Health-related quality of life outcomes at an integrated, person-centered clinic for patients with combined cardiovascular disease, diabetes mellitus and chronic kidney disease; a randomized trial Passed
Wednesday May 15, 2024 14:30 - 15:13 Poster Arena
Presenter: Gudrun Evén
Track: Posters, Evaluation of Interventions
Poster can be found in location 104.
INTRODUCTION: Patients with cardiovascular disease, diabetes mellitus, and chronic kidney disease often require extensive healthcare, but coordination among specialists and providers is lacking, potentially contributing to reduced quality of life (QoL). We aimed to assess whether multidisciplinary and person-centered care at an integrated clinic (HND-centrum) improve self-reported health-related QoL. METHOD: Patients in the Care-HND trial (ClinicalTrials.gov Identifier: NCT03362983) completed RAND-36, EQ-5D-3L and a Patient Reported Experience Measures (PREM) questionnaire at baseline, 6, and 12 months. Chi-square, t-tests, and ANOVA repeated measurements with Tukey’s post hoc test were used to assess changes over time and between groups. RESULTS: Of 128 patients, 71 were randomized to HND and 57 to traditional care (control). The response rates were 86%, 81% and 69% at baseline, 6 and 12 months. Using RAND-36, HND patients improved in Role Physical (RP), Social Function (SF), and General Health (GH) over time, significantly outperforming controls in RP and SF (p=0.021; p=0.019). Using EQ-5D-3L, HND patients showed improvement in Pain and Anxiety over time but not significantly compared to controls. For the visual analog scale (VAS), the HND group improved over time (p=0.007) and outperformed controls (p=0.011). Using PREM questions, HND patients reported higher satisfaction with given verbal information and staff accessibility. CONCLUSIONS: Patients at the HND clinic reported improved general health over time, while controls experienced more pain and anxiety. HND patients were more satisfied with staff accessibility and verbal information quality.
Seminar type
Poster
Conference
GCPCC
Authors
Gudrun Evén, Åsa Franzén-Dahlin, Terese Stenfors, Jonas Spaak
Lecturers
Gudrun Evén Presenter
Karolinska Institutet, KIDS