Document Detail


Direct medical costs of complications resulting from type 2 diabetes in the U.S.
MedLine Citation:
PMID:  9653606     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To estimate direct medical costs of managing the complications of type 2 diabetes. RESEARCH DESIGN AND METHODS: Costs were estimated for 15 diabetic complications by applying unit costs to typical resource-use profiles. Resource used and unit costs were estimated from many sources, including acute care discharge databases, clinical guidelines, government reports, fee schedules, and peer-reviewed literature. For each complication, the event costs are those associated with resource use that is specific to the acute episode and any subsequent care occurring in the 1st year. State costs are the annual costs of continued management. All costs are expressed in 1996 U.S. dollars. RESULTS: As expected, the more severe or debilitating events, such as acute myocardial infarction ($27,630 event cost; $2,185 state cost), generate a greater financial burden than do early-stage complications, such as microalbuminuria ($62 event cost; $14 state cost). Yet, complications that are initially relatively low in cost (e.g., microalbuminuria) can progress to more costly advanced stages (e.g., end-stage renal disease, $53,659 state cost); therefore, minor complications should also be considered in any economic analysis of diabetes. CONCLUSIONS: The recent literature has lacked cost estimates that may be readily translated into patient-level cost inputs for an economic model. Emerging therapies that may reduce the incidence of some diabetic complications will need to be scrutinized economically in today's cost-conscious environment. The cost estimates from this study provide one piece of the economic analysis needed to evaluate these new interventional therapies.
Authors:
J A O'Brien; L A Shomphe; P L Kavanagh; G Raggio; J J Caro
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Diabetes care     Volume:  21     ISSN:  0149-5992     ISO Abbreviation:  Diabetes Care     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-09-21     Completed Date:  1998-09-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7805975     Medline TA:  Diabetes Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1122-8     Citation Subset:  IM    
Affiliation:
Caro Research, Concord, MA 01742, USA. jobrien@caroresearch.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Cardiovascular Diseases / complications,  economics
Cerebrovascular Disorders / complications,  economics
Costs and Cost Analysis / statistics & numerical data
Diabetes Mellitus, Type 2 / complications*,  economics*,  epidemiology
Diabetic Foot / economics
Diabetic Nephropathies / economics
Diabetic Retinopathy / economics
Direct Service Costs / statistics & numerical data*
Humans
Hypoglycemia / complications,  economics
Rabbits
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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