Evidence map›Paper›PMID 37491893›Full record

ArticleEndocrinology, diabetes & metabolism2023

Medication adherence and health-related quality of life among people with diabetes in Bangladesh: A cross-sectional study.

Sabrina Ahmed, K M Saif-Ur-Rahman, Raja Ram Dhungana, Gantsetseg Ganbaatar, Fatema Ashraf, Yuichiro Yano, Katsuyuki Miura, M S A Mansur Ahmed

Open access · goldAbstract read
In one paragraph

Article in Endocrinology, diabetes & metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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  4. Oral nutritional supplement compliance among hospitalized cancer patients: a cross-sectional study based on the KAP model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 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

8 authors at 5 institutions in 4 countries.

Sabrina AhmedDepartment of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh.ORCID 0000-0001-6256-1389
K M Saif-Ur-RahmanHealth Systems and Population Studies Division, icddr,b, Dhaka, Bangladesh.
Raja Ram DhunganaFaculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
Gantsetseg GanbaatarNCD Epidemiology Research Center, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, Shiga, Japan.
Fatema AshrafDepartment of Gynaecology and Obstetrics, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.
Yuichiro YanoNCD Epidemiology Research Center, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, Shiga, Japan.
Katsuyuki MiuraNCD Epidemiology Research Center, Shiga University of Medical Science, Seta Tsukinowa-Cho, Otsu, Shiga, Japan.
M S A Mansur AhmedDepartment of Noncommunicable Diseases, Bangladesh University of Health Sciences, Dhaka, Bangladesh.
Shiga University of Medical Science · JPBangladesh University of Health Sciences · BDMonash University · AUOllscoil na Gaillimhe – University of Galway · IEShaheed Suhrawardy Medical College · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGood adherence to anti-diabetic medications is an important protective factor for decreasing diabetes-related complications and disabilities but its association with health-related quality of life (HRQoL) is understudied. The current study aimed to assess an association between medication adherence to anti-diabetic drugs and HRQoL among people with diabetes in Dhaka city, Bangladesh.

methodsWe conducted a cross-sectional study among 480 people with diabetes aged between 50 and 70 years, who attended a tertiary-level hospital in Dhaka city. We used the EuroQol-5 Dimensions Questionnaire (EQ-5D-5L) to measure HRQoL and Morisky Medication Adherence Scale to assess the level of medication adherence to anti-diabetic drugs. Multivariable logistic regression was performed to assess the significance of relevant factors.

resultsThe mean age of the participants was 59.0 (standard deviation [SD], 7.0) years. The majority of the participants (74%) had a lower level of medication adherence. The mean value of (EQ-5D-5L) was 2.0 (SD, 1.0). The percentage of severe disability in different domains were 6.7% for mobility, 3.5% for self-care, 11.9% for usual daily activities, 11.9% for pain/discomfort and 11.3% for anxiety. After adjusting for age, sex, years of education, household expenditure, hypertension, duration of diabetes, glycemic status and multi-morbidities; low adherence to anti-diabetic medication was inversely associated with pain (OR, 0.26; 95% CI, 0.08-0.80; p = .036), and positively associated with anxiety (OR, 7.18; 95% CI, 1.03-9.59; p = .043).

conclusionsLow medication adherence to anti-diabetic drugs was associated with anxiety and pain among the EQ-5D-5L indexes measured in people with diabetes in Dhaka, Bangladesh.

Indexed as

Diabetes MellitusQuality of LifeAgedBangladeshCross-Sectional StudiesHumansMiddle AgedPaindeterminantsdiabetesmedication adherencequality of life

Identifiers

PMID37491893
PMCPMC10495558
OpenAlexW4385263712

What OpenQuestion holds

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LicenceCC BY
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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.