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01-10-2014 | Original Article

Direct and indirect costs associated to type 2 diabetes and its complications measured in a social security institution of Argentina

Authors: Jorge F. Elgart, Santiago Asteazarán, Jorge L. De La Fuente, Cecilia Camillucci, Jonathan B. Brown, Juan José Gagliardino

Published in: International Journal of Public Health | Issue 5/2014

Abstract

Objectives

To estimate direct and indirect costs of care of type 2 diabetes (T2DM) and its complications in Argentina, and compare them with those recorded in people without diabetes (ND).

Methods

Observational retrospective case–control study performed in one institution of the Social Security System of Argentina. Participants were identified and randomly selected from the Institution’s electronic medical records. We recruited persons with T2DM with (387) or without (387) chronic complications and 774 ND, matched by age and gender. Data were obtained by telephone interviews and supplemented with data from the Institution’s records. Parametric and non-parametric tests were used for group comparisons.

Results

Direct costs were higher in people with T2DM than in ND: twice as high in people with T2DM without complications and 3.6 times in those with complications. Absenteeism was only higher in T2DM with complications, but there were no differences among groups either in the duration or in the cost of such absenteeism.

Conclusions

T2DM and the development of its complications are positively associated with higher direct costs in Argentina.

Alexander GC, Sehgal NL, Moloney RM, Stafford RS (2008) National trends in treatment of type 2 diabetes mellitus, 1994–2007. Arch Intern Med 168(19):2088–2094PubMedCrossRefPubMedCentral

Alhowaish AK (2013) Economic costs of diabetes in Saudi Arabia. J Family Community Med 20(1):1–7PubMedCrossRefPubMedCentral

American Diabetes Association (2013a) Economic costs of diabetes in the U.S. in 2012. Diabetes Care 36(4):1033–1046CrossRefPubMedCentral

American Diabetes Association (2013b) Standards of medical care in diabetes. Diabetes Care 36(Suppl1):S11–S66CrossRefPubMedCentral

Arredondo A, Reyes G (2013) Health disparities from economic burden of diabetes in middle-income countries: evidence from México. PLoS One 8(7):e68443. doi:10.1371/journal.pone.0068443 PubMedCrossRefPubMedCentral

Bahia LR, Araujo DV, Schaan BD et al (2011) The costs of type 2 diabetes mellitus outpatient care in the Brazilian public health system. Value Health 14(Suppl 1):S137–S140. doi:10.1016/j.jval.2011.05.009 PubMedCrossRef

Bertoldi AD, Kanavos P, França GV et al (2013) Epidemiology, management, complications and costs associated with type 2 diabetes in Brazil: a comprehensive literature review. Global Health 9:62. doi:10.1186/1744-8603-9-62 PubMedCrossRef

Caporale JE, Elgart JF, Gagliardino JJ (2013) Diabetes in Argentina: cost and management of diabetes and its complications and challenges for health policy. Global Health 9:54. doi:10.1186/1744-8603-9-54 PubMedCrossRefPubMedCentral

Elgart JF, Caporale JE, Asteazaran S et al (2014) Association between socioeconomic status, type 2 diabetes and its chronic complications in Argentina. Diabetes Res Clin Pract 104(2):241–247PubMedCrossRef

Ferrante D, Linetzky B, Konfino J et al (2011) Encuesta Nacional de Factores de Riesgo 2009: evolución de la epidemia de enfermedades crónicas no transmisibles en Argentina. Estudio de corte transversal. Rev Argent Salud Pública 2:34–41

Gagliardino JJ, Etchegoyen G et al (2001) A model educational program for people with type 2 diabetes: a cooperative Latin American implementation study (PEDNID-LA). Diabetes Care 24(6):1001–1007PubMedCrossRef

Gagliardino JJ, Olivera E, Etchegoyen GS et al (2006) PROPAT: a study to improve the quality and reduce the cost of diabetes care. Diabetes Res Clin Pract 72(3):284–291PubMedCrossRef

Gagliardino JJ, Aschner P, Baik SH et al (2012) Patients’ education and its impact on care outcomes, resource consumption and working conditions: data from the International Diabetes Management Practices Study (IDMPS). Diabetes Metab 38(2):128–134PubMedCrossRef

Gagliardino JJ, Lapertosa S, Pfirter G et al (2013) Clinical, metabolic and psychological outcomes and treatment costs of a prospective randomized trial based on different educational strategies to improve diabetes care (PRODIACOR). Diabet Med 30(9):1102–1111PubMedCrossRef

Hex N, Bartlett C, Wright D, Taylor M, Varley D (2012) Estimating the current and future costs of Type 1 and Type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabet Med 29(7):855–862PubMedCrossRef

International Diabetes Federation (2010) Diabetes Social and Economic Impact Studies. http://www.idf.org/diabetes-social-and-economic-impact-studies/

International Diabetes Federation (2011) IDF Diabetes Atlas, Fifth Edition. Brussels: International Diabetes Federation. www.diabetesatlas.org

Jönsson B, CODE-2 Advisory Board (2002) Revealing the cost of Type II diabetes in Europe. Diabetologia 45(7):S5–S12PubMedCrossRef

Le C, Lin L, Jun D et al (2013) The economic burden of type 2 diabetes mellitus in rural southwest China. Int J Cardiol 165(2):273–277PubMedCrossRef

Leśniowska J, Schubert A, Wojna M, Skrzekowska-Baran I, Fedyna M (2014) Costs of diabetes and its complications in Poland. Eur J Health Econ 15(6):653–660

Rice DP (1967) Estimating the cost of illness. Am J Public Health Nations Health 13(3):424–440CrossRef

Trento M, Gamba S, Gentile L et al (2010) Rethink organization to iMprove education and outcomes (ROMEO): a multicenter randomized trial of lifestyle intervention by group care to manage type 2 diabetes. Diabetes Care 33(4):745–747PubMedCrossRefPubMedCentral

Tunceli K, Bradley CJ, Nerenz D, Williams LK, Pladevall M, Elston Lafata J (2005) The impact of diabetes on employment and work productivity. Diabetes Care 28(11):2662–2667PubMedCrossRef

Williams R, Van Gaal L, Lucioni C, CODE-2 Advisory Board (2002) Assessing the impact of complications on the costs of Type II diabetes. Diabetologia 45(7):S13–S17PubMedCrossRef

World Health Organization (2008) International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) version: 2008. http://www.who.int/classifications/icd/en/

Yang W, Zhao W, Xiao J et al (2012) Medical care and payment for diabetes in China: enormous threat and great opportunity. PLoS One 7(9):e39513. doi:10.1371/journal.pone.0039513 PubMedCrossRefPubMedCentral

Zhang P, Zhang X, Brown J et al (2010) Global healthcare expenditure on diabetes for 2010 and 2030. Diabetes Res Clin Pract 87(3):293–301PubMedCrossRef

Zhuo X, Zhang P, Hoerger TJ (2013) Lifetime direct medical costs of treating type 2 diabetes and diabetic complications. Am J Prev Med 45(3):253–261PubMedCrossRef

Title: Direct and indirect costs associated to type 2 diabetes and its complications measured in a social security institution of Argentina
Authors: Jorge F. Elgart
Santiago Asteazarán
Jorge L. De La Fuente
Cecilia Camillucci
Jonathan B. Brown
Juan José Gagliardino
Publication date: 01-10-2014
Publisher: Springer Basel
Published in: International Journal of Public Health / Issue 5/2014
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-014-0604-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Direct and indirect costs associated to type 2 diabetes and its complications measured in a social security institution of Argentina

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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