Excess costs of medical care 1 and 8 years after diagnosis of diabetes: estimates from young and middle-aged incidence cohorts in Sweden

To analyze the excess costs of medical care during the first decade after diabetes diagnosis, we surveyed two national incidence cohorts who contracted diabetes at age of 15–34 years and matched control groups from the general population of Sweden. Ninety percent of the diabetic subjects were on ins...

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Bibliographic Details
Published in:Diabetes research and clinical practice 2000-09, Vol.50 (1), p.35-47
Main Authors: Jonsson, Pia M., Marké, Lars-Åke, Nyström, Lennarth, Wall, Stig, Östman, Jan
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Age of Onset
Biological and medical sciences
Cohort Studies
Costs and Cost Analysis
Diabetes care
Diabetes Mellitus - economics
Diabetes Mellitus, Type 1 - economics
Diabetes Mellitus, Type 1 - therapy
Female
General aspects
Health services/utilization
Humans
Incidence
Male
Medical sciences
Medicin och hälsovetenskap
Planification. Prevention (methods). Intervention. Evaluation
Public health. Hygiene
Public health. Hygiene-occupational medicine
Sex Characteristics
Sweden
Sweden - epidemiology
Time Factors
United States
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Summary:To analyze the excess costs of medical care during the first decade after diabetes diagnosis, we surveyed two national incidence cohorts who contracted diabetes at age of 15–34 years and matched control groups from the general population of Sweden. Ninety percent of the diabetic subjects were on insulin treatment. Data on healthcare utilization and use of glucose lowering drugs and medical devices were collected via a questionnaire mailed to a recent cohort 1 year after diagnosis and a previously registered cohort 8 years after diagnosis. Costing was based on average national costs of hospital inpatient and out-patient care, an original study of daycare costs, and sales prices of the National Corporation of Swedish Pharmacies. One year after diabetes diagnosis, the annual excess costs of care were US$4743 among men and US$4976 among women (1997 prices). Hospital inpatient care accounted for more than 50% of the excess costs. Eight years after diagnosis, the excess costs were US$2010 among men and US$2734 among women. The higher costs for women were mainly related to hospital out-patient care, but also to more intensive self-monitoring. We conclude that diabetes in young and middle-aged people is a major economic challenge even before significant complications may have developed.
ISSN:0168-8227
1872-8227
DOI:10.1016/S0168-8227(00)00161-3