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Quality of Life Research

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Open Access 01-01-2016

The impact of comorbid chronic conditions on quality of life in type 2 diabetes patients

Authors: Marcel C. Adriaanse, Hanneke W. Drewes, Iris van der Heide, Jeroen N. Struijs, Caroline A. Baan

Published in: Quality of Life Research | Issue 1/2016

Abstract

Objective

To study the prevalence, impact and dose–response relationship of comorbid chronic conditions on quality of life of type 2 diabetes patients.

Research design and methods

Cross-sectional data of 1676 type 2 diabetes patients, aged 31–96 years, and treated in primary care, were analyzed. Quality of life (QoL) was measured using the mental component summary (MCS) and the physical component summary (PCS) scores of the Short Form-12. Diagnosis of type 2 diabetes was obtained from medical records and comorbidities from self-reports.

Results

Only 361 (21.5 %) of the patients reported no comorbidities. Diabetes patients with comorbidities showed significantly lower mean difference in PCS [−8.5; 95 % confidence interval (CI) −9.8 to −7.3] and MCS scores (−1.9; 95 % CI −3.0 to −0.9), compared to diabetes patients without. Additional adjustments did not substantially change these associations. Both MCS and PCS scores decrease significantly with the number of comorbid conditions, yet most pronounced regarding physical QoL. Comorbidities that reduced physical QoL most significantly were retinopathy, heart diseases, atherosclerosis in abdomen or legs, lung diseases, incontinence, back, neck and shoulder disorder, osteoarthritis and chronic rheumatoid arthritis, using the backwards stepwise regression procedure.

Conclusion

Comorbidities are highly prevalent among type 2 diabetes patients and have a negative impact on the patient’s QoL. A strong dose–response relationship between comorbidities and physical QoL was found. Reduced physical QoL is mainly determined by musculoskeletal and cardiovascular disorders.

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Title: The impact of comorbid chronic conditions on quality of life in type 2 diabetes patients
Authors: Marcel C. Adriaanse
Hanneke W. Drewes
Iris van der Heide
Jeroen N. Struijs
Caroline A. Baan
Publication date: 01-01-2016
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 1/2016
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-015-1061-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The impact of comorbid chronic conditions on quality of life in type 2 diabetes patients

Abstract

Objective

Research design and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Research design and methods

Results

Conclusion

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