Ten-year change in self-rated quality of life in a type 1 diabetes population: Wisconsin Epidemiologic Study of Diabetic Retinopathy

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dc.contributor.author Hirai, Flavio E. [UNIFESP]
dc.contributor.author Tielsch, James M.
dc.contributor.author Klein, Barbara E. K.
dc.contributor.author Klein, Ronald
dc.date.accessioned 2016-01-24T14:32:03Z
dc.date.available 2016-01-24T14:32:03Z
dc.date.issued 2013-08-01
dc.identifier http://dx.doi.org/10.1007/s11136-012-0245-0
dc.identifier.citation Quality of Life Research. Dordrecht: Springer, v. 22, n. 6, p. 1245-1253, 2013.
dc.identifier.issn 0962-9343
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/36590
dc.description.abstract To investigate a 10-year change of quality of life and associated factors in a population with type 1 diabetes.The Medical Outcome Study Short Form-36 (SF-36) was administered in participants (n = 520) at the 1995-1996 and 2005-2007 examination phases of the Wisconsin Epidemiologic Study of Diabetic Retinopathy (WESDR). Physical (PCS) and mental (MCS) component summary scores were calculated. the associations between changes of quality of life and demographic, socioeconomic, and clinical factors were analyzed.PCS score decreased (p < 0.001) and MCS score increased (p < 0.001) after 10 years. the development of cardiovascular disease and the presence of limb amputation were associated with decrease in the PCS score. Those who were working and retired had increased MCS; those who were working and stopped had a decrease in the MCS score. Change in visual acuity and diabetic retinopathy status did not have a significant impact in health-related quality of life scores.Our findings reinforce the necessity to make every attempt to decrease complications of diabetes in individuals with long-term type 1 diabetes in order to attenuate the diminished quality of life associated with those complications such as cardiovascular disease. Change in employment status, likely due to development of these complications, was also strongly associated with poorer quality of life and suggests the benefits of preventing or decreasing complications to keep people with type 1 diabetes in the workforce. en
dc.description.sponsorship National Institutes of Health (Bethesda, MD)
dc.description.sponsorship Research to Prevent Blindness, New York (NY)
dc.description.sponsorship National Eye Institute
dc.description.sponsorship American Diabetes Association, Alexandria, VA
dc.format.extent 1245-1253
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartof Quality of Life Research
dc.rights Acesso restrito
dc.subject Epidemiology en
dc.subject Diabetes mellitus en
dc.subject Quality of life en
dc.subject Diabetic retinopathy en
dc.title Ten-year change in self-rated quality of life in a type 1 diabetes population: Wisconsin Epidemiologic Study of Diabetic Retinopathy en
dc.type Artigo
dc.rights.license http://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.contributor.institution Johns Hopkins Univ
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Univ Wisconsin
dc.description.affiliation Johns Hopkins Univ, Dept Epidemiol, Bloomberg Sch Publ Hlth, Baltimore, MD USA
dc.description.affiliation Universidade Federal de São Paulo, Dept Ophthalmol, São Paulo, Brazil
dc.description.affiliation Johns Hopkins Univ, Dept Int Hlth, Bloomberg Sch Publ Hlth, Baltimore, MD USA
dc.description.affiliation Univ Wisconsin, Dept Ophthalmol & Visual Sci, Madison, WI USA
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Ophthalmol, São Paulo, Brazil
dc.description.sponsorshipID National Institutes of Health (Bethesda, MD): EY06594
dc.description.sponsorshipID National Institutes of Health (Bethesda, MD): EY016379
dc.identifier.doi 10.1007/s11136-012-0245-0
dc.description.source Web of Science
dc.identifier.wos WOS:000322735700009



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