Diabetes and its impact on health-related quality of life: a life table analysis
Abstract
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. Diabetes-deleted 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 from 2001 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.
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A reduction of 11 to 20 years in life expectancy is higher than what is associated with most other risk factors for premature death such as diabetes (up to 2 years), smoking (10 years), and severe obesity (10 years).
“A reduction of 11 to 20 years in life expectancy is higher than what is associated with most other risk factors for premature death such as diabetes (up to 2 years) [45], smoking (10 years) [46], and severe obesity (10 years) [47].”
From Life expectancy and death by diseases of the circulatory system in patients with bipolar disorder or schizophrenia in the Nordic countries. (2013) · cites this paper as [45]
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- Authors
- Sikdar, K. C., Wang, P. P., MacDonald, D., & Gadag, V. G.
- Affiliations
- Memorial University of Newfoundland (CA)
- Corresponding author
- Sikdar, Khokan C.
- Venue
- Quality of Life Research
- Published
- 2010-03-27
- Volume
- 19
- Issue
- 6
- Pages
- 781-787
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W1988360786
- Cited by
- 43
- References
- 27
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 2 · 2016: 2 · 2015: 1 · 2014: 5 · 2013: 6 · 2012: 3
- FWCI
- 9.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- diabetes mellitus, health-related quality of life, health-adjusted life expectancy, life expectancy, Health Utilities Index, Newfoundland and Labrador, diabetes prevalence, diabetes mortality
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Canada, Child, Chronic Disease, Cross-Sectional Studies, Diabetes Mellitus, Female, Health Status, Humans, Life Expectancy, Male, Middle Aged, Quality of Life, Life Tables, Prevalence, Sex Distribution, Sickness Impact Profile, Young Adult
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