Calidad de vida de pacientes con diabetes tipo 2 en Colombia. Revisión sistemática y metaanálisis acumulativo / Quality of Life of Patients with Type 2 Diabetes in Colombia. Systematic Review and Cumulative Meta-analysis
Búsqueda sistemática en las bases de datos LILACS, Pubmed, Embase y Google Académico, de estudios observacionales que midieron de manera cuantitativa la CV de pacientes con diabetes tipo 2, sin importar la comorbilidad o estado funcional, en el contexto ambulatorio u hospitalario en Colombia. Para identificar los dominios más afectados se realizó un metaanálisis acumulativo de estudios observacionales que midieron la CV con los Cuestionarios de Salud SF-36 (Short Form-36) y SF-8 (Short Form-8), y se realizó un modelo de efectos aleatorios que permitió la estimación de las medias como medida de efecto combinado.
Resultados:
Se identificaron siete artículos, de los cuales cuatro fueron incluidos en la síntesis cuantitativa. Los dominios de la CV de los pacientes con diabetes tipo 2 más afectados según los Cuestionarios SF-36 y SF-8 fueron salud general 49,7 (IC 95% 37,3 a 62,0), rolfísico 53,6 (IC 95% 35,6 a 71,6) y función física 53,8 (IC 95% 34,8 a 72,8).
To identify the most affected domains in the quality of life in people with 2 type diabetes.
Methods:
Systematic search in LILACS, Pubmed, Embase and Google Scholar data bases for observational studies that measure quantitatively the quality of life for patients with diabetes type 2, despite comorbidity or functional status, in the ambulatory or hospital setting in Colombia. In order to identify the most affected domains, it was carried out a cumulative meta-analysis of observational studies aimed to measurelife quality through the HealthQuestionnaires SF-36 (Short Form-36) and SF-8 (Short Form-8), and also, a Random effects model was conducted, which allowed the average as a measure of combined effect.
Results:
Seven articles were identified, of which four were included in the quantitative synthesis, the most affected domains according to SF-36 and SF-8 were general health 49.7 (95% CI 37.3 to 62.0), physical role 53.6 (95% CI 35.6 to 71.6), physical function 53.8 (95% CI 34.8 to 72.8).
Conclusion:
Preventive and care programs for people with type 2 diabetes should focus on comprehensive management that contributes to quality of life improvement concerned health. It is still required to expand the investigation to account for the results in people's health.