Cost-effectiveness of the diabetes care protocol, a multifaceted computerized decision support diabetes management intervention that reduces cardiovascular risk.

Diabetes Care
F G W CleveringaWilliam K Redekop

Abstract

The Diabetes Care Protocol (DCP), a multifaceted computerized decision support diabetes management intervention, reduces cardiovascular risk of type 2 diabetic patients. We performed a cost-effectiveness analysis of DCP from a Dutch health care perspective. A cluster randomized trial provided data of DCP versus usual care. The 1-year follow-up patient data were extrapolated using a modified Dutch microsimulation diabetes model, computing individual lifetime health-related costs, and health effects. Incremental costs and effectiveness (quality-adjusted life-years [QALYs]) were estimated using multivariate generalized estimating equations to correct for practice-level clustering and confounding. Incremental cost-effectiveness ratios (ICERs) were calculated and cost-effectiveness acceptability curves were created. Stroke costs were calculated separately. Subgroup analyses examined patients with and without cardiovascular disease (CVD+ or CVD- patients, respectively). Excluding stroke, DCP patients lived longer (0.14 life-years, P = NS), experienced more QALYs (0.037, P = NS), and incurred higher total costs (euro 1,415, P = NS), resulting in an ICER of euro 38,243 per QALY gained. The likelihood of cost-effectiveness given a willi...Continue Reading

References

Nov 29, 2001·Clinical Science·R J StevensUNKNOWN United Kingdom Prospective Diabetes Study (UKPDS) Group
Jul 24, 2002·Diabetologia·B Jönsson, UNKNOWN CODE-2 Advisory Board
Mar 1, 2003·Diabetes Care·Paul HoganUNKNOWN American Diabetes Association
May 30, 2003·Cost Effectiveness and Resource Allocation : C/E·Benjamin JohnsRaymond Hutubessy
Aug 11, 2004·The American Journal of Medicine·Joshua J OfmanScott R Weingarten
Aug 20, 2005·BMJ : British Medical Journal·Werner B F BrouwerFrans F H Rutten
Jan 26, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·R F DijkstraR T P M Grol
Feb 27, 2007·Diabetes Care·Davis BuBlackford Middleton
Jan 15, 2008·Lancet·UNKNOWN Cholesterol Treatment Trialists' (CTT) CollaboratorsC Baigent
Jun 10, 2008·The New England Journal of Medicine·Anushka PatelFlorence Travert
Sep 12, 2008·The New England Journal of Medicine·Rury R HolmanH Andrew W Neil
Sep 12, 2008·The New England Journal of Medicine·Rury R HolmanDavid R Matthews
Jul 1, 2002·Diabetologia·B Jönsson

❮ Previous
Next ❯

Citations

Aug 10, 2011·Implementation Science : IS·Pavel S RoshanovUNKNOWN CCDSS Systematic Review Team
Sep 3, 2010·Medical Care·Loes M T SchoutenMarlies E J L Hulscher
Dec 4, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·R JefferyUNKNOWN CDSS Systematic Review Team
Jun 14, 2018·PloS One·Chiranjeev SanyalDon Husereau
Mar 16, 2017·The Cochrane Database of Systematic Reviews·Kunal N KarmaliMark D Huffman
Aug 6, 2010·Endocrinology·Cristian A Lasagna-ReevesRakez Kayed
Jun 1, 2018·Journal of Medical Internet Research·Ivan Contreras, Josep Vehi
Jan 5, 2017·Journal of the American Medical Informatics Association : JAMIA·Verughese JacobJohn M Clymer
Feb 11, 2021·Journal of Medical Internet Research·Quynh PhamJoseph A Cafazzo
Aug 8, 2015·Clinical Diabetes : a Publication of the American Diabetes Association·Victoria OxendineValerie Sabol

❮ Previous
Next ❯

Methods Mentioned

BETA
amputation

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.

CV Disorders & Type 2 Diabetes

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

American Diabetes Association Journals

Discover the latest diabetes research published by the journals from the American Diabetes Association.