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Table 2 Comparison of patient-reported and physician-estimated current health status, QoL, diabetes-specific QoL, and PDDT

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)

 
  1. NS not significant, SD standard deviation
  2. aHigher scores reflect better quality of life
  3. bProfile A: indicates no problems in any of the 5 dimensions of the EQ-5D
  4. cLower score reflects better quality of life