Estado de salud, calidad de vida y utilización de recursos sanitarios de los pacientes con diabetes mellitus en España / Health status, quality of life, and use of healthcare resources by patients with diabetes mellitus in Spain

Introducción. Este estudio analiza el estado de salud de los pacientes con diabetes mellitus (DM), su calidad de vida relacionada con la salud (CVRS) y la utilización de recursos sanitarios. Material y métodos. Se utilizó la Encuesta Nacional de Salud (2012), identificando a aquellas personas de 15 años o más diagnosticadas de DM. Se realizó un análisis descriptivo de su estado de salud, CVRS y utilización de recursos sanitarios, y se compararon sistemáticamente con pacientes con otras enfermedades crónicas (OEC) y con población sin DM (no DM). Resultados. De los 21.007 sujetos participantes, el 7,4% tenían DM y el 59% OEC (edad media 65,6±14,2 años para DM; 51,3±18,1 años para OEC y 45,7±18,2 años para no DM). En comparación con no DM y OEC, la DM se asoció, de forma estadísticamente significativa, con una mayor frecuencia de hipertensión, hipercolesterolemia, obesidad, infarto de miocardio, hospitalización en el último año y consumo de medicamentos, pero con un menor número de visitas a atención secundaria. La media anual de años de vida ajustados por calidad (AVAC) en DM fue 0,75, significativamente inferior (p<0,05) a la de las personas con OEC (0,89) y a la de la población no DM (0,92). La diferencia con respecto a no DM se mantuvo estadísticamente significativa cuando se ajustó por edad, sexo y número de comorbilidades (p<0,001). Conclusiones. En España, la DM está asociada a una elevada comorbilidad, conlleva una pérdida de AVAC mayor a la del conjunto de personas con OEC y genera una carga significativa sobre el sistema sanitario (AU)

Introduction. This study analyses the health status of patients diagnosed with diabetes mellitus (DM), their health related quality of life (HRQoL) and their use of healthcare resources in Spain. Materials and methods. A descriptive analysis was conducted using the Spanish Health National Survey (ENSE, 2012), gathering data on those patients aged 15 and over diagnosed with DM. Their health status, their HRQoL, and their use of healthcare resources were systematically compared with those of patients diagnosed with other chronic conditions (OCC), as well as a population without DM (non-DM). Results. Out of 21,007 subjects that took part, 7.4% were diagnosed with DM and 59% with OCC conditions (mean age 65.6±14.2 years with DM, 51.3±18.1 years with OCC, and 45.7±18.2 years with non-DM). When compared to non-DM and OCC, DM was statistically significantly associated with higher frequencies of hypertension, hypercholesterolaemia, obesity, myocardial infraction, hospital admissions in the last year, and drug consumption, but with a lower number of visits to secondary healthcare. The mean quality adjusted life years (QALY) of patients with DM was 0.75 per year, significantly lower (P<.05) to that of individuals with OCC (0.89), and those without DM (0.92). The difference vs. non-DM remained statistically significant after adjusting for age, gender, and number of comorbidities (P<.001). Conclusions. In Spain, DM is associated with a high comorbidity, involves a greater loss in HRQoL than those diagnosed with other chronic conditions as a whole, and generates a significant burden on the healthcare system (AU)

[Health status, quality of life, and use of healthcare resources by patients with diabetes mellitus in Spain]. / Estado de salud, calidad de vida y utilización de recursos sanitarios de los pacientes con diabetes mellitus en España.

INTRODUCTION: This study analyses the health status of patients diagnosed with diabetes mellitus (DM), their health related quality of life (HRQoL) and their use of healthcare resources in Spain. MATERIALS AND METHODS: A descriptive analysis was conducted using the Spanish Health National Survey (ENSE, 2012), gathering data on those patients aged 15 and over diagnosed with DM. Their health status, their HRQoL, and their use of healthcare resources were systematically compared with those of patients diagnosed with other chronic conditions (OCC), as well as a population without DM (non-DM). RESULTS: Out of 21,007 subjects that took part, 7.4% were diagnosed with DM and 59% with OCC conditions (mean age 65.6±14.2 years with DM, 51.3±18.1 years with OCC, and 45.7±18.2 years with non-DM). When compared to non-DM and OCC, DM was statistically significantly associated with higher frequencies of hypertension, hypercholesterolaemia, obesity, myocardial infraction, hospital admissions in the last year, and drug consumption, but with a lower number of visits to secondary healthcare. The mean quality adjusted life years (QALY) of patients with DM was 0.75 per year, significantly lower (P<.05) to that of individuals with OCC (0.89), and those without DM (0.92). The difference vs. non-DM remained statistically significant after adjusting for age, gender, and number of comorbidities (P<.001). CONCLUSIONS: In Spain, DM is associated with a high comorbidity, involves a greater loss in HRQoL than those diagnosed with other chronic conditions as a whole, and generates a significant burden on the healthcare system.