eprintid: 19480
rev_number: 14
eprint_status: archive
userid: 1589
dir: disk0/00/01/94/80
datestamp: 2016-01-19 08:45:45
lastmod: 2024-04-10 20:03:16
status_changed: 2016-01-19 08:45:45
type: article
metadata_visibility: show
creators_name: Miksch, Antje
creators_name: Hermann, Katja
creators_name: Rölz, Andreas
creators_name: Joos, Stefanie
creators_name: Szecsenyi, Joachim
creators_name: Ose, Dominik
creators_name: Rosemann, Thomas
title: Additional impact of concomitant hypertension and osteoarthritis on quality of life among patients with type 2 diabetes in primary care in Germany - a cross-sectional survey
subjects: ddc-610
divisions: i-910100
abstract: Background: Patients with type 2 diabetes are likely to have comorbid conditions which represent a high burden for patients and a challenge for primary care physicians. The aim of this cross-sectional survey was to assess the impact of additional comorbidities on quality of life within a large sample of patients with type 2 diabetes in primary care.   Methods: A cross-sectional survey within a large sample (3.546) of patients with type 2 diabetes in primary care was conducted. Quality of life (QoL) was assessed by means of the Medical Outcome Study Short Form (SF-36), self reported presence of comorbid conditions was assessed and groups with single comorbidities were selected. QoL subscales of these groups were compared to diabetes patients with no comorbidities. Group comparisons were made by ANCOVA adjusting for sociodemographic covariates and the presence of depressive disorder.   Results: Of 3546 questionnaires, 1532 were returned, thereof 1399 could be analysed. The mean number of comorbid conditions was 2.1. 235 patients declared to have only hypertension as comorbid condition, 97 patients declared to have osteoarthritis only. Patients suffering from diabetes and hypertension reached similar scores like diabetic patients with no comorbidities. Patients with diabetes and osteoarthritis reached remarkable lower scores in all subscales. Compared to patients with diabetes alone these differences were statistically significant in the subscales representing pain and physical impairment.   Conclusion: The impact of osteoarthritis as an often disabling and painful condition on QoL in patients with type 2 diabetes is higher than the impact of hypertension as common but often asymptomatic comorbidity. Individual care of patients with chronic conditions should aim at both improving QoL and controlling risk factors for severe complications.  
date: 2009
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1656107422
own_urn: urn:nbn:de:bsz:16-heidok-194807
language: eng
bibsort: MIKSCHANTJADDITIONAL2009
full_text_status: public
publication: Health and Quality of Life Outcomes
volume: 7
number: 19
place_of_pub: London
pagerange: 1-7
issn: 1477-7525
citation:   Miksch, Antje ; Hermann, Katja ; Rölz, Andreas ; Joos, Stefanie ; Szecsenyi, Joachim ; Ose, Dominik ; Rosemann, Thomas  (2009) Additional impact of concomitant hypertension and osteoarthritis on quality of life among patients with type 2 diabetes in primary care in Germany - a cross-sectional survey.  Health and Quality of Life Outcomes, 7 (19).  pp. 1-7.  ISSN 1477-7525     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/19480/1/12955_2008_Article_536.pdf