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Cardiology Research and PracticeVolume 2012 2012, Article ID 404107, 5 pages

Research Article

Midwestern Endocrinology, Overland Park, KS 66211, USA

Saint Luke-s South Primary Care, Overland Park, KS 66213, USA

Strategic Healthcare Solutions, LLC, P.O. Box 543, Monkton, MD 21111, USA

AstraZeneca, Wilmington, DE 19803-2902, USA

Received 15 February 2012; Revised 20 April 2012; Accepted 21 April 2012

Academic Editor: Marco Metra

Copyright © 2012 Andrew J. Green et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. This study compared quality of life, depression, and healthcare resource utilization among adults with type 2 diabetes mellitus T2DM and comorbid hypertension HTN and obesity with those of adults reporting T2DM alone. Methods. Respondents to the US SHIELD survey self-reported their height, weight, comorbid conditions, hospitalizations, and outpatient visits and completed the Short Form-12 SF-12 and Patient Health Questionnaire PHQ-9. Respondents reporting T2DM and HTN and obesity body mass index, BMI, ≥30 kg-m

were compared with a T2DM-alone group. Results. Respondents with T2DM, HTN, and obesity had significantly lower SF-12 Physical and Mental Component Summary scores 37.3 and 50.9, resp. than T2DM-alone respondents 45.8 and 53.5, resp., . Mean PHQ-9 scores were significantly higher among T2DM respondents with comorbid HTN and obesity 5.0 versus 2.5, , indicating greater depression burden. Respondents with T2DM, HTN, and obesity had significantly more resource utilization with respect to physician visits and emergency room visits but not hospitalizations than respondents with T2DM alone . Conclusions. SHIELD respondents with comorbid conditions of T2DM, HTN, and obesity reported greater healthcare resource utilization, more depression symptoms, and lower quality of life than the T2DM-alone group.





Autor: Andrew J. Green, Debbra D. Bazata, Kathleen M. Fox, and Susan Grandy

Fuente: https://www.hindawi.com/



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