[Health related quality of life in patients with diabetes mellitus type 2]. / Calidad de vida relacionada con la salud en pacientes con diabetes mellitus tipo 2.

BACKGROUND: To evaluate the impact of diabetes mellitus type 2 on health related quality of life. METHODS: Cross-sectional study. Site: a basic health zone of the Foral Community of Navarre (12,200 inhabitants). Selection through simple random sampling (n=95) of the universe of patients diagnosed with diabetes mellitus type 2 of our basic health zone (n=655). Methods: Health Related Quality of Life evaluated with generic questionnaires SF-36 and EQ-5D; comparison of the general population samples carried out in Spain (SF-36), general population y>65 years of Navarre and Spanish diabetic population (EQ-5D). RESULTS: The diabetic patients have a tendency to show results lower than the general population in the following health concepts of the SF-36: "Physical Function" (76.6 +/- 27.2 SD), "Bodily Pain" (73.7 +/- 26.2 SD) , "General Health" (54.7 +/- 22.4 SD), "Social Function" (84.2 +/- 21.7 SD), "Role Emotional" (84.7 +/- 28.9 SD). Comparing the data with the general population >60 years, only two health concepts -"General Health" and "Role Emotional"- are equal to the reference values. With respect to the rates of respondents to some problem in the dimensions of the EQ-5D, the "Anxiety/Depression" dimension is outstanding with 43%. The value of the analogical visual scale in the diabetic patients is 64.6. CONCLUSIONS: This study increases the evidence that diabetes mellitus type 2 is related to a worse perception of quality of life related to health. The impact of certain diseases on the patients should not be measured only through the quantification of objective clinical parameters (such as morbidity or mortality).

Calidad de vida relacionada con la salud en pacientes con diabetes mellitus tipo 2 / Health Related Quality of life in patients with diabetes mellitus type 2

Fundamento. Evaluar el impacto de la diabetes mellitus tipo 2 en calidad de vida relacionada con la salud. Material y métodos. Estudio observacional transversal. Emplazamiento: una zona básica de salud de la Comunidad Foral Navarra (12.200 habitantes). Selección mediante muestreo aleatorio simple (n=95) del universo de pacientes diagnosticados de diabetes mellitus tipo 2 de nuestra zona básica de salud (n=655). Métodos: Calidad de vida relacionada con la salud valorada con los cuestionarios genéricos SF-36 y EQ-5D; comparación con las muestras de población general realizadas en España (SF-36), población general y >65 años de Navarra y población diabética española (EQ-5D). Resultados. Los pacientes diabéticos tienen una tendencia a presentar resultados inferiores a la población general en los siguientes conceptos de salud del SF-36: “Función Física” (76,6 ± 27,2 DE), “Dolor Corporal” (73,7 ± 26,2 DE), “Salud General” (54,7 ± 22,4 DE), “Función Social” (84,2 ± 21,7 DE), “Rol Emocional" (84,7 ± 28,9 DE). Comparando los datos con la población general >60 años, sólo dos conceptos de salud –“Salud General” y “Rol Emocional”– están igualados a los valores de referencia. Respecto a las tasas de respondedores a algún problema en las dimensiones del EQ-5D, destaca la dimensión “Ansiedad/Depresión” con un 43%. El valor de la escala visual analógica en los pacientes diabéticos es de 64,6. Conclusiones. Este trabajo aumenta la evidencia de que la diabetes mellitus tipo 2 se relaciona con una peor percepción de la calidad de vida relacionada con la salud. El impacto de determinadas enfermedades en los pacientes no debería ser medido únicamente mediante la cuantificación de parámetros clínicos objetivos (como la morbi-mortalidad)

Background. To evaluate the impact of diabetes mellitus type 2 on health related quality of life Methods. Cross-sectional study. Site: a basic health zone of the Foral Community of Navarre (12,200 inhabitants). Selection through simple random sampling (n=95) of the universe of patients diagnosed with diabetes mellitus type 2 of our basic health zone (n=655). Methods: Health Related Quality of Life evaluated with generic questionnaires SF-36 and EQ-5D; comparison of the general population samples carried out in Spain (SF-36), general population y>65 years of Navarre and Spanish diabetic population (EQ-5D). Results. The diabetic patients have a tendency to show results lower than the general population in the following health concepts of the SF-36: “Physical Function” (76.6 ± 27.2 SD), “Bodily Pain” (73.7 ± 26.2 SD) , “General Health” (54.7 ± 22.4 SD), “Social Function” (84.2 ± 21.7 SD), “Role Emotional” (84.7 ± 28.9 SD). Comparing the data with the general population >60 years, only two health concepts –“General Health” and “Role Emotional”– are equal to the reference values. With respect to the rates of respondents to some problem in the dimensions of the EQ-5D, the “Anxiety/Depression” dimension is outstanding with 43%. The value of the analogical visual scale in the diabetic patients is 64.6. Conclusions. This study increases the evidence that diabetes mellitus type 2 is related to a worse perception of quality of life related to health. The impact of certain diseases on the patients should not be measured only through the quantification of objective clinical parameters (such as morbidity or mortality)

[Impact of common reasons for consultation on the feeling of vitality and the physical performance of the over-65s]. / Impacto de los motivos comunes de consulta en el sentimiento de vitalidad y en el rendimiento físico de personas mayores de 65 años.

