea [45] also shows a decrease of 9.6 points for VAS means in people with coronary heart disease.…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life of the General German Population in 2015: Results from the EQ-5D-5L

Huber

Felix

Vogelmann³

et al. 2017

IJERPH

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The EQ-5D-5L is a widely used generic instrument to measure health-related quality of life. This study evaluates health perception in a representative sample of the general German population from 2015. To compare results over time, a component analysis technique was used that separates changes in the description and valuation of health states. The whole sample and also subgroups, stratified by sociodemographic parameters as well as disease affliction, were analyzed. In total, 2040 questionnaires (48.4% male, mean age 47.3 year) were included. The dimension with the lowest number of reported problems was self-care (93.0% without problems), and the dimension with the highest proportion of impairment was pain/discomfort (71.2% without problems). Some 64.3% of the study population were identified as problem-free. The visual analog scale (VAS) mean for all participants was 85.1. Low education was connected with significantly lower VAS scores, but the effect was small. Depression, heart disease, and diabetes had a strong significant negative effect on reported VAS means. Results were slightly better than those in a similar 2012 survey; the most important driver was the increase in the share of the study population that reported to be problem-free. In international comparisons, health perception of the general German population is relatively high and, compared with previous German studies, fairly stable over recent years. Elderly and sick people continue to report significant reductions in perceived health states.

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Quality of Life in Patients with Type 2 Diabetes in Poland – Comparison with the General Population Using the EQ-5D Questionnaire

Cited by 28 publications

References 11 publications

Impact of asthma on women and men: Comparison with the general population using the EQ-5D-5L questionnaire

Impact of asthma on women and men: Comparison with the general population using the EQ-5D-5L questionnaire

Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: a cross-sectional study

Health-Related Quality of Life of the General German Population in 2015: Results from the EQ-5D-5L

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