Direct Medical Costs In The Year Of Mortality For Patients With Diabetes: A Population-Based Patient-Level Analysis

OBJECTIVES: Estimates of direct medical cost associated with diabetes-related complications in the event and subsequent years have been quantified but costs in the mortality year have never been reported. This study aimed to estimate the direct medical costs of patients with diabetes mellitus (DM) i...

Full description

Saved in:
Bibliographic Details
Published in:Value in health 2017-10, Vol.20 (9), p.A497-A498
Main Authors: Wong, CK, Jiao, F, Tang, EH, Fung, CS, Lam, CL
Format: Article
Language:English
Subjects:
Analysis
Autoimmune diseases
Cardiovascular diseases
Circulatory system
Cohort analysis
Complications
Coronary artery disease
Cost analysis
Costing
Death
Death & dying
Diabetes
Diabetes mellitus
Diabetic nephropathy
Diabetic retinopathy
Health care expenditures
Heart diseases
Medical treatment
Mortality
Nephropathy
Population studies
Public sector
Respiratory system
Retinopathy
Tumors
Year before death
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:OBJECTIVES: Estimates of direct medical cost associated with diabetes-related complications in the event and subsequent years have been quantified but costs in the mortality year have never been reported. This study aimed to estimate the direct medical costs of patients with diabetes mellitus (DM) in the year of mortality and the year before mortality. METHODS: We analyzed a population-based, retrospective cohort study including all adults with DM managed under public sector between 2009 and 2013 in Hong Kong. Individuals died between January 1, 2010 and December 31,2013 were included in analysis. Annual direct medical costs in year of mortality and the year before mortality per patient were analyzed by gender, the presence of co-morbidities, the presence of diabetic complications (heart disease, stroke, diabetic nephropathy, or diabetic retinopathy), and primary cause of death. RESULTS: A total of 6,919 met the eligibility criteria for analysis. The commonest cause of death among DM patients was neoplasms (2261, 32.7%), followed by diseases of respiratory system (1725, 24.9%) and diseases of circulatory system (1113, 16.1%). On average, the direct medical costs in the year of death were 2.075 times higher than those in the year before death (US$23,256.1 vs US$11,205.2, p
ISSN:1098-3015
1524-4733
DOI:10.1016/j.jval.2017.08.561