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The financial costs of hospital care for people with diabetes who have single and multiple macrovascular complications

Currie, Craig John, Morgan, Christopher Llewellyn, Dixon, Simon, McEwan, Philip Christopher, Marchant, Nick, Bearne, Andy, Sharplin, Peter and Peters, John Redmond 2005. The financial costs of hospital care for people with diabetes who have single and multiple macrovascular complications. Diabetes Research and Clinical Practice 67 (2) , pp. 144-151. 10.1016/j.diabres.2004.01.002

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Aim: To evaluate the impact on hospital costs of patients being diagnosed with multiple complications of diabetes. Methods: All inpatient admissions and outpatient appointments from the Cardiff and Vale of Glamorgan area (1996 onwards) were cross-referenced to the diabetes register. Each episode of inpatient care was coded using Healthcare Resource Group (HRG) grouper software. The allocated HRG-coded episode was linked to a series of elective and emergency reference costs from the National Health Service costing manual. Outpatient appointments were cost-coded using the mean reference costs by specialty. Non-psychiatric finished consultant episodes (FCEs) were used rather than admissions to report inpatient utilisation. Results: Overall, 2815 of the total 10,287 patients identified as inpatients had at least one admission; 6133 admissions (finished consultant episodes) were successfully grouped to give a total estimated cost of £7,373,539. An incremental, linear relationship was observed in the cost increases for each additional diagnosed complication. Mean annual inpatient age-standardised costs were £434 for no complications, £999 for one complication, £1,641 for two, and £2,462 for three. There were 5717 patients with diabetes who attended 25,334 outpatient appointments. The estimated cost for these outpatient appointments was £1,833,232. Conclusion: Minimising the number of complications in patients with diabetes would result in considerable cost offsets.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Diabetes, Macrovascular complications, Costs, Hospital
Publisher: Elsevier
ISSN: 0168-8227
Last Modified: 16 Jul 2020 14:46

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