Health-related quality of life in the first year following diagnosis of Type 2 diabetes: Newly dignosed patients in general practice compared with screening-detected patients. The Hoorn screening study

Marcel C. Adriaanse, J. M. Dekker, A. M.W. Spijkerman, J. W.R. Twisk, G. Nijpels, H. M. Van Der Ploeg, R. J. Heine, F. J. Snoek

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Aims: To determine health-related quality of life (HRQoL) in the first year following diagnosis of Type 2 diabetes among newly diagnosed patients in general practice compared with patients detected by targeted population screening. Methods: The study population consisted of 49 newly diagnosed patients in general practice and 116 screening-detected patients. HRQoL was operationalized as symptom distress, perceived health status and emotional well-being, that were assessed prospectively ∼2 weeks, 6 months and 12 months after the diagnosis of Type 2 diabetes, with the Type 2 Diabetes Symptom Checklist (DSC-type 2), the Short Form 36 (SF-36) and the Well-Being Questionnaire (W-BQ12), respectively. Results: The DSC-type 2 total score (range 0-4) improved significantly within newly diagnosed patients in general practice (median at ∼2 weeks, 6 months and 12 months; 0.56, 0.21, 0.26; P = 0.000) and not within screening-detected patients (0.24, 0.24, 0.29; P = 0.093). Descriptives showed that newly diagnosed patients in general practice compared with screening-detected patients had consistently worse mean scores on all SF-36 mental health subscales Social Functioning, Role Emotional, Mental Health, Vitality, and all W-BQ12 scales at each time point. The differences were statistically significant for Role Emotional, Mental Health, Vitality (SF-36), and General well-being (W-BQ12). The SF-36 General Health (F = 3.7, P = 0.028) and Vitality (F = 4.5, P = 0.012) scores of newly diagnosed patients in general practice improved significantly over time, compared with screening-detected patients. Conclusions: Newly diagnosed patients in general practice compared with screening-detected patients reported more diabetes-related symptom distress shortly after the diagnosis, and a consistently worse mental health status at each time point. Improved Vitality scores in newly diagnosed patients in general practice in the first year following diagnosis of Type 2 diabetes suggest a positive effect of diabetes treatment on HRQoL.

Original languageEnglish
Pages (from-to)1075-1081
Number of pages7
JournalDiabetic Medicine
Volume21
Issue number10
DOIs
Publication statusPublished - 1 Oct 2004

Cite this

@article{fa8ffd8c8e534f36897a7fd552b76548,
title = "Health-related quality of life in the first year following diagnosis of Type 2 diabetes: Newly dignosed patients in general practice compared with screening-detected patients. The Hoorn screening study",
abstract = "Aims: To determine health-related quality of life (HRQoL) in the first year following diagnosis of Type 2 diabetes among newly diagnosed patients in general practice compared with patients detected by targeted population screening. Methods: The study population consisted of 49 newly diagnosed patients in general practice and 116 screening-detected patients. HRQoL was operationalized as symptom distress, perceived health status and emotional well-being, that were assessed prospectively ∼2 weeks, 6 months and 12 months after the diagnosis of Type 2 diabetes, with the Type 2 Diabetes Symptom Checklist (DSC-type 2), the Short Form 36 (SF-36) and the Well-Being Questionnaire (W-BQ12), respectively. Results: The DSC-type 2 total score (range 0-4) improved significantly within newly diagnosed patients in general practice (median at ∼2 weeks, 6 months and 12 months; 0.56, 0.21, 0.26; P = 0.000) and not within screening-detected patients (0.24, 0.24, 0.29; P = 0.093). Descriptives showed that newly diagnosed patients in general practice compared with screening-detected patients had consistently worse mean scores on all SF-36 mental health subscales Social Functioning, Role Emotional, Mental Health, Vitality, and all W-BQ12 scales at each time point. The differences were statistically significant for Role Emotional, Mental Health, Vitality (SF-36), and General well-being (W-BQ12). The SF-36 General Health (F = 3.7, P = 0.028) and Vitality (F = 4.5, P = 0.012) scores of newly diagnosed patients in general practice improved significantly over time, compared with screening-detected patients. Conclusions: Newly diagnosed patients in general practice compared with screening-detected patients reported more diabetes-related symptom distress shortly after the diagnosis, and a consistently worse mental health status at each time point. Improved Vitality scores in newly diagnosed patients in general practice in the first year following diagnosis of Type 2 diabetes suggest a positive effect of diabetes treatment on HRQoL.",
keywords = "Diagnosis, Health-related quality of life, Screening, Type 2 diabetes",
author = "Adriaanse, {Marcel C.} and Dekker, {J. M.} and Spijkerman, {A. M.W.} and Twisk, {J. W.R.} and G. Nijpels and {Van Der Ploeg}, {H. M.} and Heine, {R. J.} and Snoek, {F. J.}",
year = "2004",
month = "10",
day = "1",
doi = "10.1111/j.1464-5491.2004.01277.x",
language = "English",
volume = "21",
pages = "1075--1081",
journal = "Diabetic Medicine",
issn = "0742-3071",
publisher = "Wiley-Blackwell",
number = "10",

}

Health-related quality of life in the first year following diagnosis of Type 2 diabetes : Newly dignosed patients in general practice compared with screening-detected patients. The Hoorn screening study. / Adriaanse, Marcel C.; Dekker, J. M.; Spijkerman, A. M.W.; Twisk, J. W.R.; Nijpels, G.; Van Der Ploeg, H. M.; Heine, R. J.; Snoek, F. J.

