ECONOMIC BURDEN OF TYPE 2 DIABETES MELLITUS FOR COSTA RICA

Author(s)

Soto Molina H1, Díaz Martínez JP2, Ramírez Ramírez MA3, Escobar Juárez Y2, Pizarro Castellanos M4
1Universidad Autónoma Metropolitana, Mexico City, Mexico, 2HS Estudios Farmacoeconómicos, Mexico City, Mexico, 3Novo Nordisk CLAT, Mexico City, Mexico, 4Hospital Infantil Federico Gomez, Distrito Federal, Mexico

OBJECTIVES: To perform a partial economic evaluation of Type 2 Diabetes Mellitus (DM2) as well as its micro and macrovascular complications from the institutional point of view. (Social Security Costarican Register (CCSR)), for the year 2013. METHODS: A partial economic evaluation evaluation analysis was used to analyse the average annual cost for DM2 in costarrican patients. The analysis pays special attention related to the sickness (cardiovascular, renal, microvascular, ophthalmic  complications and acute events). Costarrican literature was reviews to obtain costs for DM2 as for its complications, also clinical practice guides for the use of resources were used and finally, this information was validated with specialist physicians from Costa Rica. Only direct medical costs were used, such as: medications, laboratory and additional studies, medical consults, hospitalizations and material; these were obtained from the Cost Model 2013 of the CCSR such as the Statistical Annual Yearbook. To prove the strength of the analysis, deterministic and probabilistic sensitivity tests were performed.  RESULTS: The average annual cost for DM2 for the year 2013 in Costa Rica was USD $1,466.17. The macro and microvascular complications related to DM2 were more expensive in 2013 for Costa Rica were the following: USD $105,865.80 for haemodyalisis during the first year, USD $21,600.40 for chronic cardiac failure during the first year, USD $15,414.40 for acute myocardial infarction and USD $15,025.39 for amputation. An average, hospitalizations represented a 27% of the resources used for treatment of complications. The sensitivity analysis proved the strength of the costs.  CONCLUSIONS: Despise the lack of information in the literature, this article is the first approximation of costs on DM2 and its complications in Costa Rica for the year 2013.

Conference/Value in Health Info

2014-09, ISPOR Asia Pacific 2014, Beijing, China

Value in Health, Vol. 17, No. 7 (November 2014)

Code

PDB17

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Diabetes/Endocrine/Metabolic Disorders

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