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Hand function and quality of life in patients with diabetes mellitus before and during the COVID-19 pandemic

Yamamoto, Michiro Kato, Yayoi Takeuchi, Jun 名古屋大学

2023.11

概要

The coronavirus disease 2019 (COVID-19) pandemic has been shown to affect individuals
by increasing the incidence of depression, anxiety, and stress, as well as exacerbating physical
symptoms, such as insomnia and musculoskeletal pain.1-3 On contrary, some reports have indicated
little differences in the scores of patient-rated outcome measures regarding the quality of life
(QOL) and physical function before and during the pandemic.4,5
Patients with diabetes mellitus (DM) are known to be at an increased risk of infection. A
report published by the Chinese Center for Disease Control and Prevention involving 72,314
cases of COVID-19 revealed increased mortality among patients with DM (overall, 2.3%; diabetic
patients, 7.3%).6 Therefore, patients with DM may have experienced greater psychological and
physical impact during the COVID-19 pandemic compared to those of the general population.
DM has been identified as an etiologic factor for several conditions affecting the hand, including limited joint mobility, Dupuytren’s contracture, carpal tunnel syndrome, and trigger finger.7,8
The spectrum of hand disorders associated with DM is referred to as the “diabetic hand.”
In March 2019, we conducted a longitudinal study on hand function and QOL in patients
visiting a specialized DM outpatient clinic. We used the patient-rated outcome measures, namely
the Hand10 and EuroQol five-dimension (EQ-5D) questionnaires to evaluate hand function and
QOL, respectively.9,10 We compared the outcomes and patient background data before and during
the COVID-19 pandemic.
This study aimed to investigate the effects of the COVID-19 pandemic in patients with DM
by comparing patient-rated outcome measures related to hand function and QOL, as well as
patients’ mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using the
EQ-5D subscales. ...

参考文献

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...

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