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July 18, 2026European Journal of Cardiovascular Nursing

Diabetes linked to smaller improvements in physical quality of life 12 months post-PCI.

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Why the study?

Does the presence of diabetes mellitus affect quality of life trajectories over 12 months in patients after percutaneous coronary intervention?

Population

3,417 patients after percutaneous coronary intervention, mean age 66 years, 78% men. 621 patients had…

Comparison

Presence of diabetes mellitus vs Absence of diabetes mellitus

Design

Cohort

Follow-up

12 months

Key result

Following PCI, patients with diabetes mellitus had significantly smaller improvements in physical quality of life at 12 months compared to those without diabetes.

Authors

AKA KjoelsethTNT N Tone NorekvaalMHM C Hagen

Discussion

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Overview

DM associated with smaller post-PCI QoL gains; hypothesis-generating for comorbidity-specific strategies, prospective trials needed.

Key Points

  • This research aims to evaluate the differences in quality of life for patients with and without diabetes mellitus after percutaneous coronary intervention.
  • Prospective multicentre cohort study with 3417 patients (621 with DM) after PCI.
  • Quality of life was assessed using RAND-12 and MIDAS at multiple timepoints (2, 6, and 12 months).
  • Statistical analysis included generalised linear models with adjustments for sociodemographic factors.
  • Quality of life improved for all patients across timepoints, with no significant differences between groups.
  • Patients with diabetes experienced smaller improvements in physical component scores at 12 months compared to those without.
  • Significant positive changes in MIDAS concerns domain were greater for patients with diabetes at 6 and 12 months.

Study Design

Type

Cohort (n=3,417)

Multicenter

Yes

Structured PICO

Does the presence of diabetes mellitus affect quality of life trajectories over 12 months in patients after percutaneous coronary intervention?

P
Population
3,417 patients treated with percutaneous coronary intervention, including 621 with diabetes mellitus, followed for 12 months to assess quality of life.
E
Exposure
Presence of diabetes mellitus
C
Comparator
Absence of diabetes mellitus
O
Outcome
Changes in quality of life (QoL) from index admission to 2-, 6- and 12 months after hospital discharge, assessed using the RAND-12 Item Short Form Health Survey (RAND-12) and the Myocardial Infarction Dimensional Assessment Scale (MIDAS)patient reported

Patients with and without diabetes mellitus experience similar overall improvements in quality of life up to 12 months after PCI, though physical improvements may be slightly attenuated in those with diabetes.

Cite This Study

Kjoelseth et al. (2026) conducted a cohort in Coronary artery disease post-PCI (n=3,417). Diabetes mellitus vs. Without diabetes mellitus was evaluated on Changes in quality of life (RAND-12 and MIDAS scores). Following PCI, patients with diabetes mellitus had significantly smaller improvements in physical quality of life at 12 months compared to those without diabetes.

synapsesocial.com/papers/6a5b38f68167787360d24e47https://doi.org/10.1093/eurjcn/zvag155.058
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Also Consider

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  1. 1Health-Related Quality of Life and Its Influencing Factors Among Patients With Coronary Heart Disease and Type 2 Diabetes Mellitus: A Cross-Sectional Study2026
  2. 2Association of multimorbidity burden with outcomes after percutaneous coronary intervention: a retrospective cohort study2026
  3. 3Quality of Life and Occurrence of Metabolic Syndrome Among Type 2 Diabetes Patients in South India: A Pilot Study2025 · 1 citations
  4. 4Impact of Lipid Status on Environmental Quality of Life and Mood Disorders Among Diabetic Cohorts2026
  5. 5Effect of Percutaneous Coronary Intervention on Quality of Life among Coronary Artery Disease Patients in Erbil City2025