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Diabetes Care. 2009 Sep;32(9):1594-6. doi: 10.2337/dc08-2223. Epub 2009 Jun 9.

Impact of primary care-based disease management on the health-related quality of life in patients with type 2 diabetes and comorbidity.

Author information

1
Department of General Practice and Health Services Research, University Hospital of Heidelberg, Heidelberg, Germany. dominik.ose@med.uni-heidelberg

Abstract

OBJECTIVE:

This study examined the effectiveness of the German diabetes disease management program (DMP) for patients with varying numbers of other medical conditions with respect to their health-related quality of life (HRQoL).

RESEARCH DESIGN AND METHODS:

A questionnaire, including the HRQoL-measured EQ-5D, was mailed to a random sample of 3,546 patients with type 2 diabetes (59.3% female). The EQ-5D score was analyzed by grouping patients according to those on a DMP and those receiving routine care.

RESULTS:

The analysis showed that participation in the DMP (P < 0.001), the number of other medical conditions (P < 0.001), and the interaction between the DMP and the number of other conditions (P < 0.05) had a significant impact on the EQ-5D score.

CONCLUSIONS:

Our findings suggest that the number of other medical conditions may have a negative impact on the HRQoL of patients with type 2 diabetes. The results demonstrate that the German DMP for type 2 diabetes may help counterbalance this effect.

PMID:
19509007
PMCID:
PMC2732141
DOI:
10.2337/dc08-2223
[Indexed for MEDLINE]
Free PMC Article

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