F J García-Soidán1, R Villoro2, M Merino2, Á Hidalgo-Vega3, T Hernando-Martín4, B González-Martín-Moro4. 1. Centro de Salud de Porriño, Pontevedra, España. Electronic address: javiersoidan@gmail.com. 2. Departamento de Economía de la Salud, Weber Economía y Salud, Madrid, España. 3. Departamento de Fundamentos de Análisis Económico, Universidad de Castilla-La Mancha, Toledo, España. 4. Janssen-Cilag S.A., Madrid, España.
Abstract
INTRODUCTION: This study analyses the health status of patients diagnosed with diabetes mellitus (DM), their health related quality of life (HRQoL) and their use of healthcare resources in Spain. MATERIALS AND METHODS: A descriptive analysis was conducted using the Spanish Health National Survey (ENSE, 2012), gathering data on those patients aged 15 and over diagnosed with DM. Their health status, their HRQoL, and their use of healthcare resources were systematically compared with those of patients diagnosed with other chronic conditions (OCC), as well as a population without DM (non-DM). RESULTS: Out of 21,007 subjects that took part, 7.4% were diagnosed with DM and 59% with OCC conditions (mean age 65.6±14.2 years with DM, 51.3±18.1 years with OCC, and 45.7±18.2 years with non-DM). When compared to non-DM and OCC, DM was statistically significantly associated with higher frequencies of hypertension, hypercholesterolaemia, obesity, myocardial infraction, hospital admissions in the last year, and drug consumption, but with a lower number of visits to secondary healthcare. The mean quality adjusted life years (QALY) of patients with DM was 0.75 per year, significantly lower (P<.05) to that of individuals with OCC (0.89), and those without DM (0.92). The difference vs. non-DM remained statistically significant after adjusting for age, gender, and number of comorbidities (P<.001). CONCLUSIONS: In Spain, DM is associated with a high comorbidity, involves a greater loss in HRQoL than those diagnosed with other chronic conditions as a whole, and generates a significant burden on the healthcare system.
INTRODUCTION: This study analyses the health status of patients diagnosed with diabetes mellitus (DM), their health related quality of life (HRQoL) and their use of healthcare resources in Spain. MATERIALS AND METHODS: A descriptive analysis was conducted using the Spanish Health National Survey (ENSE, 2012), gathering data on those patients aged 15 and over diagnosed with DM. Their health status, their HRQoL, and their use of healthcare resources were systematically compared with those of patients diagnosed with other chronic conditions (OCC), as well as a population without DM (non-DM). RESULTS: Out of 21,007 subjects that took part, 7.4% were diagnosed with DM and 59% with OCC conditions (mean age 65.6±14.2 years with DM, 51.3±18.1 years with OCC, and 45.7±18.2 years with non-DM). When compared to non-DM and OCC, DM was statistically significantly associated with higher frequencies of hypertension, hypercholesterolaemia, obesity, myocardial infraction, hospital admissions in the last year, and drug consumption, but with a lower number of visits to secondary healthcare. The mean quality adjusted life years (QALY) of patients with DM was 0.75 per year, significantly lower (P<.05) to that of individuals with OCC (0.89), and those without DM (0.92). The difference vs. non-DM remained statistically significant after adjusting for age, gender, and number of comorbidities (P<.001). CONCLUSIONS: In Spain, DM is associated with a high comorbidity, involves a greater loss in HRQoL than those diagnosed with other chronic conditions as a whole, and generates a significant burden on the healthcare system.
Authors: Domingo Orozco-Beltrán; Sara Artola-Menéndez; Antonio Hormigo-Pozo; Daniel Cararach-Salami; Juan Luis Alonso-Jerez; Epifanio Álvaro-Grande; Covadonga Villabrille-Arias; Francisco Javier de Toro-Santos; María José Galindo-Puerto; Ignacio Marín-Jiménez; Antón Gómez-García; Rocío Ledesma-Rodriguez; Gonzalo Fernández; Karine Ferreira de Campos Journal: Endocrinol Diabetes Metab Date: 2021-02-15
Authors: Domingo Orozco-Beltrán; Cristóbal Morales; Sara Artola-Menéndez; Carlos Brotons; Sara Carrascosa; Cintia González; Óscar Baro; Alberto Aliaga; Karine Ferreira de Campos; María Villarejo; Carlos Hurtado; Carolina Álvarez-Ortega; Antón Gómez-García; Marta Cedenilla; Gonzalo Fernández Journal: JMIR Diabetes Date: 2022-10-03