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Identification of physical and psychosocial problems associated with diabetic nephropathy using the International Classification of Functioning, Disability and Health Core Set for Diabetes Mellitus

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Abstract

Background

We previously demonstrated validation of the Comprehensive International Classification of Functioning, Disability and Health Core Set for Diabetes Mellitus (ICF-CS for DM) in patients with diabetic nephropathy (DMN). The objective of the present study was to identify differences in experience of physical and psychosocial problems between DMN patients with and without hemodialysis (HD), and diabetes patients without nephropathy using the ICF-CS for DM.

Methods

A total of 302 diabetes outpatients (men, 68 %; mean age, 62 years) were interviewed using four components of the ICF-CS for DM including “Body functions”, “Body structures”, “Activities and participation”, and “Environmental factors”.

Results

The mean number of categories in which difficulty was experienced in the four components was significantly greater in DMN patients with HD followed by DMN patients without HD, and diabetes patients without nephropathy (23.9 vs. 18.0 vs. 13.1, respectively). Multivariate logistic regression models revealed that, compared with diabetes patients without nephropathy, diabetes patients with nephropathy were more likely to have difficulty with physical problems and social activities and participation. Among DMN patients, dialysis patients were found to have larger numbers of problems, and face difficulty with employment status after adjusting for sex, age, type, and duration of diabetes.

Conclusion

The results of this study using the ICF-CS for DM identified the areas for improvement among physical and psychosocial problems in DMN patients with and without HD in contrast to diabetes patients without nephropathy.

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Acknowledgments

This study was supported by a grant from the Kidney Foundation, Japan (JKF10-5), and a research grant from the Aichi Kidney Foundation. The authors would like to thank: M. Yamada, manager at Akishima Clinic; Y. Ohashi, head nurse at Ishiguro Internal Medical Clinic; S. Sekine, medical social worker (MSW) at Tawada Hospital; Dr. H. Tawada, hospital director, K. Moriya, MSW, and A. Nakanishi, manager at the Tawada Clinic; and Dr. Y. Hatanaka, hospital director, and H. Kosakai, MSW at the Sakashita Clinic for their support with respect to the interviews.

Conflict of interest

The authors declare no conflict of interest with regard to this manuscript.

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Authors and Affiliations

  1. Department of Hygiene and Public Health, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan

    Hideyo Tsutsui, Kyoko Nomura & Takayoshi Ohkubo

  2. General Medical Education and Research Center, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan

    Hideyo Tsutsui

  3. Research Center of Health, Physical Fitness, and Sports, Nagoya University, Furo-cho, Chikusa-ku, Nagoya, 464-8601, Japan

    Hideyo Tsutsui, Masataka Kusunoki, Tetsuya Ishiguro & Yoshiharu Oshida

  4. Department of Endocrinology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35, Michishita-cho, Nakamura-ku, Nagoya, 453-8511, Japan

    Nobuaki Ozaki

  5. Ishiguro Internal Medical Clinic, 1-11-1 Asamiya-cho, Kasugai, 486-0846, Japan

    Tetsuya Ishiguro

Authors
  1. Hideyo Tsutsui
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  2. Kyoko Nomura
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  3. Takayoshi Ohkubo
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Correspondence to Hideyo Tsutsui.

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Tsutsui, H., Nomura, K., Ohkubo, T. et al. Identification of physical and psychosocial problems associated with diabetic nephropathy using the International Classification of Functioning, Disability and Health Core Set for Diabetes Mellitus. Clin Exp Nephrol 20, 187–194 (2016). https://doi.org/10.1007/s10157-015-1143-x

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  • DOI: https://doi.org/10.1007/s10157-015-1143-x

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