Title |
Health-related quality of life in patients with type 1 diabetes mellitus in the different geographical regions of Brazil: data from the Brazilian Type 1 Diabetes Study Group
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Published in |
Diabetology & Metabolic Syndrome, October 2015
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DOI | 10.1186/s13098-015-0081-9 |
Pubmed ID | |
Authors |
João Soares Felício, Ana Carolina Contente Braga de Souza, Camila Cavalcante Koury, João Felício Abrahão Neto, Karem Barbosa Miléo, Flávia Marques Santos, Ana Regina Bastos Motta, Denisson Dias Silva, Thaís Pontes Arbage, Carolina Tavares Carvalho, Hana Andrade de Rider Brito, Elizabeth Sumi Yamada, Roberta Arnoldi Cobas, Alessandra Matheus, Lucianne Tannus, Catia Cristina Sousa Palma, Leticia Japiassu, João Regis Ivar Carneiro, Melanie Rodacki, Lenita Zajdenverg, Neuza Braga Campos de Araújo, Marilena de Menezes Cordeiro, Jorge Luiz Luescher, Renata Szundy Berardo, Marcia Nery, Catarina Cani, Maria do Carmo Arruda Marques, Luiz Eduardo Calliari, Renata Maria de Noronha, Thais Della Manna, Roberta Savoldelli, Fernanda Garcia Penha, Milton Cesar Foss, Maria Cristina Foss-Freitas, Antonio Carlos Pires, Fernando Cesar Robles, Carlos Antonio Negrato, Maria de Fatima Guedes, Sergio Atala Dib, Patricia Dualib, Saulo Cavalcanti da Silva, Janice Sepúlveda, Emerson Sampaio, Rosangela Roginski Rea, Ana Cristina Ravazzani de Almeida Faria, Balduino Tschiedel, Suzana Lavigne, Gustavo Adolfo Cardozo, Mirela Azevedo, Luis Henrique Canani, Alessandra Teixeira Zucatti, Marisa Helena Cesar Coral, Daniela Aline Pereira, Luiz Antonio de Araujo, Hermelinda Cordeiro Pedrosa, Monica Tolentino, Flaviene Alves Prado, Nelson Rassi, Leticia Bretones de Araujo, Reine Marie Chaves Fonseca, Alexis Dourado Guedes, Odelisa Silva de Mattos, Manuel Faria, Rossana Azulay, Adriana Costa e Forti, Cristina Figueiredo Sampaio Façanha, Renan Montenegro Junior, Ana Paula Montenegro, Naira Horta Melo, Karla Freire Rezende, Alberto Ramos, Deborah Laredo Jezini, Marilia Brito Gomes, On behalf of the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG) |
Abstract |
In type 1 diabetes mellitus (T1DM) management, enhancing health-related quality of life (HRQoL) is as important as good metabolic control and prevention of secondary complications. This study aims to evaluate possible regional differences in HRQoL, demographic features and clinical characteristics of patients with T1DM in Brazil, a country of continental proportions, as well as investigate which variables could influence the HRQoL of these individuals and contribute to these regional disparities. This was a retrospective, cross-sectional, multicenter study performed by the Brazilian Type 1 Diabetes Study Group (BrazDiab1SG), by analyzing EuroQol scores from 3005 participants with T1DM, in 28 public clinics, among all geographical regions of Brazil. Data on demography, economic status, chronic complications, glycemic control and lipid profile were also collected. We have found that the North-Northeast region presents a higher index in the assessment of the overall health status (EQ-VAS) compared to the Southeast (74.6 ± 30 and 70.4 ± 19, respectively; p < 0.05). In addition, North-Northeast presented a lower frequency of self-reported anxiety-depression compared to all regions of the country (North-Northeast: 1.53 ± 0.6; Southeast: 1.65 ± 0.7; South: 1.72 ± 0.7; Midwest: 1.67 ± 0.7; p < 0.05). These findings could not be entirely explained by the HbA1c levels or the other variables examined. Our study points to the existence of additional factors not yet evaluated that could be determinant in the HRQoL of people with T1DM and contribute to these regional disparities. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 50% |
United States | 2 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 1 | 1% |
Unknown | 73 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 14 | 19% |
Other | 6 | 8% |
Researcher | 6 | 8% |
Student > Master | 6 | 8% |
Student > Doctoral Student | 5 | 7% |
Other | 13 | 18% |
Unknown | 24 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 24% |
Nursing and Health Professions | 7 | 9% |
Psychology | 6 | 8% |
Biochemistry, Genetics and Molecular Biology | 5 | 7% |
Immunology and Microbiology | 2 | 3% |
Other | 7 | 9% |
Unknown | 29 | 39% |