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Direct medical costs for patients with type 2 diabetes and related complications: a prospective cohort study based on the Korean National Diabetes Program

Authors
Kim, TH; Chun, KH; Kim, HJ; Han, SJ; Kim, DJ; Kwak, J; Kim, YS; Woo, JT; Park, Y; Nam, M; Baik, SH; Ahn, KJ; Lee, KW
Citation
Journal of Korean medical science, 27(8):876-882, 2012
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
Abstract
We analyzed the direct medical costs for Korean patients with type 2 diabetes according to the type of complications and the number of microvascular complications. We analyzed costs for type 2 diabetes and associated complications in 3,125 patients. These data were obtained from the Korean National Diabetes Program (KNDP), a large, ongoing, prospective cohort study that began in 2005. The cost data were prospectively collected, using an electronic database, for the KNDP cohort at six hospitals. The costs were analyzed according to complications for 1 yr from enrollment in the study. Among 3,125 patients, 918 patients had no vascular complications; 1,883 had microvascular complications only; 51 had macrovascular complications only; and 273 had both complications. The annual direct medical costs for a patient with only macrovascular, only microvascular, or both macrovascular and microvascular complications were 2.7, 1.5, and 2.0 times higher than the medical costs of patients without complications. Annual direct medical costs per patient increased with the number of microvascular complications in patients without macrovascular complications. The economic costs for type 2 diabetes are attributable largely to the management of microvascular and macrovascular complications. Proper management of diabetes and prevention of related complications are important for reducing medical costs.
MeSH terms
AdolescentAdultAgedAged, 80 and overAsian Continental Ancestry GroupCosts and Cost AnalysisDatabases, FactualDiabetes Mellitus, Type 2/complications/*economicsFemaleHealth Care CostsHumansMaleMiddle AgedProspective StudiesRepublic of KoreaVascular Diseases/complicationsYoung Adult
DOI
10.3346/jkms.2012.27.8.876
PMID
22876053
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Endocrinology & Metabolism
Journal Papers > School of Medicine / Graduate School of Medicine > Preventive Medicine & Public Health
AJOU Authors
전, 기홍김, 혜진한, 승진김, 대중이, 관우
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