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Gepubliceerd in:

18-06-2024

Health-related quality of life in pregnant women with type 1 diabetes and associations with maternal and neonatal complications

Auteurs: Yixin Gong, Yujie Liu, Jing Wang, Tian Wei, Jinhua Yan, Daizhi Yang, Xueying Zheng, Jianping Weng, Sihui Luo

Gepubliceerd in: Quality of Life Research | Uitgave 9/2024

Abstract

Purpose

Preexisting type 1 diabetes is a stressful situation for women in pregnancy. We aimed to evaluate health-related quality of life (HRQoL) during pregnancy in women with type 1 diabetes and examine the association between HRQoL and pregnancy outcomes.

Methods

This multicenter prospective cohort study involved 115 pregnant women with type 1 diabetes from 11 participating centers in China. HRQoL was investigated in three trimesters using European Quality-of-life 5-Dimension 5-Level questionnaire (EQ-5D-5 L). Chinese time trade-off value method was used to calculate the EQ-5D-5 L score. Multivariable logistic regression model was used to evaluate the effect of HRQoL on maternal and neonatal outcomes. Receiver operating characteristic curves and distribution-based methods were employed to estimate minimally important differences of clinically important decline in HRQoL.

Results

50.43% of the studied women with type 1 diabetes reported impaired HRQoL in pregnancy. Estimated maternal HRQoL significantly decreased from early to mid-pregnancy (mean EQ-5D-5 L score 0.97 in the first trimester and 0.91 in the second trimester) and improved slightly in late pregnancy (mean EQ-5D-5 L score 0.95). Multivariable regression model showed that women who experienced impaired HRQoL in pregnancy had higher risk of hypertensive disorder, preterm birth, and composite pregnancy outcome. The estimated minimally important difference for composite pregnancy outcome was -0.045 to -0.043.

Conclusions

Experiencing impaired HRQoL during pregnancy was associated with a higher risk of hypertensive disorder and preterm birth in women with type 1 diabetes. The estimated minimally important difference of EQ-5D-5 L might serve as a clinically important tool in prenatal care.

Trial registration

No.ChiCTR1900025955

vorige artikel Population-level norm values by EQ-5D-3L in Hungary - a comparison of survey results from 2022 with those from 2000

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Titel: Health-related quality of life in pregnant women with type 1 diabetes and associations with maternal and neonatal complications
Auteurs: Yixin Gong
Yujie Liu
Jing Wang
Tian Wei
Jinhua Yan
Daizhi Yang
Xueying Zheng
Jianping Weng
Sihui Luo
Publicatiedatum: 18-06-2024
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 9/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-024-03716-x

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Health-related quality of life in pregnant women with type 1 diabetes and associations with maternal and neonatal complications

Abstract

Purpose

Methods

Results

Conclusions

Trial registration

Andere artikelen Uitgave 9/2024

Adaptation and content validation of measure yourself medical outcomes profile (MYMOP) for 7–11 year-old children

Assessment of psychometric performance for the Chinese version of the Brief Inventory of Perceived Stress integrating exploratory graph analysis and confirmatory factor analysis

Correction: Introduction and validation of the open symptom framework: a public domain modular framework for patient-reported measurement of symptoms related to cancer and its treatment

Demonstrating responsiveness of the pediatric cardiac quality of life inventory in children and adolescents undergoing arrhythmia ablation, heart transplantation, and valve surgery

Androgen deprivation therapy in advanced prostate cancer: insights from a real-world patient survey on health-related quality of life and information and communication sources

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Bohn Stafleu van Loghum

Welkom bij Scalda & Bohn Stafleu van Loghum

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Abstract

Purpose

Methods

Results

Conclusions

Trial registration

Log in om toegang te krijgen

Adaptation and content validation of measure yourself medical outcomes profile (MYMOP) for 7–11 year-old children

Assessment of psychometric performance for the Chinese version of the Brief Inventory of Perceived Stress integrating exploratory graph analysis and confirmatory factor analysis

Correction: Introduction and validation of the open symptom framework: a public domain modular framework for patient-reported measurement of symptoms related to cancer and its treatment

Demonstrating responsiveness of the pediatric cardiac quality of life inventory in children and adolescents undergoing arrhythmia ablation, heart transplantation, and valve surgery

Androgen deprivation therapy in advanced prostate cancer: insights from a real-world patient survey on health-related quality of life and information and communication sources

Lower extremity physical function and quality of life in patients with stroke: a longitudinal cohort study