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Economic cost associated with type II diabetes in Spanish patients

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Abstract

An observational descriptive study was carried out of the healthcare resources consumed during 1 year by a sample of patients with type II diabetes of a healthcare area in southern Spain. A total of 517 patients with a mean duration of disease of 9.7±8 years were assessed. A total annual health cost of €4,278/patient was calculated (direct €2,504; indirect €1,774). Multiple regression analysis showed an independent association between total costs and obesity, male sex, number of hospitalizations related to diabetes, permanent disability, macrovascular complications, and both micro- and macrovascular complications. Our findings confirm both the high economic cost associated with type II diabetes and the direct relationship between the costs of the disease and the presence of obesity, male sex, hospitalizations related to diabetes, permanent disability and chronic complications.

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References

  1. King H, Aubert RE, Herman WH (1998) Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes Care 21: 1414–1431

    PubMed  Google Scholar 

  2. Carral F, Olveira G, Ramos I et al. (2000) Calidad de vida en pacientes con diabetes mellitus tipo 2 ingresados en un hospital de tercer nivel. Endocrinol Nutr 47: 24–28

    Google Scholar 

  3. Eiser C, Tooke JE (1993) Quality-of-life evaluation in diabetes. Pharmacoeconomics 4: 85–91

    PubMed  Google Scholar 

  4. Rubin RJ, Altman WM, Mendelson DN (1994) Health care expenditures for people with diabetes mellitus, 1992. J Clin Endocrinol Metab 78: 809A-809F

    Article  PubMed  Google Scholar 

  5. American Diabetes Association (2003) Economic costs of diabetes in the United States in 2002. Diabetes Care 26: 917–932

    PubMed  Google Scholar 

  6. American Diabetes Association (1998) Economic consequences of diabetes mellitus in the United States in 1997. Diabetes Care 21: 296–309

    PubMed  Google Scholar 

  7. Kangas T, Aro S, Koivisto VA et al. (1996) Structure and costs of health care of diabetic patients in Finland. Diabetes Care 19: 494–497

    PubMed  Google Scholar 

  8. Gisbert R, Brosa M (1998) Costes sanitarios y evaluación económica. SOIKOS: Barcelona

  9. Mata M, Antoñanzas F, Tafalla M, Sanz P (2002) El coste de la diabetes tipo 2 en España. El estudio CODE-2. Gac Sanit 16: 511–520

    PubMed  Google Scholar 

  10. Krosnick A (1988) Economic impact of type II diabetes mellitus. Prim Care 15: 423–432

    PubMed  Google Scholar 

  11. Henriksson F, Jönsson B (1998) Diabetes: the cost of illness in Sweden. J Intern Med 244: 461–468

    Article  PubMed  Google Scholar 

  12. Norlund A, Apelqvist J, Bitzén O et al. (2001) Cost of illness of adult diabetes mellitus underestimated if comorbidity is not considered. J Intern Med 250: 57–65

    Article  PubMed  Google Scholar 

  13. Persson U (1995) The indirect costs of morbidity in type II diabetic patients. Pharmacoeconomics 8 [Suppl 1]: 28–32

    Google Scholar 

  14. Peisker P (1999) Vademecum Internacional 40 Edición. Medicom: Madrid

  15. Anonymous (2000) Consejería de Salud del Gobierno Canario. Memoria estadística

  16. García F, Molins G, Farre J et al. (1995) La contabilidad de coste en atención primaria: cartera de servicios. Aten Primaria 16: 141–145

    PubMed  Google Scholar 

  17. Carral F, Olveira G, Salas J et al. (2002) Estimate of care resource utilization incurred by diabetic patients in a Spanish hospital. Diab Res Clin Pract 56: 27–34

    Article  Google Scholar 

  18. Ministerio de Trabajo y Asuntos Sociales (2000) Encuesta de salarios ESA-14. Ministerio de Trabajo y Asuntos Sociales: Madrid

    Google Scholar 

  19. Anonymous (nd) Pensiones contributivas del Sistema de Seguridad Social. Ministerio de trabajo y asuntos sociales: Madrid

  20. Brandle M, Zhou H, Smith BRK et al. (2003) The direct medical cost of type 2 diabetes. Diabetes Care 26: 2300–2304

    PubMed  Google Scholar 

  21. Redekop WK, Koopmanschap MA, Rutten GE et al. (2002) Resource consumption and costs in Dutch patients with type 2 diabetes mellitus: results from 29 general practices. Diabet Med 19: 246–253

    Article  PubMed  Google Scholar 

  22. Jonsson B, CODE-2 Advisory Board (2002) Revealing the cost of type II diabetes in Europe. Diabetologia 45: S5–12

    Article  PubMed  Google Scholar 

  23. Olveira G, Olvera P, Carral F et al. (2004) Excess cost due to hospitalization of persons with diabetes in Andalucía (Spain). Diabetes Care 27: 1904–1909

    PubMed  Google Scholar 

  24. Gilmer TP, O’Connor PJ, Manning WG, Rush WA (1997) The cost to health plans of poor glycemic control. Diabetes Care 20: 1847–1853

    PubMed  Google Scholar 

  25. Wagner EH, Sandhu N, Newton KM et al. (2001) Effect of improved glycemic control on health care costs and utilization. JAMA 285: 182–189

    Article  PubMed  Google Scholar 

  26. Gray A, Raikou M, McGuire A et al. (2000) Cost effectiveness of an intensive blood glucose control policy in patients with type 2 diabetes: economic analysis alongside randomised controlled trial (UKPDS 41). BMJ 320: 1373–1378

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This study was financed in part by two research grants from the Fondo de Investigaciones Sanitarias (FIS 03/0572) and the Consejería de Salud of the Junta de Andalucía (Regional Government of Andalusia; project 200/03). We are grateful to Dr. Encarnación Benítez of the Preventive Medicine and Public Health Service of Puerta del Mar Hospital of Cadiz for her collaboration in the statistical analysis for this study.

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  1. Florentino Carral

    Present address: Servicio de Endocrinología y Nutrición, Hospital Universitario Puerta del Mar, Avenida Ana de Viya 21, 11009, Cadiz, Spain

Authors and Affiliations

  1. Primary Health Care District Bahía de Cádiz-La Janda, Cadiz, Spain

    Miguel Ballesta

  2. Endocrinology and Nutrition Service, Puerta del Mar University Hospital, Cadiz, Spain

    Florentino Carral & Manuel Aguilar

  3. Endocrinology and Nutrition Service, Carlos Haya University Hospital, Malaga, Spain

    Gabriel Olveira

  4. Internal Medicine Service, Puerta del Mar University Hospital, Cadiz, Spain

    José Antonio Girón

Authors
  1. Miguel Ballesta
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  2. Florentino Carral
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  3. Gabriel Olveira
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  4. José Antonio Girón
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  5. Manuel Aguilar
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Correspondence to Florentino Carral.

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Ballesta, M., Carral, F., Olveira, G. et al. Economic cost associated with type II diabetes in Spanish patients. Eur J Health Econ 7, 270–275 (2006). https://doi.org/10.1007/s10198-006-0367-9

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  • DOI: https://doi.org/10.1007/s10198-006-0367-9

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