scholarly journals The Cost of Managing Type 2 Diabetes Mellitus in Greece: A Retrospective Analysis of 10-Year Patient Level Data “The HERCULES Study”

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Ilias Migdalis ◽  
Grigorios Rombopoulos ◽  
Magdalini Hatzikou ◽  
Christos Manes ◽  
Nikolaos Kypraios ◽  
...  

Objective.This study aimed to estimate the mean annual cost of treating type 2 diabetes mellitus patients (T2DM) including complications and comorbidities in Greece.Design.A noninterventional retrospective study was based on patient level data analysis (bottom-up approach) from medical records, with at least 10-year-follow-up data.Results.The total annual cost per patient for managing diabetes in Greece was estimated at € 7,111 and was, statistically significantly, higher for patients with inadequate glycemic control (Hba1c>7%) versus patients with adequate control (Hba1c=7%) (€ 7,783 versus € 6,366, resp.;   P=0.017). This was mainly attributed to difference in CV hospitalizations between groups 14/111 versus 4/100, respectively,OR=3.46(95% CI: 1.10–10.9) for inadequately controlled patients. The largest component of cost was management of comorbidities, accounting for 48% of costs, and pharmaceutical treatment at 35.9% while only 14.9% was attributed to diabetes treatment per se. Obese men and patients with poor education are the groups with higher treatment costs.Conclusions.This is the first study to capture all cost components and the real burden of diabetes in Greece. Comorbidities were found to account for almost half of total cost, significantly higher in nonoptimally controlled diabetes patients.

Author(s):  
Dnyanesh Limaye ◽  
Krishna Todi ◽  
Jay Shroff ◽  
Ashutosh Ramaswamy ◽  
Priyanka Kulkarni ◽  
...  

Background: Diabetes is fast gaining the status of a potential epidemic in India, with >62 million individuals currently diagnosed with the disease. India currently faces an uncertain future in relation to the potential burden that diabetes may impose on the country. An estimated US$ 2.2 billion would be needed to sufficiently treat all cases of type 2 diabetes mellitus (T2DM) in India. Many interventions can reduce the burden of this disease. However, health care resources are limited; thus, interventions for diabetes treatment should be prioritized. The present study assesses the cost-effectiveness of antidiabetic drugs in patients with T2DM from Mumbai, India.Methods: A prospective cross-sectional study was performed to assess the cost-effectiveness of antidiabetic drugs in patients with T2DM. Face-to-face interviews were conducted by using a validated questionnaire in a total of 152 (76 males, 76 females) patients with T2DM from F-North Ward, Mumbai, India. Cost-effectiveness was determined on the basis of cost of antidiabetic drug/s, efficacy, adverse drug reactions, safety of administration, frequency of administration, and bioavailability. Results: For treatment of T2DM in non-obese participants, Glimepiride+Pioglitazone costed least (`3.7) per unit of effectiveness followed by Glimepiride (`6.6), Gliclazide (`8.1), Repaglinide (`24.5), and Vildagliptin (`45.2). For treatment of T2DM in obese participants, Metformin cost least (` 6.7) per unit of effectiveness followed by Glimepiride + Metformin (`5.9) and Repaglinide (`24.5). Conclusions: In case of non-obese participants, cost effectiveness and prescribed treatments did not show a match, while for obese participants prescribed treatments were in line with cost effectiveness. 


2016 ◽  
Vol 19 (7) ◽  
pp. A898
Author(s):  
H Lin ◽  
S Babineaux ◽  
T Lew ◽  
J Lowin ◽  
E Lovato ◽  
...  

2018 ◽  
Vol 21 (5) ◽  
pp. 488-496 ◽  
Author(s):  
Hitoshi Ishii ◽  
Matthew Madin-Warburton ◽  
Alena Strizek ◽  
Lucy Thornton-Jones ◽  
Shuichi Suzuki

2017 ◽  
Vol 9 (1) ◽  
pp. 13-25 ◽  
Author(s):  
Mickael Basson ◽  
Dionysios Ntais ◽  
Ruba Ayyub ◽  
Donna Wright ◽  
Julia Lowin ◽  
...  

Author(s):  
Amir Farshchi ◽  
Alireza Esteghamati ◽  
Ali Akbari Sari ◽  
Abbas Kebriaeezadeh ◽  
Mohammad Abdollahi ◽  
...  

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