Health-related quality of life of type 2 diabetes patients hospitalized for a diabetes-related complication
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Health‑related quality of life of type 2 diabetes patients hospitalized for a diabetes‑related complication Shuyan Gu1,2 · Xiaoyong Wang3 · Lizheng Shi4 · Qiuying Sun5 · Xiaoqian Hu1 · Yuxuan Gu1 · Xueshan Sun1 · Hengjin Dong1 Accepted: 5 May 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose To estimate the health-related quality of life (HRQoL) of type 2 diabetes (T2DM) inpatients hospitalized for a complication in China and to explore the associated factors. Methods This was a cross-sectional study. T2DM inpatients (aged ≥ 18 years) hospitalized for a complication, including ischemic heart disease (IHD), acute myocardial infarction (AMI), congestive heart failure (CHF), stroke, impaired vision, end-stage renal disease (ESRD), ulcer, and amputation were recruited from a tertiary hospital in China from January to May 2017. The EuroQoL-5 dimensions were used to measure HRQoL. A one-way analysis of variance and a multivariate regression analysis were performed. Results Eight hundred and two T2DM inpatients hospitalized for a complication were included. The mean age was 62.67 years, and 43% of the inpatients were female. The mean utility-based HRQoL was 0.562 (95% CI 0.548, 0.577). The utility varied significantly between the complications: IHD = 0.620 (95% CI 0.597, 0.642), AMI = 0.434 (95% CI 0.394, 0.473), CHF = 0.471 (95% CI 0.433, 0.510), stroke = 0.472 (95% CI 0.436, 0.508), impaired vision = 0.714 (95% CI 0.692, 0.737), ESRD = 0.693 (95% CI 0.670, 0.717), ulcer = 0.431 (95% CI 0.375, 0.487), and amputation = 0.395 (95% CI 0.341, 0.448). Inpatients with a complication, who were female, and who had no daily exercise had a lower HRQoL. Conclusions The HRQoL of T2DM inpatients with a complication was considerably impaired. Our estimates provide supplementary data for public health and cost-effectiveness modeling, and increase the breadth of knowledge of HRQoL in T2DM. Keywords Health-related quality of life · Utility · EQ-5D · Type 2 diabetes · Inpatient · Diabetes-related complication
Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11136-020-02524-3) contains supplementary material, which is available to authorized users. * Hengjin Dong [email protected] 1
Centre for Health Policy Studies, School of Public Health, School of Medicine, Zhejiang University, 866 Yuhangtang Road, Hangzhou 310058, Zhejiang, China
2
Center for Health Policy and Management Studies, School of Government, Nanjing University, Nanjing, Jiangsu, China
3
Health Insurance Office, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China
4
Department of Global Health Management and Policy, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA
5
Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China
Diabetes imposes a considerable disease burden on patients and the healthcare system in China. Its prevalence was 10.9% among a
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