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首页> 外文期刊>Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation >Measurement of health-related quality of life in patients with diabetes mellitus using EQ-5D-5L in Hong Kong, China
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Measurement of health-related quality of life in patients with diabetes mellitus using EQ-5D-5L in Hong Kong, China

机译：糖尿病患者使用EQ-5D-5L在中国糖尿病患者的健康状生活质量测量

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Purpose This study aimed to estimate the health preference scores of the Chinese population with Diabetes Mellitus (DM) using the EQ-5D-5L Hong Kong (HK) population tariff according to different sociodemographic characteristics in HK. Methods Data were obtained from a cross-sectional, territory-wide study of patient experience on specialist outpatient services in a public setting in HK. The EQ-5D-5L HK was used to collect the patients' health status. A total of 2326 respondents were reported to suffer from DM, and their information was elicited and used for the analysis in this study. A robust ANOVA method was used to compare the differences in EQ-5D-5L index scores among subgroups. Binary logistic regressions were used to predict the probability of respondents reporting full health, and ordinal least square (OLS) model was used to assess the relationship between DM and health-related quality of life (HRQoL). Results The mean EQ-5D-5L index score for DM patients was 0.84. A total of 229 EQ-5D health states were reported. Altogether, 47.5% of the respondents reported having some problems with pain/discomfort, followed by mobility (26.4%), usual activities (26.0%), and anxiety/depression (23.5%). Logistic regression and OLS models indicated that male and fully employed respondents were less likely to report having problems with any of the five dimensions and index score of EQ-5D than female and non-fully employed respondents. The findings of OLS model also showed that DM patients that experience comorbidity with three and more chronic conditions were more likely to show a lower index score than respondents who reported living with DM alone. Conclusion The EQ-5D index scores varied among DM patient characteristics and were more highly impaired with multimorbidity status. Interventions targeting at-risk subgroups, such as modifying single-diseased guidelines, might be helpful to improve their HRQoL.
机译：目的本研究旨在根据香港的不同社会造成的特征，估计使用EQ-5D-5L香港（HK）人口税率的糖尿病（DM）的糖尿病（DM）的健康偏好评分。方法数据是从香港公共环境中的专业门诊服务横断面的，患者经验研究。 EQ-5D-5L HK用于收集患者的健康状况。据报道，共有2326名受访者遭受DM，他们的信息被引发并用于本研究的分析。稳健的ANOVA方法用于比较子组之间的EQ-5D-5L指数分数的差异。二进制逻辑回归用于预测受访者报告全部健康的概率，并且使用序数最小二乘（OLS）模型来评估DM与健康相关生活质量（HRQOL）之间的关系。结果DM患者的平均EQ-5D-5L指数分数为0.84。报告了229欧元的卫生国家。共有47.5％的受访者报告患有疼痛/不适的问题，其次是流动性（26.4％），通常的活动（26.0％）和焦虑/抑郁（23.5％）。 Logistic回归和OLS模型表明，男性和完全使用的受访者不太可能报告与EQ-5D的任何五个维度和指数得分的问题不太可能比女性和非全面使用的受访者。 OLS模型的研究结果还表明，DM患者，其具有三种和更多慢性疾病的合并症的患者更可能显示出较低的指数分数，而不是报道单独使用DM生活的受访者。结论DM患者特性的EQ-5D指数评分各不相同，并且更高度受损多重状态。针对风险亚组的干预措施，例如修改单一患病指南，可能有助于改善他们的HRQOL。

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