Direct Health-Care Costs and Productivity Costs Associated With Hypoglycemia in Adults With Type 1 and Type 2 Diabetes Mellitus That Participated in the Canadian Hypoglycemia Assessment Tool Program
| Autor: | Jean-Eric Tarride, Natasha Burke, Daria O'Reilly, Jina Hahn, Larisa Nurkanovic |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Canada Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Type 2 diabetes Efficiency Hypoglycemia Cohort Studies 03 medical and health sciences Indirect costs 0302 clinical medicine Endocrinology Absenteeism Internal Medicine medicine Humans 030212 general & internal medicine Prospective Studies Activity-based costing health care economics and organizations business.industry Type 2 Diabetes Mellitus General Medicine Health Care Costs Middle Aged medicine.disease Hospitalization Diabetes Mellitus Type 1 Diabetes Mellitus Type 2 Emergency medicine Cohort Sick leave Female Sick Leave business |
| Zdroj: | Canadian journal of diabetes. 42(6) |
| ISSN: | 2352-3840 |
| Popis: | Objectives There is a paucity of information concerning the cost of hypoglycemia events in Canadians with type 1 or type 2 diabetes. The objective of this study was to estimate the direct health-care costs and indirect costs associated with hypoglycemia based on a Canadian cohort of 498 patients from the global Hypoglycemia Assessment Tool (HAT) study. Methods A costing model was developed to estimate the direct costs related to experiencing hypoglycemia by using health-care resources associated with hospital admissions and additional clinical appointments that were prospectively reported 1 month after baseline in the HAT study. Data collected retrospectively on work absenteeism in the year prior to baseline were used to estimate the indirect costs of hypoglycemia events. All costs were annualized and reported in 2016 Canadian dollars. Results Of the 403 patients with diabetes who experienced hypoglycemia events in the first month after baseline (81%), 10 (2.5%) patients required hospitalization or clinical appointments. Over 1 year, the mean direct health-care costs were estimated to be C$90,300 (C$1,777 per patient) for hospitalizations and C$14,695 (C$204 per person) for additional clinical appointments. Work absenteeism resulted in a total annual indirect cost of C$20,937 for time off due to sick leave (C$500 per patient), arriving late (C$187 per patient) or leaving work early (C$128 per patient). The annual direct and indirect costs of hypoglycemia events total C$125,932. Conclusions The impact of hypoglycemia events on health-care resource utilization and work productivity leads to substantial direct and indirect costs in Canadian patients with diabetes. |
| Databáze: | OpenAIRE |
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