| A longitudinal assessment of painful diabetic peripheral neuropathy on health status, productivity, and health care utilization and cost. | |
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MedLine Citation:
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PMID: 21087406 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of the current study was to examine the health outcomes of patients suffering from painful diabetic peripheral neuropathy (pDPN) over a 3-year period, relative to patients with diabetes but without neuropathic pain and controls. DESIGN: The current study included participants who completed three consecutive waves of the National Health and Wellness Survey (2006-2008). These participants were categorized into one of three groups: those with pDPN (N=290), those with diabetes but without pDPN ("diabetes without pDPN group"; N=1,037), and those not diagnosed with diabetes ("control group"; N=8,162). OUTCOME MEASURES: Health status (Short Form-12v2), work productivity (Work Productivity and Activity Impairment Questionnaire), and resource use were examined with repeated-measures models adjusting for demographic and clinical factors. RESULTS: The pDPN group reported significantly lower levels of physical quality of life. Moreover, physical quality of life scores for the pDPN group decreased at a significantly faster rate over a 3-year period relative to other groups. In addition, the pDPN patients reported significantly higher levels of impairment of work productivity and activity, greater resource use, and higher total 3-year per-patient costs. CONCLUSIONS: Confirming and expanding upon the literature, our results indicate a significantly worse trajectory of quality of life outcomes over time and long-term increased total costs for pDPN patients relative to non-pDPN diabetes patients and controls. |
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Authors:
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Marco daCosta DiBonaventura; Joseph C Cappelleri; Ashish V Joshi |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-11-18 |
Journal Detail:
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Title: Pain medicine (Malden, Mass.) Volume: 12 ISSN: 1526-4637 ISO Abbreviation: Pain Med Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100894201 Medline TA: Pain Med Country: United States |
Other Details:
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Languages: eng Pagination: 118-26 Citation Subset: IM |
Copyright Information:
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Wiley Periodicals, Inc. |
Affiliation:
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Health Sciences Practice, Kantar Health, 11 Madison Avenue, New York, NY 10010, USA. marco.dibonaventura@kantarhealth.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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