Impact of continuous glucose monitoring on quality of life, treatment satisfaction, and use of medical care resources: analyses from the SWITCH study
| العنوان: | Impact of continuous glucose monitoring on quality of life, treatment satisfaction, and use of medical care resources: analyses from the SWITCH study |
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| المؤلفون: | E, Hommel, B, Olsen, T, Battelino, I, Conget, I, Schütz-Fuhrmann, R, Hoogma, U, Schierloh, N, Sulli, H, Gough, J, Castañeda, S, de Portu, J, Bolinder, B, Shashaj |
| المصدر: | Acta Diabetologica Acta Diabetologica, 51(5), 845-851. Berlin, Germany: Springer Verlag (2014). |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Blood Glucose, Male, medical resources, Endocrinology, Diabetes and Metabolism, treatment satisfaction, insulin pump therapy, law.invention, Indirect costs, Endocrinology, Quality of life, Randomized controlled trial, law, Medicine, Insulin, Young adult, Child, Continuous glucose monitoring, Multidisciplinary, general & others [D99] [Human health sciences], Cross-Over Studies, Incidence (epidemiology), Medicine (all), Hemoglobin A, General Medicine, Health Care Costs, Middle Aged, Diabetes and Metabolism, Patient Satisfaction, Original Article, Type 1, Medical resources, Adult, medicine.medical_specialty, Multidisciplinaire, généralités & autres [D99] [Sciences de la santé humaine], Adolescent, sensouraugmented insulin pump therapy, Glycosylated, Young Adult, Insulin pump therapy, Patient satisfaction, Insulin Infusion Systems, Diabetes Mellitus, Internal Medicine, Humans, Hypoglycemic Agents, Aged, Glycated Hemoglobin, Type 1 diabetes, Treatment satisfaction, business.industry, Blood Glucose Self-Monitoring, Sensor-augmented insulin pump therapy, Diabetes Mellitus, Type 1, Hemoglobin A, Glycosylated, Quality of Life, medicine.disease, Crossover study, Surgery, quality of life, Physical therapy, business |
| الوصف: | To investigate the impact of continuous glucose monitoring (CGM) on health-related quality of life (HRQOL), treatment satisfaction (TS) medical resource use, and indirect costs in the SWITCH study. SWITCH was a multicentre, randomized, crossover study. Patients with type 1 diabetes (n = 153) using continuous subcutaneous insulin infusion (CSII) were randomized to a 12 month sensor-On/Off or sensor-Off/On sequence (6 months each treatment), with a 4-month washout between periods. HRQOL in children and TS in adults were measured using validated questionnaires. Medical resource utilization data were collected. In adults, TS was significantly higher in the sensor-On arm, and there were significant improvements in ratings for treatment convenience and flexibility. There were no clinically significant differences in children’s HRQOL or parents’ proxy ratings. The incidence of severe hypoglycaemia, unscheduled visits, or diabetes-related hospitalizations did not differ significantly between the two arms. Adult patients made fewer telephone consultations during the sensor-On arm; children’s caregivers made similar numbers of telephone consultations during both arms, and calls were on average only 3 min longer during the sensor-On arm. Regarding indirect costs, children with >70 % sensor usage missed fewer school days, compared with the sensor-Off arm (P = 0.0046) but there was no significant difference in the adults days of work off. The addition of CGM to CSII resulted in better metabolic control without imposing an additional burden on the patient or increased medical resource use, and offered the potential for cost offsets. |
| تدمد: | 1432-5233 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7a223e112242eaed29384d37d2bed72bTest https://pubmed.ncbi.nlm.nih.gov/25037251Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7a223e112242eaed29384d37d2bed72b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14325233 |
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