Author:
Farshchi Amir,Esteghamati Alireza,Sari Ali Akbari,Kebriaeezadeh Abbas,Abdollahi Mohammad,Dorkoosh Farid Abedin,Khamseh Mohamad Ebrahim,Aghili Rokhsareh,Keshtkar Abbas,Ebadi Maryam
Abstract
Abstract
Background
To evaluate the cost of diabetes related micro- and macrovascular complications in Iranian people with type 2 diabetes mellitus.
Methods
In routine clinical practice, people with type 2 diabetes mellitus were assessed for 10 years at a diabetes care center. The type of medications and clinical data were extracted from patients’ documents. Mortality rate and the incidence of micro- and macrovascular complications recorded in patients’ documents were analyzed. Cost analysis was comprised of 1) para clinic costs as well as laboratory, medications, clinical visits and nonmedical costs 2) inpatient costs as well as hospital admission costs, disability, and mortality costs.
Results
From 1562 people with type 2 diabetes mellitus, a total of 1000 patients with mean duration disease of 11.2 years, who had completed information in their documents, were studied. All people were free from complications at baseline. Mean cumulative incidence of diabetes-related complications over 10 years were 10.9 ± 3.5%, 8.0 ± 3.1%, 4.6 ± 1.7%, 9.1 ± 3.6% and 2.3 ± 0.9% for peripheral neuropathy and diabetic foot ulcer, nephropathy, ophthalmic complications, cardiovascular disease and death, respectively. People with better glycemic control had less complication and also related expenditures. Average para clinic cost per patient was 393.6 ± 47.8 and average inpatient cost per patient was 1520.7 ± 104.5 USD.
Conclusions
Our findings demonstrate considerable incidence of diabetes chronic complications and also high health care expenditure for related complications among our patients. As the number of people with diabetes continues to rise, early detection of the disease and implementation of timely and appropriate therapeutic strategies could decrease the burden of diabetes chronic complications and also huge related expenditures.
Publisher
Springer Science and Business Media LLC
Subject
Endocrinology, Diabetes and Metabolism,Internal Medicine
Reference57 articles.
1. Esteghamati A, Gouya MM, Abbasi M, Delavari A, Alikhani S, Alaedini F, Safaie A, Forouzanfar M, Gregg EW: Prevalence of Diabetes and Impaired Fasting Glucose in the Adult Population of Iran National Survey of Risk Factors for Non-Communicable Diseases of Iran. Diabetes Care 2008, 31(1):96–98.
2. Aghili R, Khamseh ME, Malek M, Yarahmadi S, Farshchi A: Structured self monitoring of blood glucose in Iranian people with type 2 diabetes; A cost consequence analysis. DARU Journal of Pharmaceutical Sciences 2012, 20(1):1–6. 10.1186/1560-8115-20-1
3. Boushehri E, Khamseh ME, Farshchi A, Aghili R, Malek M, Ebrahim Valojerdi A: Effects of morning report case presentation on length of stay and hospitalisation costs. Medical education 2013, 47(7):711–716. 10.1111/medu.12152
4. The Global Burden. http://www.idf.org/sites/default/files/attachments/5E_IDFAtlasPoster_2012_EN.pdf?utm_medium=email&utm_campaign=IDF%20Diabetes%20Atlas%202012%20Update&utm_content=IDF%20Diabetes%20Atlas%202012%20Update+Preview+CID_720a5262162f1f585ba9fc8ca39fef30&utm_source=campaignmonitor&utm_term=English
5. Farshchi A, Nikfar S, Seyedifar M, Abdollahi M: Effect of Chromium on Glucose and Lipid Profiles in Patients with Type 2 Diabetes; A Meta-analysis Review of Randomized Trials. Journal of Pharmacy & Pharmaceutical Sciences 2013, 16(1):99–114.
Cited by
28 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献