Patient-Reported Outcomes and Impact of Type 2 Diabetes: A Cross-Sectional Study in the Kingdom of Saudi Arabia.

Kingdom of Saudi Arabia health-related quality of life impacts patient-reported outcomes preferences type 2 diabetes

Journal

Patient preference and adherence
ISSN: 1177-889X
Titre abrégé: Patient Prefer Adherence
Pays: New Zealand
ID NLM: 101475748

Informations de publication

Date de publication:
2020
Historique:
received: 26 06 2020
accepted: 06 10 2020
entrez: 18 11 2020
pubmed: 19 11 2020
medline: 19 11 2020
Statut: epublish

Résumé

The Kingdom of Saudi Arabia (KSA) has the second highest prevalence of type 2 diabetes mellitus (T2DM) in the Middle East. There is a paucity of research on the experiences and treatment preferences of patients with T2DM in KSA. This study explored Saudi patients' health-related quality of life, eating habits, experiences during Ramadan, and preference between two glucagon-like peptide-1 receptor agonist (GLP-1 RA) treatment devices. A cross-sectional, observational study was conducted in three cities in KSA. Participants completed sociodemographic and clinical forms, EQ-5D-5L, Impact of Weight on Self-Perceptions, and a diabetes treatment survey. Participants also viewed instructional videos on GLP-1 RA injection devices and indicated their device preference. Of the 310 participants, 53% were male. The mean age was 43 years (range: 30.0-75.0), duration since diabetes diagnosis was 6.3 years (range: 0.2-27.1), the most commonly reported last HbA1c level was between ≥7.1% and 8% (45%). The mean EQ-5D-5L index score was 0.90, with some participants reporting problems with pain/discomfort (34.5%) and usual activities (33.2%). Patients reported a low-to-moderate impact of weight on self-perception. In preparation for Ramadan, participants sought physician advice on diabetes management (37%) and/or increased checks of their blood glucose (37%). After watching the videos, 89% (n=277) of participants indicated a device preference, with significantly more preferring the dulaglutide device (n=186, 67%) over the semaglutide device (n=91, 33%) (p<0.0001). This study indicates that T2DM has a significant social, emotional, and behavioral impact on the lives of patients in KSA.

Sections du résumé

BACKGROUND BACKGROUND
The Kingdom of Saudi Arabia (KSA) has the second highest prevalence of type 2 diabetes mellitus (T2DM) in the Middle East. There is a paucity of research on the experiences and treatment preferences of patients with T2DM in KSA. This study explored Saudi patients' health-related quality of life, eating habits, experiences during Ramadan, and preference between two glucagon-like peptide-1 receptor agonist (GLP-1 RA) treatment devices.
METHODS METHODS
A cross-sectional, observational study was conducted in three cities in KSA. Participants completed sociodemographic and clinical forms, EQ-5D-5L, Impact of Weight on Self-Perceptions, and a diabetes treatment survey. Participants also viewed instructional videos on GLP-1 RA injection devices and indicated their device preference.
RESULTS RESULTS
Of the 310 participants, 53% were male. The mean age was 43 years (range: 30.0-75.0), duration since diabetes diagnosis was 6.3 years (range: 0.2-27.1), the most commonly reported last HbA1c level was between ≥7.1% and 8% (45%). The mean EQ-5D-5L index score was 0.90, with some participants reporting problems with pain/discomfort (34.5%) and usual activities (33.2%). Patients reported a low-to-moderate impact of weight on self-perception. In preparation for Ramadan, participants sought physician advice on diabetes management (37%) and/or increased checks of their blood glucose (37%). After watching the videos, 89% (n=277) of participants indicated a device preference, with significantly more preferring the dulaglutide device (n=186, 67%) over the semaglutide device (n=91, 33%) (p<0.0001).
CONCLUSION CONCLUSIONS
This study indicates that T2DM has a significant social, emotional, and behavioral impact on the lives of patients in KSA.

Identifiants

pubmed: 33204074
doi: 10.2147/PPA.S265126
pii: 265126
pmc: PMC7667182
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2231-2242

Informations de copyright

© 2020 Gelhorn et al.

Déclaration de conflit d'intérêts

Heather L. Gelhorn, Louis S. Matza, Jessica B. Jordan, Savita B. Anand, and Huda Shalhoub are employees of Evidera, a company that received funding from Eli Lilly for time spent conducting this research. Alena A. Strizek, Kristina S. Boye, and Ali Alhammad are employees of and own stock in Eli Lilly and Company. Dr. Aishah A. Ekhzaimy is not an employee of Eli Lilly and Company and has no conflict of interest to disclose. The authors report no other potential conflicts of interest for this work.

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Auteurs

Heather L Gelhorn (HL)

Evidera, Bethesda, MD, USA.

Kristina S Boye (KS)

Eli Lilly and Company, Indianapolis, IN, USA.

Louis S Matza (LS)

Evidera, Bethesda, MD, USA.

Jessica B Jordan (JB)

Evidera, Bethesda, MD, USA.

Ali Alhammad (A)

Eli Lilly and Company, Riyadh, Kingdom of Saudi Arabia.

Savita B Anand (SB)

Evidera, London, UK.

Aishah A Ekhzaimy (AA)

King Saud University, King Saud University Medical City, Riyadh, Kingdom of Saudi Arabia.

Alena Strizek (A)

Eli Lilly, Sydney, Australia.

Classifications MeSH