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Published in: Cost Effectiveness and Resource Allocation 1/2006

Open Access 01-12-2006 | Research

Resource use among patients with diabetes, diabetic neuropathy, or diabetes with depression

Authors: Trong K Le, Stephen L Able, Maureen J Lage

Published in: Cost Effectiveness and Resource Allocation | Issue 1/2006

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Abstract

Background

Diabetes is often associated with complications and comorbidities. The purpose of this research is to compare medical resources used by patients with the following diagnoses: diabetes mellitus (DM), diabetic neuropathy (DN), and diabetes mellitus combined with comorbid depression (DD).

Methods

Adult patients who were diagnosed with DM, DN, or DD were included in the study. There were 55,972 patients in the DM cohort, 2,146 in the DN, and 2,379 in the DD. P values for comparisons between the three mutually exclusive cohorts were conducted using the Tukey-Kramer method. Cost comparisons among the cohorts were conducted using a stepwise multivariate regression that controlled for patient characteristics and comorbid conditions.

Results

Individuals in the DM or DN cohorts were generally more likely to use antidiabetic medications than patients in the DD group. Those diagnosed with DN or DD generally used more pain medications than individuals in the DM cohort. The DM cohort had significantly lower diabetes-related total medical costs ($1,297 v $5,125, p < 0.0001) and lower total medical costs ($4,819 v $24,765, p < 0.0001) than the DN cohort. The DM cohort also had significantly lower diabetes-related total medical costs ($1,297 v $3,264, p < 0.0001) as well as significantly lower total medical costs ($4,819 v $19,298, p < 0.0001) than the DD cohort.

Conclusion

Results from this study indicated significant differences in demographic characteristics, comorbidities, and medication use among individuals diagnosed with DM, DN, or DD. These differences translated into significant cost differences. Patients diagnosed with DN or DD had higher diabetes-related costs than patients diagnosed with DM.
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Metadata
Title
Resource use among patients with diabetes, diabetic neuropathy, or diabetes with depression
Authors
Trong K Le
Stephen L Able
Maureen J Lage
Publication date
01-12-2006
Publisher
BioMed Central
Published in
Cost Effectiveness and Resource Allocation / Issue 1/2006
Electronic ISSN: 1478-7547
DOI
https://doi.org/10.1186/1478-7547-4-18

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