1.Panel6 Bustanul 24072016 HRQoL Indonesian T2DM EQ5D 5L and Indonesian TTO

(1)

Health-Related Quality of Life of Indonesian

Type 2 Diabetes Mellitus outpatients

using the EQ-5D-5L instrument and Indonesian TTO value set

Introduction (1-4) Amis(1-1) Methods(1-2) Results(1-6) Conclusion (1)

Bustanul Arifin (University of Groningen, The Netherlands)*; Antoinette D.I. van Asselt (University of Groningen The Netherlands);

Fredrick Dermawan Purba (University Medical Center Rotterdam, The Netherlands); Qi Cao (University of Groningen, The Netherlands);

Lusiana Idrus (University of Groningen The Netherlands); Jarir At Thobari (Universitas Gadjah Mada Yogyakarta, Indonesia);

(2)

Introduction (1-4)

Source: IDF Atlas 6th and 7th edition 2014 and 2015

2013

2015

415 M

46.5%

Adult Undiagnosed

2035

2040

(3)

Introduction (2-4)

IDF Atlas 6th edition, 2014

INDONESIA

(4)

Introduction (3-4)

Central 2,785 million (DM 3.7%) North 2,385 million (DM 3.6%)

South 8,336 million (DM 3.4%) Sulawesi Island

Java Island

Yogyakarta 3,596 million (DM 3%) Jakarta 9,963 million (DM 3%) East Java 37,596 million (DM 2,5%)

Java island has the

↑ population (57%)

but

↓ percentages of DM cases

(5)

Introduction (4-4)

HRQoL & EQ5d-5L?

Indonesian TTO

(6)

Aims (1/1)

Health problems mostly reported

HRQoL utility score

TTO

Japan &

(7)

Methods (1-2)

RS Moewardi Solo

Central Java

 _{Medical Faculty UGM Yogyakarta} No: KE/FK/1188/EC in 12 11 2014  _{Research recommendation from} Ministry of Home Affair RI No: 440,02/4480.DI

Research site

Tool: EQ5D-5L

2

pages

5 dimensions of QoL

Mobility, self care

Usual activities Pain &

anxiety

Visual analoq Scale

(VAS)

5

Scales

No problem,

Slight

Moderate

Severe/ very

(8)

(9)

Methods (2-2)

Data collection

Researcher

dr

T2DM

Researcher

T2DM

Mostly not familiar Page 1: confuse with the

scale

Page 2: Thermometer?

(10)

Participants

Results (1-6)

Elderly (>56 yo)

73%

(n=167)

Utility scores (Socio Demographic Characteristics)

Characteristics n Utility scores VAS

Sex

Male

99

0.767

74.28

Female

130

0.774

78.52*

Age (

59.45 ± 9.30

)

Less than 45

14

0.821

74.64

45-55

48

0.727

76.60

55-65

110

0.781

78.08

(11)

Results (2-6)

Utility scores (Socio Demographic Characteristics)

Characteristics n Utility scores VAS

Dependence to the informal caregiver

Yes

125

0.674

74.89

No

104

0.887*

78.84

Education level

Primary

61

0.704

Junior

46

0.768

Senior

72

0.766

University

50

0.862

(12)

Results (3-6)

Utility scores (Clinical Outcomes)

Characteristics n Utility scores VAS

Type of Therapy

Diet

5

63

OAD

116 0.854

78.9

Insulin (mono or comb)

74 0.683

74.47

Insulin + OAD

34 0.759

75.85**

Complications Co morbidities

Without

91 0.804

78.34

Microvascular

24

75.12

Macrovascular

84 0.796

75.28

Micro & Macro

14 0.724

75.35

(13)

Results (4-6)

Utility scores (Clinical Outcomes)

Characteristics

n

Utility scores

VAS

Number of complications

& comorbidities

Without

91

0.804

78.19

1 comp

95

0.795

76.30

(14)

Results(5-6)

Frequency of reported problems by domains

The participants reported any problems

(slight problem to extreme problem/unable)

62.45% pain/ discomfort

41.92% mobility

Participants accompanied by

informal caregiver

to visit the hospital

reported

Results(6-6)

Why Indonesian TTO value set?

Health State

Indonesia

Japan

South Korea

11115

0.700

0.743

0.689

11151

0.756

0.748

0.619

11511

0.614

0.764

0.651

15111

0.694

0.779

0.704

51111

0.38666

0.696

0.757

(16)

Conclusion

The study findings indicate that T2DM

outpatients in Indonesia suffered from

relatively poor HRQoL compared to general

populations.

(17)

(18)

(19)

Documentation

(20)

Documentation

Data Collection precessess

NOT ONLY INDOOR

Thank you

for your

Attention

(21)