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The financial costs of hospital care for people with and without diabetes prior to mortality in the United Kingdom [Abstract]

Currie, Craig John, Morgan, Christopher Llewellyn, Dixon, Simon, McEwan, Philip Christopher, Marchant, N., Bearne, A., Sharplin, P. and Peters, John Redmond 2002. The financial costs of hospital care for people with and without diabetes prior to mortality in the United Kingdom [Abstract]. Diabetes 51 (Sup.2) , A272.

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Type 2 diabetes (T2DM) results in a heavy burden on healthcare resources, and this burden is increasing due to a number of factors. By the nature of this chronic illness, mathematical modelling is the only method available to investigate the cost-effectiveness of new treatments in T2DM. To help populate and validate a new model of T2DM, this study was undertaken with the objective of quantifying hospital resource use as patients with and without diabetes approach death. Using the Cardiff Diabetes Database, mortality data from the Office of National Stistics for 1996 were linked to existing hospital records using probability matching techniques. Costs were attributed using a statistical costing technique (healthcare resource groups (HRGs)). Costs are UK 2000 prices. There were 4,394 deaths of which 412 (9.4%) were for patients with diabetes. In the year before death 380 (92%) DM+ patients with diabetes were admitted as an inpatient compared with 73% DM-, a relative rate of 1.27. Total inpatient costs were £12.2M ($20M) of which costs for patients with diabetes was £1.6M ($2.6M), accounting for 15.6% of revenue. This translates to a rate of £2.8M ($4.0M) per 100,000 population per year. The mean annual inpatient cost before death was £3,997 ($5,676) for DM+ compared with £2,656 ($3,772) for DM-. Mean annual outpatient costs ranged from £185 ($263: year minus 4) to £248 ($352: year minus 2) in DM+, and £91 ($129: year minus 4) to £116 ($165: year minus 2) in DM-. Mean annual outpatient costs associated with the care of people with diabetes are consistently higher: +80% at minus 1-year rising to +120% at minus three years. This study has demonstrated that the costs of inpatient care for all patients increases markedly in the final year of life. People with diabetes were found to be more financially costly, even in this stage of their care, than were people who did not have diabetes.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Mathematics
Subjects: R Medicine > R Medicine (General)
Additional Information: Meeting Abstract: 1104P. (62nd Scientific Sessions; Friday, June 14-Tuesday, June 18, 2002; The Moscone Center; San Francisco, California: Posters)
Publisher: American Diabetes Association
ISSN: 0012-1797
Last Modified: 16 Jul 2020 14:47

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