The cost-effectiveness of intensive therapy for diabetes mellitus

被引:34
作者
Herman, WH
Dasbach, EJ
Songer, TJ
Eastman, RC
机构
[1] UNIV MICHIGAN, DEPT INTERNAL MED, ANN ARBOR, MI 48109 USA
[2] UNIV MICHIGAN, DEPT EPIDEMIOL, ANN ARBOR, MI 48109 USA
[3] MERCK RES LABS, BLUE BELL, PA USA
[4] UNIV PITTSBURGH, GRAD SCH PUBL HLTH, DEPT EPIDEMIOL, PITTSBURGH, PA USA
[5] NIDDK, DIV DIABET ENDOCRINOL & METAB DIS, NIH, BETHESDA, MD USA
关键词
D O I
10.1016/S0889-8529(05)70274-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although patients with diabetes constitute only 3.1% of the United States population, costs for their care account for 11.9% of total United States health care expenditures. Approximately half of the expenditures for medical care for diabetes are for treatment of the metabolic condition and half for the treatment of chronic complications. Intensive therapy for patients with diabetes uses more resources and is more expensive than conventional therapy. On the other hand, intensive therapy is associated with a lower incidence of costly chronic complications. Formal economic analyses have demonstrated that intensive therapy is cost-effective for the treatment of diabetes.
引用
收藏
页码:679 / +
相关论文
共 37 条
  • [1] *AM DIAB ASS, 1993, DIR IND COSTS DIAB U
  • [2] CARDIOVASCULAR-DISEASE RISK PROFILES
    ANDERSON, KM
    ODELL, PM
    WILSON, PWF
    KANNEL, WB
    [J]. AMERICAN HEART JOURNAL, 1991, 121 (01) : 293 - 298
  • [3] EPIDEMIOLOGY OF PERSISTENT PROTEINURIA IN TYPE-II DIABETES-MELLITUS - POPULATION-BASED STUDY IN ROCHESTER, MINNESOTA
    BALLARD, DJ
    HUMPHREY, LL
    MELTON, LJ
    FROHNERT, PP
    CHU, CP
    OFALLON, WM
    PALUMBO, PJ
    [J]. DIABETES, 1988, 37 (04) : 405 - 412
  • [4] FEDERAL BUDGETARY COSTS OF BLINDNESS
    CHIANG, YP
    BASSI, LJ
    JAVITT, JC
    [J]. MILBANK QUARTERLY, 1992, 70 (02) : 319 - 340
  • [5] DIABET CONTROL COMPLICATIONS TRIAL RES GRP, 1995, DIABETES CARE, V18, P1468
  • [6] Diabet Control Complications Trial Res Grp, 1996, DIABETES CARE, V19, P195
  • [7] THE PREVALENCE BY STAGED SEVERITY OF VARIOUS TYPES OF DIABETIC NEUROPATHY, RETINOPATHY, AND NEPHROPATHY IN A POPULATION-BASED COHORT - THE ROCHESTER DIABETIC NEUROPATHY STUDY
    DYCK, PJ
    KRATZ, KM
    KARNES, JL
    LITCHY, WJ
    KLEIN, R
    PACH, JM
    WILSON, DM
    OBRIEN, PC
    MELTON, LJ
    [J]. NEUROLOGY, 1993, 43 (04) : 817 - 824
  • [8] Model of Complications of NIDDM .2. Analysis of the health benefits and cost-effectiveness of treating NIDDM with the goal of normoglycemia
    Eastman, RC
    Javitt, JC
    Herman, WH
    Dasbach, EJ
    CopleyMerriman, C
    Maier, W
    Dong, F
    Manninen, D
    Zbrozek, AS
    Kotsanos, J
    Garfield, SA
    Harris, M
    [J]. DIABETES CARE, 1997, 20 (05) : 735 - 744
  • [9] Model of complications of NIDDM .1. Model construction and assumptions
    Eastman, RC
    Javitt, JC
    Herman, WH
    Dasbach, EJ
    Zbrozek, AS
    Dong, F
    Manninen, D
    Garfield, SA
    CopleyMerriman, C
    Maier, W
    Eastman, JF
    Kotsanos, J
    Cowie, CC
    Harris, M
    [J]. DIABETES CARE, 1997, 20 (05) : 725 - 734
  • [10] FOOT INFECTIONS IN DIABETIC-PATIENTS - DECISION AND COST-EFFECTIVENESS ANALYSES
    ECKMAN, MH
    GREENFIELD, S
    MACKEY, WC
    WONG, JB
    KAPLAN, S
    SULLIVAN, L
    DUKES, K
    PAUKER, SG
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (09): : 712 - 720