Evidence map›Paper›PMID 28750026›Full record

ArticlePloS one2017

Differences in biopsychosocial profiles of diabetes patients by level of glycaemic control and health-related quality of life: The Maastricht Study.

Arianne M J Elissen, Dorijn F L Hertroijs, Nicolaas C Schaper, Hans Bosma, Pieter C Dagnelie, Ronald M Henry, Carla J van der Kallen, Annemarie Koster, Miranda T Schram, Coen D A Stehouwer and 3 more

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In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Concept analysis of diabetes-related quality of life.Health and quality of life outcomes · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Arianne M J ElissenDepartment of Health Services Research, Maastricht University, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0001-9795-8095
Dorijn F L HertroijsDepartment of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Nicolaas C SchaperCAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
Hans BosmaCAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
Pieter C DagnelieCAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
Ronald M HenryDepartment of Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Carla J van der KallenDepartment of Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Annemarie KosterCAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
Miranda T SchramDepartment of Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Coen D A StehouwerDepartment of Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Johannes S A G SchoutenUniversity Eye Clinic Maastricht, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Tos T J M BerendschotUniversity Eye Clinic Maastricht, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Dirk RuwaardDepartment of Health Services Research, Maastricht University, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTailored, patient-centred innovations are needed in the care for persons with type 2 diabetes mellitus (T2DM), in particular those with insufficient glycaemic control. Therefore, this study sought to assess their biopsychosocial characteristics and explore whether distinct biopsychosocial profiles exist within this subpopulation, which differ in health-related quality of life (HRQoL).

methodsCross-sectional study based on data from The Maastricht Study, a population-based cohort study focused on the aetiology, pathophysiology, complications, and comorbidities of T2DM. We analysed associations and clustering of glycaemic control and HRQoL with 38 independent variables (i.e. biopsychosocial characteristics) in different subgroups and using descriptive analyses, latent class analysis (LCA), and logistic regressions.

resultsIncluded were 840 persons with T2DM, mostly men (68.6%) and with a mean age of 62.6 (±7.7) years. Mean HbA1c was 7.1% (±3.2%); 308 patients (36.7%) had insufficient glycaemic control (HbA1c>7.0% [53 mmol/mol]). Compared to those with sufficient control, these patients had a significantly worse-off status on multiple biopsychosocial factors, including self-efficacy, income, education and several health-related characteristics. Two 'latent classes' were identified in the insufficient glycaemic control subgroup: with low respectively high HRQoL. Of the two, the low HRQoL class comprised about one-fourth of patients and had a significantly worse biopsychosocial profile.

conclusionsInsufficient glycaemic control, particularly in combination with low HRQoL, is associated with a generally worse biopsychosocial profile. Further research is needed into the complex and multidimensional causal pathways explored in this study, so as to increase our understanding of the heterogeneous care needs and preferences of persons with T2DM, and translate this knowledge into tailored care and support arrangements.

Indexed as

HealthQuality of LifeBlood GlucoseDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedModels, BiologicalNetherlandsBlood Glucose

Identifiers

PMID28750026
PMCPMC5531491

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.