Can self-rated health scores be used for risk prediction in patients with type 2 diabetes?

Abstract:

OBJECTIVE:To investigate whether self-rated health profiles compiled using the EuroQol group's visual analog scale (EQ VAS) are independent predictors of vascular events and major complications in people with type 2 diabetes after controlling for standard clinical risk factors. RESEARCH DESIGN AND METHODS:The study is based on 7,348 individuals with a mean follow-up of 2.4 years after completing the EQ-5D questionnaire. We used Cox proportional hazards modeling to estimate hazard ratios associated with EQ VAS scores after controlling for baseline covariates: age, sex, smoking status, diabetes duration, A1C, systolic blood pressure, BMI, plasma lipids, and prior clinical history. RESULTS:A 10-point higher EQ VAS score was associated with a 6% (95% CI 1-11) lower risk of vascular events and a 22% (95% CI 15-28) lower risk of diabetes complications. CONCLUSIONS:Self-rated health profiles compiled using the EQ VAS provide valuable information on patient risk in addition to that determined from clinical risk factors alone.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Hayes AJ,Clarke PM,Glasziou PG,Simes RJ,Drury PL,Keech AC

doi

10.2337/dc07-1391

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

795-7

issue

4

eissn

0149-5992

issn

1935-5548

pii

dc07-1391

journal_volume

31

pub_type

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