OBJECTIVES: To measure two functional dimensions (vitality and physical function) involved in the quality of life of the over-65s and to find what relationship they maintain with the commonest reasons for consultation. DESIGN: Cross-sectional, descriptive study. SETTING: Primary care. PARTICIPANTS: Randomised sample of 179 patients over 65 from 14 primary care clinics in Navarra. METHODS: SF-36 quality-of-life questionnaire and most common reasons for consultation. Personal and family details and ongoing drug prescription were also recorded. RESULTS: The most common reasons for consultation were insomnia (31.8%), arthrosis (48%), and urinary symptoms (16.2%). The greatest differences in the SF-36 scales occurred in patients with insomnia. In the multiple regression models, inverse associations were found for each of the reasons for consultation with the vitality and physical function dimensions. Vitality was associated with urinary symptoms, with an adjusted beta coefficient of -11.2 points (95% CI, -18.6 to -3.7). Insomnia was associated with significant decline in vitality and physical function, with beta of -7.7 points (95% CI, -13.9 to -1.5) and -10.3 points (95% CI, -19.1 to -1.6), respectively. Arthrosis symptoms behaved in a similar way. CONCLUSIONS: The most common pathologies or symptoms causing primary care consultations in the over-65s affect significantly the quality-of-life dimensions relating to the pursuit of normal daily life.

Impacto de los motivos comunes de consulta en el sentimiento de vitalidad y en el rendimiento físico de personas mayores de 65 años / Impact of common reason for consultation on the feeling of vitality and the physical performance of the over-65s

Objetivo. Medir 2 dimensiones funcionales (vitalidad y rol físico) implicadas en la calidad de vida de las personas > 65 años y conocer qué relación mantienen con los motivos de consulta más habituales. Diseño. Estudio descriptivo, transversal. Emplazamiento. Atención primaria. Participantes. Muestra aleatoria de 179 pacientes > 65 años procedentes de 14 consultas de atención primaria de Navarra. Métodos. Cuestionario de calidad de vida SF-36 y motivos de consulta más frecuentes. Se recogieron también datos demográficos, familiares y de prescripción continuada de fármacos. Resultados. Los motivos de consulta más frecuentes fueron: insomnio (31,8%), artrosis (48%) y síntomas miccionales (16,2%). Las mayores diferencias en las escalas del SF-36 se produjeron en los pacientes con insomnio. Se observaron asociaciones inversas de cada uno de los motivos de consulta indicados con las dimensiones vitalidad y rol físico en los modelos de regresión múltiple. La vitalidad se asoció con presencia de síntomas miccionales, con un coeficiente β ajustado de –11,2 puntos (intervalo de confianza [IC] del 95%, –18,6 a –3,7). El insomnio se asoció con descensos significativos de la vitalidad y el rol físico, con β de –7,7 puntos (IC del 95%, –13,9 a –1,5) y –10,3 puntos (IC del 95%, –19,1 a –1,6), respectivamente. Un comportamiento similar se obtuvo para los síntomas artrósicos. Conclusiones. Las enfermedades o los síntomas más frecuentes que motivan consultas de atención primaria en > 65 años afectan significativamente a las dimensiones de la calidad de vida relacionadas con el desarrollo de una actividad diaria normal

Objectives. To measure two functional dimensions (vitality and physical function) involved in the quality of life of the over-65s and to find what relationship they maintain with the commonest reasons for consultation. Design. Cross-sectional, descriptive study. Setting. Primary care. Participants. Randomised sample of 179 patients over 65 from 14 primary care clinics in Navarra. Methods. SF-36 quality-of-life questionnaire and most common reasons for consultation. Personal and family details and ongoing drug prescription were also recorded. Results. The most common reasons for consultation were insomnia (31.8%), arthrosis (48%), and urinary symptoms (16.2%). The greatest differences in the SF-36 scales occurred in patients with insomnia. In the multiple regression models, inverse associations were found for each of the reasons for consultation with the vitality and physical function dimensions. Vitality was associated with urinary symptoms, with an adjusted beta coefficient of –11.2 points (95% CI, –18.6 to –3.7). Insomnia was associated with significant decline in vitality and physical function, with beta of –7.7 points (95% CI, –13.9 to –1.5) and –10.3 points (95% CI, –19.1 to –1.6), respectively. Arthrosis symptoms behaved in a similar way. Conclusions. The most common pathologies or symptoms causing primary care consultations in the over-65s affect significantly the quality-of-life dimensions relating to the pursuit of normal daily life