印度北部糖尿病患者的生活质量:不同方法的比较

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Anuroop Kaur, S. Saini, Gunjeet Kaur, S. Prinja
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引用次数: 1

摘要

背景:印度正在见证糖尿病患病率的急剧上升。本研究评估糖尿病患者的生活质量(QOL)及其影响因素。其次,采用不同的测量方法评估生活质量。方法:在昌迪加尔市的一个城市贫民窟对306名诊断为糖尿病的成年人进行了一项基于社区的调查。采用时间权衡法(TTO)和视觉模拟量表(VAS)等直接评价方法,以及间接评价方法如EuroQol 5维5级量表(EQ-5D-5L)和印度糖尿病患者生活质量量表(QOLID)。采用多元线性回归计算系数,利用印度QOLID工具评估生活质量的点估计。结果:总体而言,糖尿病患者的健康效用得分分别为0.68 (TTO法)、0.60-0.64 (VAS)模拟量表和EQ-5D-5L法。使用直接方法评估生活质量产生的效用值显著高于间接方法(EQ-5D-5L)。结论:总体而言,本研究发现糖尿病对患者的生理、心理和社会角色障碍负有责任。此外,在计算增量成本效益比时,选择使用直接或间接的效用估计方法可能具有实际意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of life of diabetes patients in North India: A comparison of different methodologies
Background: India is witnessing a dramatic rise in the prevalence of diabetes mellitus. In this study, quality of life (QOL) of patients with diabetes and its determinants were assessed. Second, the valuation of QOL using different methods of measurement was examined. Methods: A community-based survey comprising 306 adults diagnosed with diabetes was undertaken in an urban slum area of Chandigarh city. Direct methods of QOL assessment such as time trade-off (TTO) and Visual Analog Scale (VAS) along with indirect like EuroQol 5-Dimensional 5-Level Instrument (EQ-5D-5L) and the QOL Instrument for Indian Diabetes Patients (QOLID) were used. Multiple linear regression was used to compute coefficients to assess point estimate of QOL using the Indian QOLID tool. Results: Overall, health utility scores for a person with diabetes were 0.68 (with TTO method), 0.60–0.64 (with VAS) analog scale, and EQ-5D-5L method, respectively. Valuation of QOL using direct methods yielded utility values which were significantly higher than indirect methods (EQ-5D-5L). Conclusion: Overall, this study found that diabetes is responsible for physical, psychological, and social role disturbance among the patients. In addition, choice of using direct or indirect methods of utility estimation may have practical implications while calculating incremental cost-effectiveness ratios.
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