BMC Health Serv Res. 2003 Mar 21;3(1):7. doi: 10.1186/1472-6963-3-7.
Cost of managing complications resulting from type 2 diabetes mellitus in Canada.
BMC health services research
Judith A O'Brien, Amanda R Patrick, J Jaime Caro
PMID: 12659641
PMCID: PMC153533 DOI: 10.1186/1472-6963-3-7
Abstract
BACKGROUND: Decision makers need to have Canadian-specific cost information in order to develop an accurate picture of diabetes management. The objective of this study is to estimate direct medical costs of managing complications of diabetes. Complication costs were estimated by applying unit costs to typical resource use profiles. For each complication, the event costs refer to those associated with the acute episode and subsequent care in the first year. State costs are the annual costs of continued management. Data were obtained from many Canadian sources, including the Ontario Case Cost Project, physician and laboratory fee schedules, formularies, reports, and literature. All costs are expressed in 2000 Canadian dollars.
RESULTS: Major events (e.g., acute myocardial infarction: 18,635 dollars event cost; 1,193 dollars state cost), generate a greater financial burden than early stage complications (e.g., microalbuminuria: 62 dollars event cost; 10 dollars 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, 63,045 dollars state cost).
CONCLUSIONS: Macrovascular and microvascular complication costs should be included in any economic analysis of diabetes. This paper provides Canadian-based cost information needed to inform critical decisions about spending limited health care dollars on emerging new therapies and public health initiatives.
References
- CMAJ. 1999 Nov 16;161(10):1257-61 - PubMed
- Cerebrovasc Dis. 1999 Jul-Aug;9(4):210-4 - PubMed
- Value Health. 2001 May-Jun;4(3):258-65 - PubMed
- Clin Ther. 2003 Mar;25(3):1017-38 - PubMed
- Am J Public Health. 1986 Nov;76(11):1312-6 - PubMed
- Can J Surg. 1987 Sep;30(5):374-6 - PubMed
- Clin Orthop Relat Res. 1989 Jan;(238):219-24 - PubMed
- Stroke. 1989 Mar;20(3):351-6 - PubMed
- Prosthet Orthot Int. 1989 Aug;13(2):63-9 - PubMed
- Eur J Epidemiol. 1990 Jun;6(2):175-83 - PubMed
- Acta Neurol Scand. 1990 Dec;82(6):374-80 - PubMed
- CMAJ. 1991 Apr 15;144(8):1015-25 - PubMed
- Diabet Med. 1992 May;9(4):379-85 - PubMed
- Milbank Q. 1992;70(2):319-40 - PubMed
- N Engl J Med. 1993 Mar 18;328(11):779-84 - PubMed
- Ann Intern Med. 1994 Jan 15;120(2):111-7 - PubMed
- Arch Intern Med. 1994 Apr 25;154(8):885-92 - PubMed
- Arch Intern Med. 1994 May 23;154(10):1090-6 - PubMed
- Stroke. 1994 Aug;25(8):1628-31 - PubMed
- N Engl J Med. 1994 Oct 27;331(17):1130-5 - PubMed
- J Rehabil Res Dev. 1994 Nov;31(4):357-62 - PubMed
- J Gerontol A Biol Sci Med Sci. 1995 Sep;50(5):M242-51 - PubMed
- Diabetes Care. 1995 Aug;18(8):1113-23 - PubMed
- Clin Invest Med. 1995 Aug;18(4):240-6 - PubMed
- Diabetes Care. 1995 Nov;18(11):1415-27 - PubMed
- Kidney Int. 1996 Jul;50(1):235-42 - PubMed
- JAMA. 1996 Nov 20;276(19):1568-74 - PubMed
- Am J Phys Med Rehabil. 1996 Nov-Dec;75(6):422-30 - PubMed
- Am J Phys Med Rehabil. 1996 Nov-Dec;75(6):431-6 - PubMed
- Diabetes Care. 1997 Feb;20(2):185-7 - PubMed
- CMAJ. 1997 Feb 15;156(4):527-32 - PubMed
- Stroke. 1997 Mar;28(3):543-9 - PubMed
- CMAJ. 1997 Apr 1;156(7):991-7 - PubMed
- Diabetes Care. 1997 May;20(5):725-34 - PubMed
- Diabetes Care. 1997 May;20(5):735-44 - PubMed
- Am J Cardiol. 1997 Jun 1;79(11):1441-6 - PubMed
- Diabetes Care. 1998 Jul;21(7):1122-8 - PubMed
- Lancet. 1998 Aug 15;352(9127):507-14 - PubMed
- Lancet. 1998 Sep 12;352(9131):837-53 - PubMed
- Can J Public Health. 1998 Sep-Oct;89(5):297-300 - PubMed
- CMAJ. 1998 Oct 20;159(8):973-8 - PubMed
- CMAJ. 1998;159 Suppl 8:S1-29 - PubMed
- CMAJ. 1998 Nov 3;159(9):1107-13 - PubMed
- J Am Coll Cardiol. 1999 Mar 15;33(4):1040-6 - PubMed
- Diabetes Care. 1999 Mar;22(3):382-7 - PubMed
- J Clin Epidemiol. 1999 Mar;52(3):199-207 - PubMed
- Vasc Med. 1999;4(1):1-7 - PubMed
- Disabil Rehabil. 1999 May-Jun;21(5-6):258-68 - PubMed
- Clin Ther. 2000 Jan;22(1):116-27 - PubMed
MeSH terms
Publication Types