Weight change patterns and healthcare costs in patients with newly-diagnosed type-2 diabetes in Sweden
(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.
(Less)
- author
- Sabale, Ugne ; Bodegard, Johan ; Svennblad, Bodil ; Östgren, Carl Johan LU ; Johansson, Gunnar ; Ekman, Mattias ; Henriksson, Martin and Nilsson, Peter M LU
- organization
- publishing date
- 2017
- 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
- pmid:28389199
- 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
- 2024-10-14 05:04:55
@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→ (<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}},
keywords = {{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}},
doi = {{10.1016/j.pcd.2017.03.001}},
volume = {{11}},
year = {{2017}},
}