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OBJECTIVE: To investigate whether self-rated health profiles compiled using the EuroQol group's visual analog scale (EQ VAS) are independent predictors of vascular events and major complications in people with type 2 diabetes after controlling for standard clinical risk factors. RESEARCH DESIGN AND METHODS: The study is based on 7,348 individuals with a mean follow-up of 2.4 years after completing the EQ-5D questionnaire. We used Cox proportional hazards modeling to estimate hazard ratios associated with EQ VAS scores after controlling for baseline covariates: age, sex, smoking status, diabetes duration, A1C, systolic blood pressure, BMI, plasma lipids, and prior clinical history. RESULTS: A 10-point higher EQ VAS score was associated with a 6% (95% CI 1-11) lower risk of vascular events and a 22% (95% CI 15-28) lower risk of diabetes complications. CONCLUSIONS: Self-rated health profiles compiled using the EQ VAS provide valuable information on patient risk in addition to that determined from clinical risk factors alone.

Original publication





Diabetes Care

Publication Date





795 - 797


Age of Onset, Aged, Blood Pressure, Continental Population Groups, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin A, Health Status, Humans, Male, Middle Aged, Proportional Hazards Models, Risk Assessment, Self-Assessment, Smoking, Surveys and Questionnaires