Changes in prevalence of diabetic complications and associated healthcare costs during a 10-year follow-up period among a nationwide diabetic cohort

Journal of Diabetes and Its Complications
Hung-Lin ChenFei-Yuan Hsiao

Abstract

Long-term health and economic consequences of diabetes mellitus are of significant importance to health policy makers to identify the most efficient interventions for disease managements. However, existing data are mainly from simulation models instead of "real-world" data. The objective of this study was to longitudinally evaluate the changes of prevalence of diabetic complications and associated healthcare costs in a nationally-representative diabetic cohort. We used the 2000-2011 Taiwan's Longitudinal Health Insurance Database (LHID) to conduct a population-based cohort study of 136,372 patients with type 2 diabetes. Diabetic complications of each patient were calculated annually after the cohort entry by the adapted Diabetes Complications Severity Index (aDCSI) score (sum of diabetic complication with severity levels, range 0-13) using diagnostic codes recorded in the LHID. Study subjects were further categorized into six subgroups according to their aDCSI score (0, 1, 2, 3, 4, 5+) at cohort entry. Healthcare utilizations (including outpatient and inpatient visits) as well as direct medical costs for the six subgroups were estimated annually using patient-level data from the LHID. We found the severity of diabetic complicat...Continue Reading

References

Sep 24, 1999·Archives of Internal Medicine·J B BrownA W Bakst
Oct 3, 2001·Diabetes Research and Clinical Practice·T LinT Y Tai
Mar 5, 2002·Diabetes Care·J Jaime CaroJudith A O'Brien
Jul 29, 2003·Diabetes Care·Michael BrandleWilliam H Herman
Jan 24, 2004·Diabetes Research and Clinical Practice·Tsann LinTong-Yuan Tai
Sep 20, 2005·General Hospital Psychiatry·Gregory E SimonBessie A Young
Dec 17, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Wender LinChih-Liang Yaung
Apr 3, 2012·Journal of Diabetes and Its Complications·C X WuB H Heng
Mar 8, 2013·Diabetes Care·UNKNOWN American Diabetes Association
May 15, 2013·Age and Ageing·Franklin WouSimon Paul Conroy
Aug 21, 2013·American Journal of Preventive Medicine·Xiaohui ZhuoThomas J Hoerger
Mar 7, 2014·Journal of Diabetes and Metabolic Disorders·Amir FarshchiMaryam Ebadi

❮ Previous
Next ❯

Citations

Dec 5, 2015·Phytotherapy Research : PTR·Ramachandran VinayagamBaojun Xu
Nov 11, 2016·Aging Clinical and Experimental Research·Satoshi IdaHiroka Takahashi
Jul 21, 2020·Expert Review of Pharmacoeconomics & Outcomes Research·Aus AlzaidPetar Atanasov
Mar 13, 2021·BMC Medical Research Methodology·Jun Jie Benjamin SengLian Leng Low

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Cardiovascular Disorder in Diabetes

Diabetes is associated with an increased risk of cardiovascular disorders and heart failure. Discover the latest research here.

CV Disorders & Type 2 Diabetes

This feed focuses on the association of cardiovascular diseases in patients with type 2 diabetes.