Increased healthcare utilization costs following initiation of insulin treatment in type 2 diabetes: A long-term follow-up in clinical practice

Kalkan, Almina; Bodegård, Johan; Sundström, Johan; Svennblad, Bodil; Östgren, Carl Johan; Nilsson, Peter; Johansson, Gunnar; Ekman, Mattias

doi:10.1016/j.pcd.2016.11.002

Cited by 6 publications

(6 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, our findings regarding the higher costs with healthcare services in individuals who developed T2DM agree with results found in the literature. A study conducted in Sweden analyzed ~ 39,000 individuals who developed diabetes, and showed that the annual use of health resources almost doubled in the first year after the diagnosis of the disease 34 , and the largest amount (43-59%) concerned primary care costs 35 .…”

Section: Discussionmentioning

confidence: 99%

Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city

Araújo

Turi

Queiroz

et al. 2018

Motriz: rev. educ. fis.

View full text Add to dashboard Cite

To compare the profile of adults attended at primary care level of the Brazilian National Health System according to occurrence of T2DM during 18 months of follow-up. Method: Longitudinal study carried out with 316 adults. T2DM and PA were assessed by questionnaires. Measurements of weight, height and waist circumference (WC) were also performed. Healthcare expenditures were based on the demand of services registered in medical records. Analysis of variance (ANOVA) with Tukey's post hoc test was used, as well as their similar for non-parametric variables. Spearman's correlation coefficient analyzed the relationship between variables. All analyzes were performed using the statistical software BioEstat (release 5.0) and the significance level was set at p-value < 0.05. Results: Patients with T2DM at baseline showed higher values of WC, BMI, nursing appointments, customer services, medication, total cost and lower values of PA when compared to patients T2DM-free. Patients who developed T2DM during the follow-up presented higher values of WC, screening, pharmacy frequency, medications and total cost when compared to individuals without T2DM. Being in the highest quartile of PA did not change the costs of health services among patients T2DM-free. Healthcare expenditures were positively correlated to BMI among participants T2DM-free and with T2DM at baseline. Conclusion: Participants with T2DM and participants who developed T2DM during the follow-up showed higher values of BMI, WC, healthcare expenditures and were less active when compared to participants T2DM-free. Healthcare expenditures were positively correlated with BMI among participants with T2DM at baseline and T2DM-free.

show abstract

Section: Discussionmentioning

confidence: 99%

Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city

Araújo

Turi

Queiroz

et al. 2018

Motriz: rev. educ. fis.

View full text Add to dashboard Cite

show abstract

“…Yet this trend did not hold for outpatient utilization. This is surprising, as prior research found that older patients with more comorbidities require more intensive care (16) and are more likely to have high utilization of health services before and after TBI (16,57,58). Yet this finding is consistent with a study by McFarlane et al (59) which found that younger adults (aged 18 to 44 years) with serious TBI were at higher risk for acute ischemic stroke within 180 days after TBI.…”

Section: Discussionmentioning

confidence: 51%

Characterizing health care utilization following hospitalization for a traumatic brain injury: a retrospective cohort study

et al. 2020

View full text Add to dashboard Cite

“…Our further analysis of healthcare service utilization found that patients with a history of DM-related complications and an increasing number of comorbidities were associated with greater hospitalization admission rates during the event year. Correspondingly, the increase in direct medical costs was associated with poor glycaemic control, 30 treatment intensification, 31 incidence of DM-related complications 23,32 and all-cause mortality. 22 Annual direct medical costs grew by 95.3% from 2481 US$ during the 2 years preceding the SH event to 4846 US$ during the year immediately preceding the SH.…”

Section: Discussionmentioning

confidence: 99%

“…Correspondingly, the increase in direct medical costs was associated with poor glycaemic control, 30 treatment intensification,31 incidence of DM-related com- Inpatient hospitalization costs were the main driver of medical expenditure across the years.Our further analysis of healthcare service utilization found that patients with a history of DM-related complications and an increasing number of comorbidities were associated with greater hospitalization admission rates during the event year.…”

mentioning

confidence: 99%

Direct medical costs in the preceding, event and subsequent years of a first severe hypoglycaemia episode requiring hospitalization: A population‐based cohort study

Wong

Tong

Cheng

et al. 2019

Diabetes Obesity Metabolism

View full text Add to dashboard Cite

Aims:We aimed to estimate the use of healthcare services and the direct medical costs accrued by patients with diabetes mellitus (DM) during the year of the first severe hypoglycaemia (SH) event, as well as during the years before and after the event year. Materials and Methods:We analysed a population-based, retrospective cohort including all adults with DM managed in the primary care setting from the Hong Kong Hospital Authority between 2006 and 2013. DM patients for whom SH was first recorded during the designated period were identified and matched to a control group of patients who had not experienced an SH event using the propensity score method. Direct medical costs in the years before, during and after the first SH event were determined by totalling the costs of health services utilized within respective years.Results: After matching, a total of 22 694 DM patients were divided into the first recorded-SH group (n = 11 347) and the non-SH control group (n = 11 347). Patients for whom SH was first recorded, on average, made 7.85 outpatient clinic visits, made 1.89 emergency visits and spent 17.75 nights hospitalized during the event year. Mean direct medical costs during the event year were 11 751 US$, more than 2-fold that during the preceding year (4846 US$; P < 0.001) and subsequent years (4198-4700 US$; P < 0.001) and was 4.5 times that 2 years before the event (2481 US$; P < 0.001). Incremental costs of SH patients vs matched controls during the event year and the preceding year were 10 873 US$ (P < 0.001) and 3974 US$ (P < 0.001), respectively.Conclusions: SH is associated with excessive hospital admission rates and direct medical costs during the event year and, in particular, during the year before as compared to patients who had not experienced an SH event. K E Y W O R D Scohort study, diabetes mellitus, direct medical cost, healthcare utilization, severe hypoglycaemia

show abstract

Increased healthcare utilization costs following initiation of insulin treatment in type 2 diabetes: A long-term follow-up in clinical practice

Abstract: Initiation of insulin in type 2 diabetes patients was followed by increased healthcare costs. The increases in costs were larger than those seen in a matched patient population initiated on NIAD treatment in second-line.

Cited by 6 publications

References 40 publications

Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city

Type 2 diabetes, healthcare expenditures and its correlation with anthropometric factors and physical activity: 18-month follow-up in a Brazilian city

Characterizing health care utilization following hospitalization for a traumatic brain injury: a retrospective cohort study

Direct medical costs in the preceding, event and subsequent years of a first severe hypoglycaemia episode requiring hospitalization: A population‐based cohort study

Contact Info

Product

Resources

About