Estado de salud, calidad de vida y utilización de recursos sanitarios de los pacientes con diabetes mellitus en España

  1. F.J. García-Soidán 1
  2. R. Villoro 2
  3. M. Merino 2
  4. Á. Hidalgo-Vega 3
  5. T. Hernando-Martín 4
  6. B. González-Martín-Moro 4
  1. 1 Centro de Salud de Porriño, Pontevedra, España
  2. 2 Departamento de Economía de la Salud, Weber Economía y Salud, Madrid, España
  3. 3 Universidad de Castilla-La Mancha, Toledo, España
  4. 4 Janssen-Cilag S.A., Madrid, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2017

Issue: 6

Pages: 416-424

Type: Article

DOI: 10.1016/J.SEMERG.2016.06.004 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Sustainable development goals

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.

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Data source: Dialnet