7 research outputs found
Health-Related Quality of Life in Primary Care: Which Aspects Matter in Multimorbid Patients with Type 2 Diabetes Mellitus in a Community Setting?
<div><p>Background and Objective</p><p>Knowledge about predictors of health-related quality of life for multimorbid patients with type 2 diabetes mellitus in primary care could help to improve quality and patient-centeredness of care in this specific group of patients. Thus, the aim of this study was to investigate the impact of several patient characteristics on health-related quality of life of multimorbid patients with type 2 diabetes mellitus in a community setting.</p><p>Research Design and Methods</p><p>A cross-sectional study with 32 primary care practice teams in Mannheim, Germany, and randomly selected multimorbid patients with type 2 diabetes mellitus (N = 495) was conducted. In order to analyze associations of various patient characteristics with health-related quality of life (EQ-5D index) a multilevel analysis was applied.</p><p>Results</p><p>After excluding patients with missing data, the cohort consisted of 404 eligible patients. The final multilevel model highlighted six out of 14 explanatory patient variables which were significantly associated with health-related quality of life: female gender (r = -0.0494; p = .0261), school education of nine years or less (r = -0.0609; p = .0006), (physical) mobility restrictions (r = -0.1074; p = .0003), presence of chronic pain (r = -0.0916; p = .0004), diabetes-related distress (r = -0.0133; p < .0001), and BMI (r = -0.0047; p = .0045).</p><p>Conclusion</p><p>The findings of this study suggest that increased diabetes-related distress, chronic pain, restrictions in (physical) mobility, female gender, as well as lower education and, increased BMI have a noteworthy impact on health-related quality of life in multimorbid patients with type 2 diabetes mellitus seen in primary care practices in a community setting. The highlighted aspects should gain much more attention when treating multimorbid patients with type 2 diabetes mellitus.</p></div
Sample description (included patients) with observed means and standard deviation for continuous, and absolute and relative frequencies for categorical variables.
<p>Sample description (included patients) with observed means and standard deviation for continuous, and absolute and relative frequencies for categorical variables.</p
Description of the EQ-5D index with respect to the presence of the combination of chronic heart failure (ICD 10: I50), depression (ICD 10: F32-F33) and chronic pain (ICD 10: R52) next to type 2 diabetes.
<p>Means unadjusted, p-values adjusted for multilevel structure.</p
Description of the EQ-5D index with respect to the presence of a specific comorbidity next to type 2 diabetes.
<p>Means unadjusted, p-values adjusted for multilevel structure.</p
Explanatory variables included in the multilevel analysis.
<p>Explanatory variables included in the multilevel analysis.</p
Proportion of variance in overall EQ-5D index explained at the patient-level.
<p>Proportion of variance in overall EQ-5D index explained at the patient-level.</p
Inclusion and exclusion criteria for possible participants.
<p>Inclusion and exclusion criteria for possible participants.</p