In: Diabetic Medicine, Vol. 21, No. 10, 01.10.2004, p. 1075-1081.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Health-related quality of life in the first year following diagnosis of Type 2 diabetes

T2 - Newly dignosed patients in general practice compared with screening-detected patients. The Hoorn screening study

AU - Adriaanse, Marcel C.

AU - Dekker, J. M.

AU - Spijkerman, A. M.W.

AU - Twisk, J. W.R.

AU - Nijpels, G.

AU - Van Der Ploeg, H. M.

AU - Heine, R. J.

AU - Snoek, F. J.

PY - 2004/10/1

Y1 - 2004/10/1

N2 - Aims: To determine health-related quality of life (HRQoL) in the first year following diagnosis of Type 2 diabetes among newly diagnosed patients in general practice compared with patients detected by targeted population screening. Methods: The study population consisted of 49 newly diagnosed patients in general practice and 116 screening-detected patients. HRQoL was operationalized as symptom distress, perceived health status and emotional well-being, that were assessed prospectively ∼2 weeks, 6 months and 12 months after the diagnosis of Type 2 diabetes, with the Type 2 Diabetes Symptom Checklist (DSC-type 2), the Short Form 36 (SF-36) and the Well-Being Questionnaire (W-BQ12), respectively. Results: The DSC-type 2 total score (range 0-4) improved significantly within newly diagnosed patients in general practice (median at ∼2 weeks, 6 months and 12 months; 0.56, 0.21, 0.26; P = 0.000) and not within screening-detected patients (0.24, 0.24, 0.29; P = 0.093). Descriptives showed that newly diagnosed patients in general practice compared with screening-detected patients had consistently worse mean scores on all SF-36 mental health subscales Social Functioning, Role Emotional, Mental Health, Vitality, and all W-BQ12 scales at each time point. The differences were statistically significant for Role Emotional, Mental Health, Vitality (SF-36), and General well-being (W-BQ12). The SF-36 General Health (F = 3.7, P = 0.028) and Vitality (F = 4.5, P = 0.012) scores of newly diagnosed patients in general practice improved significantly over time, compared with screening-detected patients. Conclusions: Newly diagnosed patients in general practice compared with screening-detected patients reported more diabetes-related symptom distress shortly after the diagnosis, and a consistently worse mental health status at each time point. Improved Vitality scores in newly diagnosed patients in general practice in the first year following diagnosis of Type 2 diabetes suggest a positive effect of diabetes treatment on HRQoL.

AB - Aims: To determine health-related quality of life (HRQoL) in the first year following diagnosis of Type 2 diabetes among newly diagnosed patients in general practice compared with patients detected by targeted population screening. Methods: The study population consisted of 49 newly diagnosed patients in general practice and 116 screening-detected patients. HRQoL was operationalized as symptom distress, perceived health status and emotional well-being, that were assessed prospectively ∼2 weeks, 6 months and 12 months after the diagnosis of Type 2 diabetes, with the Type 2 Diabetes Symptom Checklist (DSC-type 2), the Short Form 36 (SF-36) and the Well-Being Questionnaire (W-BQ12), respectively. Results: The DSC-type 2 total score (range 0-4) improved significantly within newly diagnosed patients in general practice (median at ∼2 weeks, 6 months and 12 months; 0.56, 0.21, 0.26; P = 0.000) and not within screening-detected patients (0.24, 0.24, 0.29; P = 0.093). Descriptives showed that newly diagnosed patients in general practice compared with screening-detected patients had consistently worse mean scores on all SF-36 mental health subscales Social Functioning, Role Emotional, Mental Health, Vitality, and all W-BQ12 scales at each time point. The differences were statistically significant for Role Emotional, Mental Health, Vitality (SF-36), and General well-being (W-BQ12). The SF-36 General Health (F = 3.7, P = 0.028) and Vitality (F = 4.5, P = 0.012) scores of newly diagnosed patients in general practice improved significantly over time, compared with screening-detected patients. Conclusions: Newly diagnosed patients in general practice compared with screening-detected patients reported more diabetes-related symptom distress shortly after the diagnosis, and a consistently worse mental health status at each time point. Improved Vitality scores in newly diagnosed patients in general practice in the first year following diagnosis of Type 2 diabetes suggest a positive effect of diabetes treatment on HRQoL.

KW - Diagnosis

KW - Health-related quality of life

KW - Screening

KW - Type 2 diabetes

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U2 - 10.1111/j.1464-5491.2004.01277.x

DO - 10.1111/j.1464-5491.2004.01277.x

M3 - Article

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SP - 1075

EP - 1081

JO - Diabetic Medicine

JF - Diabetic Medicine

SN - 0742-3071

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