Diabetes and its impact on health-related quality of life: a life table analysis

Purpose To investigate the health burden of diabetes and determine its impact on health-related quality of life (HRQOL) in a population with a high prevalence of chronic conditions. Methods A representative sample of the Canadian province of Newfoundland and Labrador (NL) was used to estimate preval...

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Bibliographic Details
Published in:Quality of life research 2010-08, Vol.19 (6), p.781-787
Main Authors: Sikdar, Khokan C., Wang, Peizhong Peter, MacDonald, Don, Gadag, Veerabhadra G.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age groups
Aged
Aged, 80 and over
Canada - epidemiology
Child
Chronic Disease - epidemiology
Chronic illnesses
CLINICAL AND POLICY APPLICATIONS
Cross-Sectional Studies
Diabetes
Diabetes complications
Diabetes Mellitus - epidemiology
Diabetes Mellitus - physiopathology
Diabetes Mellitus - psychology
Disease management
Estimates
Female
Health Status
Humans
Impact analysis
Life Expectancy
Life Tables
Male
Medicine
Medicine & Public Health
Men
Middle Aged
Mortality
Population
Prevalence
Public Health
Quality of Life
Quality of Life Research
Sex Distribution
Sickness Impact Profile
Sociology
Type 1 diabetes mellitus
Type 2 diabetes mellitus
Womens health
Young Adult
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Summary:Purpose To investigate the health burden of diabetes and determine its impact on health-related quality of life (HRQOL) in a population with a high prevalence of chronic conditions. Methods A representative sample of the Canadian province of Newfoundland and Labrador (NL) was used to estimate prevalence of diabetes and mean health utility index (HUI), a utility-based measure of HRQOL. Diabetesdeleted life expectancy (LE) and health-adjusted life expectancy (HALE) were derived to measure HRQOL. Results Diabetic individuals comprised 6.8% of the sample and accounted for 14% of total deaths from2001 to 2005. Life Expectancy at age 15 was 61.3 years for men and 66.7 years for women, of which 53.0 and 57.0 years, respectively, were spent with perfect health (86.4 and 85.5%). Eliminating diabetes would extend both the overall LE and HALE for men by 1.3 and 1.4 years, and women by 2.0 and 1.7 years, respectively. People with diabetes had a significantly lower HRQOL than people without diabetes (mean HUI: 0.78 vs. 0.88, P < 0.01). Conclusion The burden of illness from diabetes in NL is considerable. Using cause-eliminated LE and HALE provides a robust approach for assessing HRQOL that may have important implications for diabetes surveillance, prevention, and management strategies.
ISSN:0962-9343
1573-2649
DOI:10.1007/s11136-010-9641-5