Study of direct costs of type 1 diabetes mellitus in Andalusian patients aged 2-16 years.

Autor: Álvarez Casaño M; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Málaga, Málaga, España. Electronic address: mariaac22@hotmail.com., Alonso Montejo MDM; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Málaga, Málaga, España., Leiva Gea I; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Málaga, Málaga, España., Jiménez Hinojosa JM; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Málaga, Málaga, España., Santos Mata MÁ; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Jerez, Cádiz, España., Macías F; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Jerez, Cádiz, España., Romero Pérez MDM; Unidad de Endocrinología Pediátrica, Hospital Virgen Macarena, Sevilla, España., de Toro M; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Jaén, Jaén, España., Martínez G; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Jaén, Jaén, España., Munguira P; Unidad de Endocrinología Pediátrica, Hospital General San Agustín de Linares, Jaén, España., Vivas G; Unidad de Endocrinología Pediátrica, Hospital Serranía de Ronda, Jaén, España., López Siguero JP; Unidad de Endocrinología Pediátrica, Hospital Materno Infantil de Málaga, Málaga, España.
Jazyk: English; Spanish; Castilian
Zdroj: Endocrinologia, diabetes y nutricion [Endocrinol Diabetes Nutr (Engl Ed)] 2019 Oct; Vol. 66 (8), pp. 480-486. Date of Electronic Publication: 2019 May 20.
DOI: 10.1016/j.endinu.2019.03.010
Abstrakt: Introduction: Type 1 Diabetes Mellitus (T1DM) is the second leading chronic disease and the most common endocrine-metabolic disorder in childhood. The study objective was to estimate the direct cost of T1DM in pediatric patients in Andalusia.
Methodology: A descriptive, observational, multicenter study was conducted during six consecutive months of 2017-2018 on a sample of 220 patients from 6 hospitals in Andalusia. Variables collected included demographic characteristics, metabolic control parameters, glucose levels, use of continuous monitoring systems, mean HbA 1c levels, episodes of severe hypoglycemia and ketoacidosis, comorbidities and complications, as well as direct healthcare costs, including costs of drugs, materials, laboratory tests, and supplemental tests, as well as those derived from both inpatient and outpatient care.
Results: The study sample consisted of 178 patients. Mean age at diagnosis was 6 years, and mean disease duration was 4.69 (0.29 SD) years. Mean HbA 1c level was 7.06%, and 25% of patients had values higher than 7.5%. The estimated annual cost per patient was € 4,720.4. Cost derived from use of insulins (€ 2,212.9) and materials for insulin administration and blood glucose monitoring (€ 1,518) accounted for greatest proportion of cost (79.1%). No association was found between metabolic control, comorbidities, or complications and cost of disease.
Conclusion: This study has shown a direct cost associated to T1DM in Andalusian children of approximately € 4,700 per patient.
(Copyright © 2019 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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