Healthcare utilization of people with type 2 diabetes in Germany: an analysis based on health insurance data

Diabetic Medicine : a Journal of the British Diabetic Association
N MüllerU A Müller

Abstract

This population-based study assesses the healthcare utilization of people with Type 2 diabetes by analysing routine data from Allgemeine Orts-Krankenkasse (AOK), the largest statutory health insurance provider in Germany. Anonymized billing data from all AOK-insured persons with at least one day of insurance during the evaluation year 2010 were analysed. Treatment and cost data from all areas of inpatient and outpatient care were available, as was information regarding patient age and sex. International Classification of Diseases (ICD-10) diagnosis and Anatomical Therapeutic Chemical (ATC) classification were used to identify 2.7 million insured persons with diabetes. The age- and sex-standardized prevalence of Type 2 diabetes was 9.8%. Of those patients identified, 33.9% had at least one diabetes-related complication and 83.0% had a diagnosis of hypertension. Almost two-thirds (63.1%) received antihyperglycaemic medication. Metformin and sulfonylurea were prescribed most often; medications without proof of benefit in endpoint studies were prescribed much less frequently. People without diabetes were admitted to hospital only half as often as those with Type 2 diabetes. The projected total expenditure in Germany for all people ...Continue Reading

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Citations

Jul 28, 2015·Journal of Diabetes·Zachary T Bloomgarden
Feb 9, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·S E HoldenC J Currie
Feb 16, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·E JacobsW Rathmann
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Apr 15, 2020·Experimental and Clinical Endocrinology & Diabetes : Official Journal, German Society of Endocrinology [and] German Diabetes Association·Martin BuschNicolle Müller

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