Cost and resource utilization for prevention and treatment of foot lesions in a diabetic foot clinic in Belgium

Acker, Kristien Van; Oleen-Burkey, MerriKay; Decker, Laure de; Vanmaele, R.; Schil, Paul Van; Matricali, Giovanni; Dys, H; Leeuw, I. De

doi:10.1016/s0168-8227(00)00157-1

Cited by 53 publications

(32 citation statements)

References 23 publications

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“…Costs correlate positively to the extent of treatment required: costs for amputation are 2-7 times greater than for primary healing, mainly due to multiple and extended admissions. Costs for a minor amputation are less than for a major one [5,19,42,44,45]. Feet at risk only requiring preventive care proved to be the least expensive.…”

Section: Cost-of-illness Studies On Foot Problemsmentioning

confidence: 99%

“…In case of admission these costs average 71-88% of all costs (one study showed a contribution of only 37% in case of primary healing) [19,40,42,43,45]. Especially the length of stay (LOS) showed to be an important cost raising factor [7,19,33,40], the single contribution of other factors as drugs, investigations, visits to the foot care team, orthopaedic appliances, surgery and home care resulted to be rather low (<10%) [40].…”

Section: Cost-of-illness Studies On Foot Problemsmentioning

confidence: 99%

“…The patients, own contribution to the total of costs was studied by Van Acker et al [19]. It varied from 14.5% for preventive care to 10% for curative care or amputation.…”

Section: Cost-of-illness Studies On Foot Problemsmentioning

confidence: 99%

“…Although ulcers and amputations are the most studied complications of the diabetic foot, they are not the only ones. Peripheral vascular disease (PVD), Charcot foot, painful diabetic peripheral neuropathy (DPN), and various diabetic nail-and skin lesions also contribute importantly to this clinical entity [18,19].…”

Section: Introductionmentioning

confidence: 99%

“…The effectiveness of such an approach is shown in many studies, resulting in a reduction of ulcers and amputations [3,4,8,9,[26][27][28][29][30][31][32][33][34][35][36][37][38]. This substantial reduction in morbidity has proved to result in a reduction of costs incurred by the cure of diabetic foot problems, especially by shortening in-hospital stay [3,5,7,19,33]. Only recently, it has been shown that the savings thereby achieved can offset the costs involved in implementing such strategies.…”

Section: Introductionmentioning

confidence: 99%

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Economic aspects of diabetic foot care in a multidisciplinary setting: a review

Matricali

Dereymaeker

Muls

et al. 2006

Diabetes Metabolism Res

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Diabetic foot problems are frequent and are associated with high costs. A multidisciplinary approach to diabetic foot problems has proved to be cost saving with regard to cost of treatment itself. Nevertheless, it remained unclear if these savings could offset the overall costs involved in implementing this kind of approach. The few studies that address this issue specifically all show an acceptable cost-effectiveness, but often the profit will be evident after some years only, because long-term costs are involved. Based on these data, policymakers should foresee sufficient reimbursement for preventive and early curative measures, and not only for 'salvage manoeuvres'.

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Section: Cost-of-illness Studies On Foot Problemsmentioning

confidence: 99%

Section: Cost-of-illness Studies On Foot Problemsmentioning

confidence: 99%

“…The patients, own contribution to the total of costs was studied by Van Acker et al [19]. It varied from 14.5% for preventive care to 10% for curative care or amputation.…”

Section: Cost-of-illness Studies On Foot Problemsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Economic aspects of diabetic foot care in a multidisciplinary setting: a review

Matricali

Dereymaeker

Muls

et al. 2006

Diabetes Metabolism Res

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The Economics of Diabetes Care: Europe

Siddiqi

Williams

2003

International Textbook of Diabetes Mellitus

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Europe, in addition to its country‐specific studies of the cost of diabetes care, now has one source of data—the CODE‐2 Study—by means of which between‐country comparisons can be made in the knowledge that the same method of study has been advocated throughout. This information, however, is applicable only to the established market‐economy countries that took part. The economic impact of diabetes and its related conditions in eastern European and the former Soviet Union countries is virtually undocumented. In all continents there is still a long way to go before we have reasonably robust, comparable data on these issues. However, it is clear from the data we do have to hand that diabetes and, in particular, its complications have a large economic impact both directly and indirectly. This impact falls on individuals, families, the health care sector, and society in general. It is also clear that some methods for the delivery of diabetes health care are more cost‐effective than others, but it is also likely (though as yet untested) that the most cost‐effective approach of all is the primary prevention of the condition.

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