From: Comparing assessment of diabetes-related quality of life between patients and their physicians
Total population n = 136 | Diabetes clinic n = 66 | Primary care clinic n = 70 | P value | |
---|---|---|---|---|
Current health status (EQ-VAS) | ||||
Patients’ assessment of current health, Mean (SD) | 75.9 (13.5) | 71.7 (14.9) | 79.9 (10.8) | < 0.01 |
Physician-estimated patient’s current health Mean (SD) | 73.9 (12.5) | 68.6 (13.4) | 78.7 (9.4) | < 0.01 |
Concordance between physician-estimated and patient-reported EQ-VAS score, Pearson correlation coefficient (p value) | r = 0.79 (< 0.01) | r = 0.72 (< 0.01) | r = 0.83(< 0.01) | |
EQ-5D-3 L scorea | ||||
Patients’ assessment, Mean (SD) | 0.75 (0.27) | 0.70 (0.294) | 0.80 (0.246) | 0.04 |
Physicians’ assessment, Mean (SD) | 0.72 (0.293) | 0.65 (0.314) | 0.79 (0.255) | < 0. 01 |
Concordance between patient-reported and physician-estimated EQ-5D index score, Pearson correlation coefficient (p value) | r = 0.79 (< 0.01) | r = 0.72, (< 0.01) | r = 0.83, (< 0.01) | |
Profile A ratingb | ||||
Patients’ assessment (%) | 48.5 | 43.9 | 52.9 | NS |
Physicians’ assessment (%) | 44.1 | 36.4 | 51.4 | 0.04 |
Concordance between physician-estimated and patient-reported profile A rating, weighted Kappa (95% Condidence Interval) | K = 0.63 (0.54–0.72) | K = 0.61 (0.49–0.73) | K = 0.625 (0.48–0.77) | |
Diabetes-specific QoL | ||||
Patients’ assessment, Mean (SD) | 1.91 (0.62) | 2.21 (0.69) | 1.72 (0.48) | < 0.01 |
Physicians’ assessment, Mean (SD) | 1.93 (0.72) | 2.21 (0.78) | 1.67 (0.55) | < 0. 01 |
Concordance between patient-reported and physician-estimated diabetes-specific QoL score, Pearson correlation coefficient (p value) | r = 0.61 Ρ = 0. 01 | r = 0.67 Ρ = 0. 01 | r = 0.35 Ρ = 0. 01 | |
Perception of Difficulty with Diabetes Treatment (PDDT)c | ||||
Patients’ assessment, Mean (SD) | 4.12 (0.84) | 3.74 (0.92) | 4.48 (0.55) | < 0.01 |
Physicians’ assessment, Mean (SD) | 4.09 (0.83) | 3.71 (0.86) | 4.45 (0.62) | < 0.01 |
Concordance between patient-reported and physician-estimated PDDT score, Pearson correlation coefficient (p value) | r = 0.59 (< 0.01) | r = 0.49 (< 0.01) | r = 0.52 (< 0.001) |