关键词: Comorbidity Quality Of Life (QOL) diabetes direct cost musculoskeletal disorders

来  源:   DOI:10.4103/ijcm.ijcm_832_22   PDF(Pubmed)

Abstract:
UNASSIGNED: Diabetes is a chronic disorder with long-term sequelae and multisystem manifestation. Burden of diabetes in on the rise. Presence of other morbidities can not only have a detrimental effect on the disease treatment and recovery course, but also on the financial burden and quality of life. Present study aims to investigate how musculoskeletal conditions affect individuals with diabetes compared to those without the condition.
UNASSIGNED: A comparative study was conducted among patients attending the outpatient department of a tertiary care hospital in North India to assess the burden of musculoskeletal disorders in people with and without diabetes. A total of 195 diabetes patients and an equal number of individuals without diabetes were sequentially enrolled from the outpatient department (OPD).
UNASSIGNED: Burden of musculoskeletal comorbidities was significantly higher (46.2%) among people with diabetes than the comparison group (25.1%). The overall odds ratio (OR) for comorbidities of musculoskeletal system was 2.5 times higher in diabetes cases as compared to individuals without diabetes. The OR for rheumatoid arthritis, chronic backache, and osteoarthritis was found to be 3.6, 2.9, and 1.7 respectively. Poor quality of life and higher direct cost of treatment were found among diabetes cases with musculoskeletal comorbidities as against those without these comorbidities.
UNASSIGNED: Presence of musculoskeletal comorbidity is high among diabetes patients, and it has an impact on the quality of life and treatment cost. Screening for musculoskeletal comorbidities should be included as part of the diabetes complication assessment to allow for early detection and treatment.
摘要:
糖尿病是一种具有长期后遗症和多系统表现的慢性疾病。糖尿病的负担在上升。其他疾病的存在不仅会对疾病的治疗和恢复过程产生不利影响,也是经济负担和生活质量的问题。本研究旨在调查与没有糖尿病的人相比,肌肉骨骼疾病如何影响糖尿病患者。
在印度北部一家三级保健医院门诊部就诊的患者中进行了一项比较研究,以评估患有和不患有糖尿病的人的肌肉骨骼疾病负担。从门诊部(OPD)连续招募了总共195名糖尿病患者和相同数量的无糖尿病个体。
糖尿病患者的肌肉骨骼合并症负担(46.2%)明显高于对照组(25.1%)。与没有糖尿病的个体相比,糖尿病患者肌肉骨骼系统合并症的总体优势比(OR)高2.5倍。类风湿性关节炎的OR,慢性背痛,骨关节炎分别为3.6、2.9和1.7。在有肌肉骨骼合并症的糖尿病病例中,与没有这些合并症的患者相比,生活质量差,治疗的直接成本更高。
在糖尿病患者中,肌肉骨骼合并症的存在很高,影响生活质量和治疗费用。作为糖尿病并发症评估的一部分,应包括肌肉骨骼合并症的筛查,以便早期发现和治疗。
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