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Increased healthcare utilization costs following initiation of insulin treatment in type 2 diabetes : A long-term follow-up in clinical practice

Kalkan, Almina; Bodegard, Johan; Sundström, Johan; Svennblad, Bodil; Östgren, Carl Johan LU ; Nilsson-Ehle, Peter LU ; Johansson, Gunnar and Ekman, Mattias (2017) In Primary Care Diabetes 11(2). p.184-192
Abstract

Aims: To compare long-term changes in healthcare utilization and costs for type 2 diabetes patients before and after insulin initiation, as well as healthcare costs after insulin versus non-insulin anti-diabetic (NIAD) initiation. Methods: Patients newly initiated on insulin (n. =2823) were identified in primary health care records from 84 Swedish primary care centers, between 1999 to 2009. First, healthcare costs per patient were evaluated for primary care, hospitalizations and secondary outpatient care, before and up to seven years after insulin initiation. Second, patients prescribed insulin in second line were matched to patients prescribed NIAD in second line, and the healthcare costs of the matched groups were compared. Results:... (More)

Aims: To compare long-term changes in healthcare utilization and costs for type 2 diabetes patients before and after insulin initiation, as well as healthcare costs after insulin versus non-insulin anti-diabetic (NIAD) initiation. Methods: Patients newly initiated on insulin (n. =2823) were identified in primary health care records from 84 Swedish primary care centers, between 1999 to 2009. First, healthcare costs per patient were evaluated for primary care, hospitalizations and secondary outpatient care, before and up to seven years after insulin initiation. Second, patients prescribed insulin in second line were matched to patients prescribed NIAD in second line, and the healthcare costs of the matched groups were compared. Results: The total mean annual healthcare cost increased from €1656 per patient 2 years before insulin initiation to €3814 seven years after insulin initiation. The total cumulative mean healthcare cost per patient at year 5 after second-line treatment was €13,823 in the insulin group compared to €9989 in the NIAD group. Conclusions: Initiation of insulin in type 2 diabetes patients was followed by increased healthcare costs. The increases in costs were larger than those seen in a matched patient population initiated on NIAD treatment in second-line.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Healthcare costs, Healthcare utilization, Observational study, Type 2 diabetes mellitus
in
Primary Care Diabetes
volume
11
issue
2
pages
184 - 192
publisher
Elsevier
external identifiers
  • scopus:85007343505
  • wos:000396955300012
ISSN
1751-9918
DOI
10.1016/j.pcd.2016.11.002
language
English
LU publication?
yes
id
070c5b5b-e818-4933-9bb9-3a08e9423c0e
date added to LUP
2017-01-17 17:08:20
date last changed
2018-05-20 04:30:36
@article{070c5b5b-e818-4933-9bb9-3a08e9423c0e,
  abstract     = {<p>Aims: To compare long-term changes in healthcare utilization and costs for type 2 diabetes patients before and after insulin initiation, as well as healthcare costs after insulin versus non-insulin anti-diabetic (NIAD) initiation. Methods: Patients newly initiated on insulin (n. =2823) were identified in primary health care records from 84 Swedish primary care centers, between 1999 to 2009. First, healthcare costs per patient were evaluated for primary care, hospitalizations and secondary outpatient care, before and up to seven years after insulin initiation. Second, patients prescribed insulin in second line were matched to patients prescribed NIAD in second line, and the healthcare costs of the matched groups were compared. Results: The total mean annual healthcare cost increased from €1656 per patient 2 years before insulin initiation to €3814 seven years after insulin initiation. The total cumulative mean healthcare cost per patient at year 5 after second-line treatment was €13,823 in the insulin group compared to €9989 in the NIAD group. Conclusions: Initiation of insulin in type 2 diabetes patients was followed by increased healthcare costs. The increases in costs were larger than those seen in a matched patient population initiated on NIAD treatment in second-line.</p>},
  author       = {Kalkan, Almina and Bodegard, Johan and Sundström, Johan and Svennblad, Bodil and Östgren, Carl Johan and Nilsson-Ehle, Peter and Johansson, Gunnar and Ekman, Mattias},
  issn         = {1751-9918},
  keyword      = {Healthcare costs,Healthcare utilization,Observational study,Type 2 diabetes mellitus},
  language     = {eng},
  number       = {2},
  pages        = {184--192},
  publisher    = {Elsevier},
  series       = {Primary Care Diabetes},
  title        = {Increased healthcare utilization costs following initiation of insulin treatment in type 2 diabetes : A long-term follow-up in clinical practice},
  url          = {http://dx.doi.org/10.1016/j.pcd.2016.11.002},
  volume       = {11},
  year         = {2017},
}