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Title: The cost of type 1 diabetes: a nationwide multicentre study in Brazil
Authors: Cobas, Roberta Arnoldi
Ferraz, Marcos Bosi [UNIFESP]
Matheus, Alessandra Saldanha de Mattos
Tannus, Lucianne Righeti Monteiro
Negrato, Carlos Antonio
Araujo, Luiz Antonio de
Dib, Sergio Atala [UNIFESP]
Gomes, Manila Brito
Brazilian Type 1 Diabet Study Group
State Univ Hosp Rio de Janeiro
Universidade Federal de São Paulo (UNIFESP)
Bauru Diabet Assoc
Joinville Endocrinol & Diabet Inst
Issue Date: 1-Jun-2013
Publisher: World Health Organization
Citation: Bulletin of the World Health Organization. Geneva 27: World Health Organization, v. 91, n. 6, p. 434-440, 2013.
Abstract: Objective To determine the direct medical costs of type 1 diabetes mellitus (T1DM) to the National Brazilian Health-Care System (NBHCS) and quantify the contribution of each individual component to the total cost.Methods A retrospective, cross-sectional, nationwide multicentre study was conducted between 2008 and 2010 in 28 public clinics in 20 Brazilian cities. the study included 3180 patients with T1DM (mean age 22 year's +/- 11.8) who were surveyed while receiving health care from the NBHCS. the mean duration of their diabetes was 10.3 years (+/- 8.0). the costs of tests and medical procedures, insulin pumps, and supplies for administration, and supplies for self-monitoring of blood glucose (SMBG) were obtained from national and local health system sources for 2010-2011. Annual direct medical costs were derived by adding the costs of medications, supplies, tests, medical consultations, procedures and hospitalizations over the year preceding the interview.Findings the average annual direct medical cost per capita was 1319.15 United States dollars (US$). Treatment-related expenditure - US$ 1216.33 per patient per year represented 92.20% of total direct medical costs. Insulin administration supplies and SMBG (US$ 696.78 per patient per year) accounted for 52.82% of these total costs. Together, medical procedures and haemodialysis accounted for 5.73% (US$ 75.64 per patient per year) of direct medical costs. Consultations accounted for 1.94% of direct medical costs (US$ 25.62 per patient per year).Conclusion Health technologies accounted for most direct medical costs of T1DM. These data can serve to reassess the distribution of resources for managing T1DM in Brazil's public health-care system.
ISSN: 0042-9686
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