Estimating the Cost of Complications of Diabetes in Australia Using Administrative Health-Care Data

Mar 1, 2008, 00:00
10.1111/j.1524-4733.2007.00228.x
https://www.valueinhealthjournal.com/article/S1098-3015(10)60512-8/fulltext
Title : Estimating the Cost of Complications of Diabetes in Australia Using Administrative Health-Care Data
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(10)60512-8&doi=10.1111/j.1524-4733.2007.00228.x
First page :
Section Title :
Open access? : No
Section Order : 9

Objectives

To estimate Australian health-care costs in the year of first occurrence and subsequent years for major diabetes-related complications using administrative health-care data.

Methods

The costs were estimated using administrative information on hospital services and primary health-care services financed through Australia's national health insurance system Medicare. Data were available for 70,340 patients with diabetes in Western Australia (mean duration of 4.5 years of follow-up). Multiple regression analysis was used to estimate inpatient and primary care costs.

Results

For a man aged 60 years, the average costs in the year the event first occurred were: amputation $20,416 (95% CI 18,670–22,411); nonfatal myocardial infarction (MI) $11,660 (10,931–12,450); nonfatal stroke $14,012 (12,849–15,183); ischaemic heart disease $12,577 (12,026–13,123); heart failure $15,530 (13,965–17,009); renal failure $28,661 (22,989–34,202); and chronic leg ulcer $15,413 (13,089–18,123). The costs in subsequent years for a man aged 60 years range from 14% for nonfatal MI to 106% for renal failure, of event costs.

Conclusions

Estimates of the health-care costs associated with diabetes-related complications can be used in modeling the long-term costs of diabetes and in evaluating the cost-effectiveness of improving care.

Categories :
  • Clinical Outcomes
  • Clinical Outcomes Assessment
  • Clinician Reported Outcomes
  • Specific Diseases & Conditions
  • Study Approaches
  • Surveys & Expert Panels
  • Systemic Disorders/Conditions
Tags :
  • Australia
  • diabetes mellitus
  • diabetes-related complications
  • health-care costs
  • record linkage
Regions :
  • North America
ViH Article Tags :