Estimating the Cost of Complications of Diabetes in Australia Using Administrative Health-Care Data

作者: Philip Clarke , Jose Leal , Chris Kelman , Merran Smith , Stephen Colagiuri

DOI: 10.1111/J.1524-4733.2007.00228.X

关键词:

摘要: Abstract Objectives To estimate Australian health-care costs in the year of first occurrence and subsequent years for major diabetes-related complications using administrative data. Methods The were estimated information on hospital services primary financed through Australia's national health insurance system Medicare. Data available 70,340 patients with diabetes Western Australia (mean duration 4.5 follow-up). Multiple regression analysis was used to inpatient care costs. Results For a man aged 60 years, average event occurred were: amputation $20,416 (95% CI 18,670–22,411); nonfatal myocardial infarction (MI) $11,660 (10,931–12,450); stroke $14,012 (12,849–15,183); ischaemic heart disease $12,577 (12,026–13,123); failure $15,530 (13,965–17,009); renal $28,661 (22,989–34,202); chronic leg ulcer $15,413 (13,089–18,123). range from 14% MI 106% failure, Conclusions Estimates associated can be modeling long-term evaluating cost-effectiveness improving care.

参考文章(19)
Charles E. Phelps, INFORMATION DIFFUSION AND BEST PRACTICE ADOPTION Handbook of Health Economics. ,vol. 1, pp. 223- 264 ,(2000) , 10.1016/S1574-0064(00)80164-X
A. D Morris, D. I. Boyle, R. MacAlpine, A. Emslie-Smith, R. T Jung, R. W Newton, T. M MacDonald, The diabetes audit and research in Tayside Scotland (darts) study: electronic record linkage to create a diabetes register BMJ. ,vol. 315, pp. 524- 528 ,(1997) , 10.1136/BMJ.315.7107.524
C.W. Kelman, A.J. Bass, C.D.J. Holman, Research use of linked health data--a best practice protocol. Australian and New Zealand Journal of Public Health. ,vol. 26, pp. 251- 255 ,(2002) , 10.1111/J.1467-842X.2002.TB00682.X
P. M. Clarke, A. M. Gray, A. Briggs, R. J. Stevens, D. R. Matthews, R. R. Holman, , Cost-utility analyses of intensive blood glucose and tight blood pressure control in type 2 diabetes (UKPDS 72) Diabetologia. ,vol. 48, pp. 868- 877 ,(2005) , 10.1007/S00125-005-1717-3
Joshua A. Ray, William J. Valentine, Kristina Secnik, Alan K. Oglesby, Anna Cordony, Adam Gordois, Peter Davey, Andrew J. Palmer, Review of the cost of diabetes complications in Australia, Canada, France, Germany, Italy and Spain Current Medical Research and Opinion. ,vol. 21, pp. 1617- 1629 ,(2005) , 10.1185/030079905X65349
J. A. O'Brien, L. A. Shomphe, P. L. Kavanagh, G. Raggio, J. J. Caro, Direct medical costs of complications resulting from type 2 diabetes in the U.S. Diabetes Care. ,vol. 21, pp. 1122- 1128 ,(1998) , 10.2337/DIACARE.21.7.1122
DB Preen, CDJ Holman, DM Lawrence, NJ Baynham, JB Semmens, Hospital chart review provided more accurate comorbidity information than data from a general practitioner survey or an administrative database Journal of Clinical Epidemiology. ,vol. 57, pp. 1295- 1304 ,(2004) , 10.1016/J.JCLINEPI.2004.03.016
Cheng Hsiao, Analysis of Panel Data ,(1986)