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Cost of illness of adult diabetes mellitus underestimated if comorbidity is not considered

Norlund, A ; Apelqvist, Jan LU ; Bitzen, P O ; Nyberg, Per LU and Scherstén, Bengt LU (2001) In Journal of Internal Medicine 250(1). p.57-65
Abstract
OBJECTIVE: To determine costs of illness for adult diabetes mellitus (DM), including complications caused by DM. DESIGN: A population-based multicentre cross- sectional study including an interview and a physical examination of patients identified as having DM. The patients' medical records were analysed regarding diagnoses and complications attributable to DM. SETTING: Eight health care centres of six primary care districts in Southern Sweden. SUBJECTS: 1677 adults aged 25+, cared for at the health care centres, entered the study. MAIN OUTCOME MEASURES: Utilization of health care and care from relatives and the municipality, absence of short- and long-term sickness, cost of illness. RESULTS: The average annual direct and indirect costs... (More)
OBJECTIVE: To determine costs of illness for adult diabetes mellitus (DM), including complications caused by DM. DESIGN: A population-based multicentre cross- sectional study including an interview and a physical examination of patients identified as having DM. The patients' medical records were analysed regarding diagnoses and complications attributable to DM. SETTING: Eight health care centres of six primary care districts in Southern Sweden. SUBJECTS: 1677 adults aged 25+, cared for at the health care centres, entered the study. MAIN OUTCOME MEASURES: Utilization of health care and care from relatives and the municipality, absence of short- and long-term sickness, cost of illness. RESULTS: The average annual direct and indirect costs for an adult with DM were calculated to be 61 700 Swedish Kronor (SEK) or 2.5 times higher than earlier estimates. The incremental cost of DM was 34 100 SEK. The cost distribution was 28% for health care, 31% for the municipality and relatives and 41% lost productivity. CONCLUSIONS: Calculations for the cost of illness of DM are underestimated if comorbidity caused by DM is not considered. When DM-related complications are included to identify the actual burden of disease to society, the cost of illness as a result of DM in Sweden is substantially higher than previously estimated. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cost of illness, costs and cost analysis, diabetes mellitus
in
Journal of Internal Medicine
volume
250
issue
1
pages
57 - 65
publisher
Wiley-Blackwell
external identifiers
  • pmid:11454143
  • scopus:0035726087
ISSN
1365-2796
DOI
10.1046/j.1365-2796.2001.00852.x
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Nursing (Closed 2012) (013065000), Family Medicine (013241010), Diabetes and Endocrinology (013241530)
id
d0e33818-1a05-4682-aefb-033157e7b417 (old id 1121850)
date added to LUP
2016-04-01 16:27:04
date last changed
2022-01-28 19:50:23
@article{d0e33818-1a05-4682-aefb-033157e7b417,
  abstract     = {{OBJECTIVE: To determine costs of illness for adult diabetes mellitus (DM), including complications caused by DM. DESIGN: A population-based multicentre cross- sectional study including an interview and a physical examination of patients identified as having DM. The patients' medical records were analysed regarding diagnoses and complications attributable to DM. SETTING: Eight health care centres of six primary care districts in Southern Sweden. SUBJECTS: 1677 adults aged 25+, cared for at the health care centres, entered the study. MAIN OUTCOME MEASURES: Utilization of health care and care from relatives and the municipality, absence of short- and long-term sickness, cost of illness. RESULTS: The average annual direct and indirect costs for an adult with DM were calculated to be 61 700 Swedish Kronor (SEK) or 2.5 times higher than earlier estimates. The incremental cost of DM was 34 100 SEK. The cost distribution was 28% for health care, 31% for the municipality and relatives and 41% lost productivity. CONCLUSIONS: Calculations for the cost of illness of DM are underestimated if comorbidity caused by DM is not considered. When DM-related complications are included to identify the actual burden of disease to society, the cost of illness as a result of DM in Sweden is substantially higher than previously estimated.}},
  author       = {{Norlund, A and Apelqvist, Jan and Bitzen, P O and Nyberg, Per and Scherstén, Bengt}},
  issn         = {{1365-2796}},
  keywords     = {{cost of illness; costs and cost analysis; diabetes mellitus}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{57--65}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Journal of Internal Medicine}},
  title        = {{Cost of illness of adult diabetes mellitus underestimated if comorbidity is not considered}},
  url          = {{http://dx.doi.org/10.1046/j.1365-2796.2001.00852.x}},
  doi          = {{10.1046/j.1365-2796.2001.00852.x}},
  volume       = {{250}},
  year         = {{2001}},
}