Health-related quality of life, treatment satisfaction, and costs associated with intraperitoneal versus subcutaneous insulin administration in type 1 diabetes: a randomized controlled trial.
OBJECTIVE
To investigate the effects of continuous intraperitoneal insulin infusion (CIPII) compared with subcutaneous insulin on health-related quality of life (HRQOL) and treatment satisfaction, and to perform a cost analysis in type 1 diabetes.


METHODS
We used an open-label, prospective, crossover, randomized, 16-month study (N = 24). HRQOL and patient satisfaction were assessed with questionnaires (the 36-item short-form health survey [SF-36], the World Health Organization-Five Well-Being Index [WHO-5], and the Diabetes Treatment Satisfaction Questionnaire [DTSQ]). Direct costs of CIPII and continuous subcutaneous insulin infusion (CSII) were compared.


RESULTS
Questionnaire scores were higher with CIPII than with subcutaneous therapy. Yearly direct pump- and procedure-associated costs for CIPII were estimated at 10,910 euroscompared with 4,810 euros for CSII.


CONCLUSIONS
Apart from improving glycemic control, CIPII improved HRQOL and treatment satisfaction compared with subcutaneous insulin. Direct pump- and procedure-associated costs are considerably higher for CIPII, however.
Logtenberg
Susan J
SJ
Diabetes Centre, Isala Clinics, Zwolle, the Netherlands. s.j.j.logtenberg@isala.nl
Kleefstra
Nanne
N
Houweling
Sebastiaan T
ST
Groenier
Klaas H
KH
Gans
Reinold O
RO
Bilo
Henk J
HJ
D001786:Blood Glucose / Q000032:analysis; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy / Q000191:economics; D006801:Humans; D007263:Infusions, Parenteral / Q000191:economics*; D055104:Infusions, Subcutaneous / Q000191:economics*; D007279:Injections, Subcutaneous / Q000191:economics*; D007328:Insulin / Q000008:administration & dosage*; D017060:Patient Satisfaction; D011788:Quality of Life; D016896:Treatment Outcome
D001786:Blood Glucose; D007328:Insulin