Abstract
BackgroundPatients’ illness beliefs have been associated with glycaemic control in diabetes and survival in other conditions.ObjectiveWe examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration.MethodsPatients (n = 169) were recruited between 2002 and 2007. Data on illness beliefs were collected at baseline. Data on survival were extracted on 1st November 2011. Number of days survived reflected the number of days from date of recruitment to 1st November 2011.ResultsCox regressions examined the predictors of time to death and identified ischemia and identity beliefs (beliefs regarding symptoms associated with foot ulceration) as significant predictors of time to death.ConclusionsOur data indicate that illness beliefs have a significant independent effect on survival in patients with diabetes and foot ulceration. These findings suggest that illness beliefs could improve our understanding of mortality risk in this patient group and could also be the basis for future therapeutic interventions to improve survival.
Highlights
The psychological functioning of patients with diabetes has been shown to be of clinical importance
We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration
Cox regressions examined the predictors of time to death and identified ischemia and identity beliefs as significant predictors of time to death
Summary
We examined whether illness beliefs independently predicted survival in patients with diabetes and foot ulceration. Data Availability Statement: The data contained therein were obtained from human participants who did not consent to third parties using their information. Access to the data is in collaboration with the authors via the Division of Primary Care, University of Nottingham
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