HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Online-Only Appendix All Versions of this Article: dc07-1391v1 31/4/795    most recent Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Hayes, A. J. Articles by Keech, A. C. Search for Related Content PubMed PubMed Citation Articles by Hayes, A. J. Articles by Keech, A. C. Social Bookmarking                What's this?

Can Self-Rated Health Scores Be Used for Risk Prediction in Patients With Type 2 Diabetes?

¹ School of Public Health, University of Sydney, Sydney, New South Wales, Australia
² Department of Primary Care, University of Oxford, Oxford, U.K
³ National Health & Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, New South Wales, Australia
⁴ Auckland Diabetes Centre, Auckland, New Zealand

Address correspondence and reprint requests to Dr. Alison Hayes, School of Public Health, University of Sydney, NSW 2006 Australia. E-mail: alisonh{at}health.usyd.edu.au

OBJECTIVE—To investigate whether self-rated health profiles compiled using the EuroQol group’s visual analog scale (EQ VAS) are independent predictors of vascular events and major complications in people with type 2 diabetes after controlling for standard clinical risk factors.

RESEARCH DESIGN AND METHODS—The study is based on 7,348 individuals with a mean follow-up of 2.4 years after completing the EQ-5D questionnaire. We used Cox proportional hazards modeling to estimate hazard ratios associated with EQ VAS scores after controlling for baseline covariates: age, sex, smoking status, diabetes duration, A1C, systolic blood pressure, BMI, plasma lipids, and prior clinical history.

RESULTS—A 10-point higher EQ VAS score was associated with a 6% (95% CI 1–11) lower risk of vascular events and a 22% (95% CI 15–28) lower risk of diabetesc complications.

CONCLUSIONS—Self-rated health profiles compiled using the EQ VAS provide valuable information on patient risk in addition to that determined from clinical risk factors alone.

Abbreviations: VAS, visual analog scale • FIELD, Finofibrate Intervention and Event Lowering in Diabetes study

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?