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Weight change patterns and healthcare costs in patients with newly-diagnosed type-2 diabetes in Sweden

Sabale, Ugne; Bodegard, Johan; Svennblad, Bodil; Östgren, Carl Johan LU ; Johansson, Gunnar; Ekman, Mattias; Henriksson, Martin and Nilsson, Peter M LU (2017) In Primary Care Diabetes 11(3). p.217-225
Abstract

Aims To describe weight-change pathways in patients with type 2 diabetes (T2D) and associated healthcare costs using repeated BMI measurements and healthcare utilization data. Methods Patients with newly-diagnosed T2D with body mass index (BMI, kg/m2) at diagnosis and subsequent measures at year 1–3 were identified. Based on three-year BMI change, patients were assigned to one of 27 BMI change pathways defined by annual BMI change: BMI↗ (≥1 BMI unit increase), BMI→ (<1 BMI unit change), and BMI↘ (≥1 BMI unit decrease). Mean annual and three-year cumulative healthcare costs were estimated for each pathway by combining Swedish unit costs with resource use from primary care and national patient registers. Results Cohort... (More)

Aims To describe weight-change pathways in patients with type 2 diabetes (T2D) and associated healthcare costs using repeated BMI measurements and healthcare utilization data. Methods Patients with newly-diagnosed T2D with body mass index (BMI, kg/m2) at diagnosis and subsequent measures at year 1–3 were identified. Based on three-year BMI change, patients were assigned to one of 27 BMI change pathways defined by annual BMI change: BMI↗ (≥1 BMI unit increase), BMI→ (<1 BMI unit change), and BMI↘ (≥1 BMI unit decrease). Mean annual and three-year cumulative healthcare costs were estimated for each pathway by combining Swedish unit costs with resource use from primary care and national patient registers. Results Cohort consisted of 15,819 patients; 44% women, mean age of 61 years, HbA1c of 6.7% (50 mmol/mol), BMI of 30.6 kg/m2. Most common BMI pathways (mean costs): BMI→→→ (€5,311), BMI↘→→ (€5,461), and BMI→→↘ (€6,281). General trends: BMI→→→ linked to lowest, BMI↗→↗ linked to highest costs. Conclusion In patients with newly-diagnosed T2D, weight stability was the most common BMI change pattern over 3 years and associated with lowest healthcare costs. Relationship between weight change and healthcare costs appears complex warranting further investigation.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
BMI change pathways, Economic burden, Healthcare costs, Type 2 diabetes, Weight change
in
Primary Care Diabetes
volume
11
issue
3
pages
9 pages
publisher
Elsevier
external identifiers
  • scopus:85017338343
  • wos:000401210800001
ISSN
1751-9918
DOI
10.1016/j.pcd.2017.03.001
language
English
LU publication?
yes
id
97297b71-cb07-4379-b4dd-594c9a4bb994
date added to LUP
2017-05-02 14:38:10
date last changed
2018-01-07 12:01:23
@article{97297b71-cb07-4379-b4dd-594c9a4bb994,
  abstract     = {<p>Aims To describe weight-change pathways in patients with type 2 diabetes (T2D) and associated healthcare costs using repeated BMI measurements and healthcare utilization data. Methods Patients with newly-diagnosed T2D with body mass index (BMI, kg/m<sup>2</sup>) at diagnosis and subsequent measures at year 1–3 were identified. Based on three-year BMI change, patients were assigned to one of 27 BMI change pathways defined by annual BMI change: BMI↗ (≥1 BMI unit increase), BMI→ (&lt;1 BMI unit change), and BMI↘ (≥1 BMI unit decrease). Mean annual and three-year cumulative healthcare costs were estimated for each pathway by combining Swedish unit costs with resource use from primary care and national patient registers. Results Cohort consisted of 15,819 patients; 44% women, mean age of 61 years, HbA1c of 6.7% (50 mmol/mol), BMI of 30.6 kg/m<sup>2</sup>. Most common BMI pathways (mean costs): BMI→→→ (€5,311), BMI↘→→ (€5,461), and BMI→→↘ (€6,281). General trends: BMI→→→ linked to lowest, BMI↗→↗ linked to highest costs. Conclusion In patients with newly-diagnosed T2D, weight stability was the most common BMI change pattern over 3 years and associated with lowest healthcare costs. Relationship between weight change and healthcare costs appears complex warranting further investigation.</p>},
  author       = {Sabale, Ugne and Bodegard, Johan and Svennblad, Bodil and Östgren, Carl Johan and Johansson, Gunnar and Ekman, Mattias and Henriksson, Martin and Nilsson, Peter M},
  issn         = {1751-9918},
  keyword      = {BMI change pathways,Economic burden,Healthcare costs,Type 2 diabetes,Weight change},
  language     = {eng},
  number       = {3},
  pages        = {217--225},
  publisher    = {Elsevier},
  series       = {Primary Care Diabetes},
  title        = {Weight change patterns and healthcare costs in patients with newly-diagnosed type-2 diabetes in Sweden},
  url          = {http://dx.doi.org/10.1016/j.pcd.2017.03.001},
  volume       = {11},
  year         = {2017},
}