transparent gif

 

Ej inloggad.

Göteborgs universitets publikationer

Health utilities of type 2 diabetes-related complications: a cross-sectional study in Sweden.

Författare och institution:
Aliasghar A Kiadaliri (-); Ulf-G Gerdtham (-); Björn Eliasson (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); Soffia Gudbjörnsdottir (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); Ann-Marie Svensson (Institutionen för medicin, avdelningen för molekylär och klinisk medicin); Katarina Steen Carlsson (-)
Publicerad i:
International journal of environmental research and public health, 11 ( 5 ) s. 4939-52
ISSN:
1660-4601
Publikationstyp:
Artikel, refereegranskad vetenskaplig
Publiceringsår:
2014
Språk:
engelska
Fulltextlänk:
Sammanfattning (abstract):
This study estimates health utilities (HU) in Sweden for a range of type 2 diabetes-related complications using EQ-5D and two alternative tariffs (UK and Swedish) from 1757 patients with type 2 diabetes from the Swedish National Diabetes Register (NDR). Ordinary least squares were used for statistical analysis. Lower HU was found for female gender, younger age at diagnosis, higher BMI, and history of complications. Microvascular and macrovascular complications had the most negative effect on HU among women and men, respectively. The greatest decline in HU was associated with kidney disorders (-0.114) using the UK tariff and stroke (-0.059) using the Swedish tariff. Multiple stroke and non-acute ischaemic heart disease had higher negative effect than a single event. With the UK tariff, each year elapsed since the last microvascular/macrovascular complication was associated with 0.013 and 0.007 units higher HU, respectively. We found important heterogeneities in effects of complications on HU in terms of gender, multiple event, and time. The Swedish tariff gave smaller estimates and so may result in less cost-effective interventions than the UK tariff. These results suggest that incorporating subgroup-specific HU in cost-utility analyses might provide more insight for informed decision-making.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
MEDICIN OCH HÄLSOVETENSKAP ->
Klinisk medicin ->
Endokrinologi och diabetes ->
Diabetologi
Nyckelord:
EQ-5D; health utility; Sweden; type 2 diabetes
Postens nummer:
198199
Posten skapad:
2014-05-17 19:17
Posten ändrad:
2016-06-10 13:39

Visa i Endnote-format

Göteborgs universitet • Tel. 031-786 0000
© Göteborgs universitet 2007