Evidence map›Paper›PMID 29394942›Full record

Trial reportHealth and quality of life outcomes2018

Factors influencing health-related quality of life in patients with Type 1 diabetes.

A J N Raymakers, P Gillespie, M C O'Hara, M D Griffin, S F Dinneen

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Health and quality of life outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Concept analysis of diabetes-related quality of life.Health and quality of life outcomes · 2025
    Review
  6. Health-related quality of life in pregnant women with type 1 diabetes and associations with maternal and neonatal complications.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Nutritional Determinants of Quality of Life in a Mediterranean Cohort: The SUN Study.International journal of environmental research and public health · 2020
    Article
  15. The cognitive and psychological effects of living with type 1 diabetes: a narrative review.Diabetic medicine : a journal of the British Diabetic Association · 2020
    Review
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

5 authors.

A J N RaymakersCÚRAM Centre for Research in Medical Devices, National University of Ireland Galway, Galway, Ireland. adam.raymakers@nuigalway.ie.
P GillespieCÚRAM Centre for Research in Medical Devices, National University of Ireland Galway, Galway, Ireland.
M C O'HaraResearch and Development, Health Services Executive, Health and Wellbeing Division, Galway, Ireland.
M D GriffinCÚRAM Centre for Research in Medical Devices, National University of Ireland Galway, Galway, Ireland.
S F DinneenSchool of Medicine, Clinical Science Institute, National University of Ireland Galway, Galway, Ireland.

Funding

European Regional Development Fund 13/RC/2073
6 · The paper itself

Abstract

aimsGeneric, preference-based measures of health-related quality of life (HRQoL) are a common input to the economic evaluation of new health technologies. As such, it is important to explore what characteristics of patients with Type 1 diabetes might impact scores on such measures.

methodsThis study utilizes baseline data from a cluster-randomized trial that recruited patients with Type 1 diabetes at six centers across Ireland. Health-related quality of life was assessed using the three-level EuroQol EQ-5D (EQ-5D) measure. Patients' responses to individual dimensions of the EQ-5D were explored. To see which patient factors influenced EQ-5D scores, multivariate regression analysis was conducted with EQ-5D scores as the outcome variable.

resultsData was available for 437 Type 1 diabetes patients. The median age of these patients was 40 (IQR: 31-49) years and 53.8% were female. Overall, patients reported a high HRQoL based on EQ-5D scores (0.87 (SD: 0.19). Fifty-four percent of patients reported a perfect HRQoL. For those that reported problems, the most common dimension was the anxiety/depression dimension of the EQ-5D (29.6%). In the multivariate regression analysis, self-reported mental illness (- 0.22 (95% CI: -0.34, - 0.10)) and being unemployed (- 0.07 (95% CI: -0.13, - 0.02)) were negatively associated with EQ-5D scores (p < 0.05). The influence of self-reported mental illness was persistent in sensitivity analyses.

conclusionsThe study results indicate that patients with Type 1 diabetes report a high HRQoL based on responses to the EQ-5D. However, there are a substantial number of Type 1 diabetes patients that report problems in the anxiety/depression dimension, which may provide avenues to improve patients' HRQoL.

trial registrationCurrent Controlled Trials ISRCTN79759174 .

Indexed as

Quality of LifeAdultAgedAnxietyDepressionDiabetes Mellitus, Type 1FemaleHealth SurveysHumansIrelandMaleMiddle AgedMultivariate AnalysisSelf Report

Identifiers

PMID29394942
PMCPMC5797407

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Registered trials

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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.