Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jan 10;3(1):e000042.
doi: 10.1136/bmjdrc-2014-000042. eCollection 2015.

No consistent association between processes-of-care and health-related quality of life among patients with diabetes: a missing link?

Alejandra Casillas  1 , Katia Iglesias  1 , Aline Flatz  1 , Bernard Burnand  1 , Isabelle Peytremann-Bridevaux  1
Affiliations

No consistent association between processes-of-care and health-related quality of life among patients with diabetes: a missing link?

Alejandra Casillas et al. BMJ Open Diabetes Res Care. .

Abstract

Purpose: Health-related quality of life (HRQoL) is considered a representative outcome in the evaluation of chronic disease management initiatives emphasizing patient-centered care. We evaluated the association between receipt of processes-of-care (PoC) for diabetes and HRQoL.

Methods: This cross-sectional study used self-reported data from non-institutionalized adults with diabetes in a Swiss canton. Outcomes were the physical/mental composites of the short form health survey 12 (SF-12) physical composite score, mental composite score (PCS, MCS) and the Audit of Diabetes-Dependent Quality of Life (ADDQoL). Main exposure variables were receipt of six PoC for diabetes in the past 12 months, and the Patient Assessment of Chronic Illness Care (PACIC) score. We performed linear regressions to examine the association between PoC, PACIC and the three composites of HRQoL.

Results: Mean age of the 519 patients was 64.5 years (SD 11.3); 60% were male, 87% reported type 2 or undetermined diabetes and 48% had diabetes for over 10 years. Mean HRQoL scores were SF-12 PCS: 43.4 (SD 10.5), SF-12 MCS: 47.0 (SD 11.2) and ADDQoL: -1.6 (SD 1.6). In adjusted models including all six PoC simultaneously, receipt of influenza vaccine was associated with lower ADDQoL (β=-0.4, p≤0.01) and foot examination was negatively associated with SF-12 PCS (β=-1.8, p≤0.05). There was no association or trend towards a negative association when these PoC were reported as combined measures. PACIC score was associated only with the SF-12 MCS (β=1.6, p≤0.05).

Conclusions: PoC for diabetes did not show a consistent association with HRQoL in a cross-sectional analysis. This may represent an effect lag time between time of process received and health-related quality of life. Further research is needed to study this complex phenomenon.

Keywords: Chronic Disease Management; Clinical Care; Patient-Oriented Research; Quality of Life.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. International Diabetes Federation. IDF Diabetes Atlas, 6th edn. Brussels, Belgium: International Diabetes Federation, 2013. http://www.idf.org/diabetesatlas
    1. Mokdad AH, Bowman BA, Ford ES et al. . The continuing epidemics of obesity and diabetes in the United States. JAMA 2001;286:1195–200. 10.1001/jama.286.10.1195 - DOI - PubMed
    1. Grandy S, Fox KM. Change in health status (EQ-5D) over 5 years among individuals with and without type 2 diabetes mellitus in the SHIELD longitudinal study. Health Qual Life Outcomes 2012;10:99 10.1186/1477-7525-10-99 - DOI - PMC - PubMed
    1. Hoyert, DL. Xu, J. Center for Disease Control: Leading causes of death. National Vital Statistics Reports, Volume 61, Number 6. Oct 2012.
    1. Rubin RR, Peyrot M. Quality of Life and diabetes. Diabetes Metab Res Rev 1999;15:205–18. 10.1002/(SICI)1520-7560(199905/06)15:3<205::AID-DMRR29>3.0.CO;2-O - DOI - PubMed