HEALTH RELATED QUALITY OF LIFE (HRQL) AND EQ-5D UTILITIES IN A TYPE 2 DIABETES (T2D) POPULATION- RESULTS FROM A SWEDISH SURVEY
Author(s)
Sörngård H1, Lagging E2, Lindh A3, Jörgensen L11AstraZeneca Nordic MC, Södertälje, Sweden, 2Stockholm Diabetic Patient Association, Stockholm, Sweden, 3Husläkarna i Österåker, Åkersberga, Sweden
Presentation Documents
OBJECTIVES: To present HRQL data from a previously presented survey on T2D patients’ perceived quality of care in Stockholm, Sweden. METHODS: A postal survey including EQ-5D was distributed to 1000 members of the Stockholm Diabetic Patient Association and 1000 patients from five primary health care centers. Patients were randomly selected, >18 years, having a diabetes diagnosis. Analysis of variance was used to test the statistical hypothesis that patients within each subgroup had equal mean utility. RESULTS: Response rate was 65% (1319/2000 questionnaires). T2D diagnose was reported for 961 respondents of which 858 completed the EQ-5D questionnaire. Mean age 69 years, 48.5 % female, BMI 28.4 kg/m2, mean duration of T2D 11.3 years. Overall, the mean (SD) utility was 0.765 (0.260) and the current health status reported on the VAS scale was 0.727 (0.189). Patients without any hypoglycemic episode the previous month had a utility of 0.799 while those with 1, 2-5 or >5 episodes reported 0.774, 0.687 and 0.633, respectively. More than one hypoglycemic episode resulted in significantly lower utility compared to none or only one episode (p<0.0001). The utility of obese patients, 0.704, was significantly lower than for patients of normal weight, 0.806, or overweight, 0.790 (p<0.0001). The utility of patients not considering themselves responsible for the management of their T2D was significantly lower, 0.608, compared to patients taking a limited, 0.774, or full, 0.759, responsibility (p=0.0005). Patients considering themselves having insufficient knowledge to cope with their T2D reported a lower utility, 0.689, compared to patients with sufficient knowledge, 0.789 (p<0.0001). Male respondents had a higher utility, 0.796, compared to females, 0.731 (p=0.0002). CONCLUSIONS: Experience of hypoglycemic episodes, obesity, gender, patients’ perception of personal responsibility and perceived knowledge about type 2 diabetes has significant impact on health related quality of life in patients with type 2 diabetes.
Conference/Value in Health Info
2010-11, ISPOR Europe 2010, Prague, Czech Republic
Value in Health, Vol. 13, No. 7 (November 2010)
Code
PDB68
Topic
Patient-Centered Research
Topic Subcategory
Health State Utilities
Disease
Diabetes/Endocrine/Metabolic Disorders