Health Plans Results from Translating Research Into Action for Diabetes (TRIAD)

OBJECTIVEdTo estimate the health utility scores associated with type 2 diabetes, its treat-ments, complications, and comorbidities. RESEARCH DESIGN AND METHODSdWe analyzed health-related quality-of-life data, collected at baseline during Translating Research Into Action for Diabetes, a multicenter, prospective, observational study of diabetes care inmanaged care, for 7,327 individuals with type 2 diabetes. We measured quality-of-life using the EuroQol (EQ)-5D, a standardized instrument for which 1.00 indicates perfect health. We used multivariable regression to estimate the in-dependent impact of demographic characteristics, diabetes treatments, complications, and comorbidities on health-related quality-of-life. RESULTSdThemean EQ-5D–derived health utility score for those individuals with diabetes was 0.80. The modeled utility score for a nonobese, non–insulin-treated, non-Asian, non-Hispanic man with type 2 diabetes, with an annual household income of more than $40,000, andwith no diabetes complications, risk factors for cardiovascular disease, or comorbidities, was 0.92. Being a woman, being obese, smoking, and having a lower household income were associated with lower utility scores. Arranging complications from least tomost severe according to the reduction in health utilit