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- 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.
- Authors
Soares Felício, João; Contente Braga de Souza, Ana Carolina; Cavalcante Koury, Camila; Abrahão Neto, João Felício; Barbosa Miléo, Karem; Marques Santos, Flávia; Bastos Motta, Ana Regina; Dias Silva, Denisson; Pontes Arbage, Thaís; Tavares Carvalho, Carolina; de de Rider Brito, Hana Andra; Sumi Yamada, Elizabeth; Cobas, Roberta Arnoldi; Matheus, Alessandra; Tannus, Lucianne; Sousa Palma, Catia Cristina; Japiassu, Leticia; Ivar Carneiro, João Regis; Rodacki, Melanie; Zajdenverg, Lenita
- Abstract
Background: 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. Methods: 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. Results: 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. Conclusions: 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.
- Subjects
BRAZIL; PEOPLE with diabetes; QUALITY of life; PUBLIC health; TYPE 1 diabetes; PREVENTION of diabetes complications; PATIENTS
- Publication
Diabetology & Metabolic Syndrome, 2015, Vol 7, Issue 1, p1
- ISSN
1758-5996
- Publication type
Article
- DOI
10.1186/s13098-015-0081-9