PMID- 26504375
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20151027
LR  - 20201001
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 9
DP  - 2015
TI  - Patient-reported outcomes in type 2 diabetes mellitus: patients' and primary care 
      physicians' perspectives in the Spanish health care system.
PG  - 1413-22
LID - 10.2147/PPA.S87005 [doi]
AB  - OBJECTIVE: Understanding patients' and physicians' perceptions of type 2 diabetes 
      mellitus (T2DM) management and treatment has important implications for diabetes 
      care, allowing the identification of clinical practice issues that could be 
      improved, leading to patients' better understanding of the illness and, 
      consequently, healthier self-management behaviors. The objective of this study 
      was to identify differences between physicians' and T2DM patients' perceptions 
      related to health status, patient-reported outcomes assessments, and T2DM 
      management and treatment, in routine clinical practice in Spain. METHODS: This 
      was an observational, cross-sectional study including 1,012 T2DM patients and 974 
      physicians from 47 and 52 Spanish provinces, respectively. An electronic 
      structured self-administered questionnaire containing 17 questions was designed 
      aiming to address both physicians' and patient's perceptions on overall T2DM 
      health status and patient-reported outcomes. RESULTS: T2DM patients perceived a 
      worse health status (40% reported having a "good" and 38% a "neither good nor 
      bad" health status) compared with physicians' perceptions (77% thought patients 
      had a "good" health status). Most patients answered being "satisfied" or "neither 
      satisfied nor unsatisfied" with the given information, while physicians 
      considered that patients were "satisfied" or "very satisfied" with the 
      information for self-monitoring blood glucose and treatment administration. 
      Fifty-seven percent of patients reported that medical recommendations were 
      "important", while 58% of physicians considered it as "very important". 
      Fifty-three percent of patients perceived that their current T2DM treatment 
      suited their preferences "quite a lot", and this was lower than the proportion of 
      physicians (69%) that believed this for their patients. Additionally, a lower 
      percentage of patients (53%) than physicians (79%) believed that their treatment 
      improved their health-related quality of life "quite a lot". All differences 
      between patients and physicians were statistically significant (P<0.001). 
      CONCLUSION: Patients and physicians demonstrate different views concerning all 
      questions related to T2DM health status and diabetes management and treatment 
      (information, recommendations, satisfaction, and preferences).
FAU - Franch-Nadal, Josep
AU  - Franch-Nadal J
AD  - AEP Raval Sud, Barcelona, Spain ; Center for Biomedical Research Network of 
      Diabetes and Associated Metabolic Diseases (CIBERDEM), Madrid, Spain.
FAU - Labrador Barba, Elena
AU  - Labrador Barba E
AD  - Established Pharmaceuticals Division, Mylan EPD, Madrid, Spain.
FAU - Gomez-Garcia, M Carmen
AU  - Gomez-Garcia MC
AD  - Centro de Salud Velez Norte, Malaga, Spain.
FAU - Buil-Cosiales, Pilar
AU  - Buil-Cosiales P
AD  - Centro de Salud Azpilagana, Pamplona, Spain.
FAU - Millaruelo, Jose Manuel
AU  - Millaruelo JM
AD  - Centro de Salud Torrero La Paz, Zaragoza, Spain.
FAU - Pena, Maria Luisa Orera
AU  - Pena ML
AD  - Established Pharmaceuticals Division, Mylan EPD, Madrid, Spain.
LA  - eng
PT  - Journal Article
DEP - 20151008
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC4603711
OTO - NOTNLM
OT  - HRQoL
OT  - PROs
OT  - T2DM
OT  - adherence
OT  - health-related quality of life
OT  - perception
OT  - preferences
OT  - treatment satisfaction
EDAT- 2015/10/28 06:00
MHDA- 2015/10/28 06:01
PMCR- 2015/10/08
CRDT- 2015/10/28 06:00
PHST- 2015/10/28 06:00 [entrez]
PHST- 2015/10/28 06:00 [pubmed]
PHST- 2015/10/28 06:01 [medline]
PHST- 2015/10/08 00:00 [pmc-release]
AID - ppa-9-1413 [pii]
AID - 10.2147/PPA.S87005 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2015 Oct 8;9:1413-22. doi: 10.2147/PPA.S87005. 
      eCollection 2015.