Next Article in Journal
Next Article in Special Issue
Previous Article in Journal
Previous Article in Special Issue
Int. J. Environ. Res. Public Health 2014, 11(5), 4939-4952; doi:10.3390/ijerph110504939
Article

Health Utilities of Type 2 Diabetes-Related Complications: A Cross-Sectional Study in Sweden

1,2,3,* , 1,3,4
, 5
, 5
, 5
 and 1,3
Received: 24 February 2014; in revised form: 1 April 2014 / Accepted: 4 May 2014 / Published: 7 May 2014
(This article belongs to the Special Issue Diabetes Prevention: Challenges and Opportunities)
View Full-Text   |   Download PDF [194 KB, uploaded 19 June 2014]
Abstract: This study estimates health utilities (HU) in Sweden for a range of type 2 diabetes-related complications using EQ-5D and two alternative tariffs (UK and Swedish) from 1757 patients with type 2 diabetes from the Swedish National Diabetes Register (NDR). Ordinary least squares were used for statistical analysis. Lower HU was found for female gender, younger age at diagnosis, higher BMI, and history of complications. Microvascular and macrovascular complications had the most negative effect on HU among women and men, respectively. The greatest decline in HU was associated with kidney disorders (−0.114) using the UK tariff and stroke (−0.059) using the Swedish tariff. Multiple stroke and non-acute ischaemic heart disease had higher negative effect than a single event. With the UK tariff, each year elapsed since the last microvascular/macrovascular complication was associated with 0.013 and 0.007 units higher HU, respectively. We found important heterogeneities in effects of complications on HU in terms of gender, multiple event, and time. The Swedish tariff gave smaller estimates and so may result in less cost-effective interventions than the UK tariff. These results suggest that incorporating subgroup-specific HU in cost-utility analyses might provide more insight for informed decision-making.
Keywords: EQ-5D; health utility; Sweden; type 2 diabetes EQ-5D; health utility; Sweden; type 2 diabetes
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.

Export to BibTeX |
EndNote


MDPI and ACS Style

Kiadaliri, A.A.; Gerdtham, U.-G.; Eliasson, B.; Gudbjörnsdottir, S.; Svensson, A.-M.; Carlsson, K.S. Health Utilities of Type 2 Diabetes-Related Complications: A Cross-Sectional Study in Sweden. Int. J. Environ. Res. Public Health 2014, 11, 4939-4952.

AMA Style

Kiadaliri AA, Gerdtham U-G, Eliasson B, Gudbjörnsdottir S, Svensson A-M, Carlsson KS. Health Utilities of Type 2 Diabetes-Related Complications: A Cross-Sectional Study in Sweden. International Journal of Environmental Research and Public Health. 2014; 11(5):4939-4952.

Chicago/Turabian Style

Kiadaliri, Aliasghar A.; Gerdtham, Ulf-G; Eliasson, Björn; Gudbjörnsdottir, Soffia; Svensson, Ann-Marie; Carlsson, Katarina S. 2014. "Health Utilities of Type 2 Diabetes-Related Complications: A Cross-Sectional Study in Sweden." Int. J. Environ. Res. Public Health 11, no. 5: 4939-4952.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert