Impact of continuous glucose monitoring on quality of life, treatment satisfaction, and use of medical care resources: analyses from the SWITCH study

Hommel, E; Olsen, B; Battelino, T; Conget, I; Schütz-Fuhrmann, I; Hoogma, R; Schierloh, U; Sulli, N; Gough, H; Castañeda, J; De Portu, S; Bolinder, J; De Beaufort, Carine

Reference : Impact of continuous glucose monitoring on quality of life, treatment satisfaction, a...


	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Multidisciplinary, general & others
	To cite this reference:	http://hdl.handle.net/10993/26959

Title :	Impact of continuous glucose monitoring on quality of life, treatment satisfaction, and use of medical care resources: analyses from the SWITCH study
Language :	English
Author, co-author :	Hommel, E []
	Olsen, B []
	Battelino, T []
	Conget, I []
	Schütz-Fuhrmann, I []
	Hoogma, R []
	Schierloh, U []
	Sulli, N []
	Gough, H []
	Castañeda, J []
	De Portu, S []
	Bolinder, J []
	De Beaufort, Carine [University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > >]
Publication date :	2014
Journal title :	Acta Diabetologica
Publisher :	Springer Verlag
Volume :	51
Issue/season :	5
Pages :	845-851
Peer reviewed :	Yes (verified by ORBi^lu)
ISSN :	0940-5429
e-ISSN :	1432-5233
City :	Berlin
Country :	Germany
Keywords :	[en] Continuous glucose monitoring ; medical resources ; insulin pump therapy ; quality of life ; sensouraugmented insulin pump therapy ; treatment satisfaction
Abstract :	[en] To investigate the impact of continuous glucose monitoring (CGM) on health-related quality of life (HRQOL), treatment satisfaction (TS) medical resource use, and indirect costs in the SWITCH study. SWITCH was a multicentre, randomized, crossover study. Patients with type 1 diabetes (n = 153) using continuous subcutaneous insulin infusion (CSII) were randomized to a 12 month sensor-On/Off or sensor-Off/On sequence (6 months each treatment), with a 4-month washout between periods. HRQOL in children and TS in adults were measured using validated questionnaires. Medical resource utilization data were collected. In adults, TS was significantly higher in the sensor-On arm, and there were significant improvements in ratings for treatment convenience and flexibility. There were no clinically significant differences in children’s HRQOL or parents’ proxy ratings. The incidence of severe hypoglycaemia, unscheduled visits, or diabetes-related hospitalizations did not differ significantly between the two arms. Adult patients made fewer telephone consultations during the sensor-On arm; children’s caregivers made similar numbers of telephone consultations during both arms, and calls were on average only 3 min longer during the sensor-On arm. Regarding indirect costs, children with [70 % sensor usage missed fewer school days, compared with the sensor-Off arm (P = 0.0046) but there was no significant difference in the adults days of work off. The addition of CGM to CSII resulted in better metabolic control without imposing an additional burden on the patient or increased medical resource use, and offered the potential for cost offsets.
Permalink :	http://hdl.handle.net/10993/26959

File(s) associated to this reference

Fulltext file(s):

	File	Commentary	Version	Size	Access
Open access	hommel et al. impact of continuous glucose monitoring 2014.pdf		Author postprint	180.59 kB	View/Open

All documents in ORBi^lu are protected by a user license.

University of Luxembourg Library | Feedback | Legal notices