CENEXA   05419
CENTRO DE ENDOCRINOLOGIA EXPERIMENTAL Y APLICADA
Unidad Ejecutora - UE
congresos y reuniones científicas
Título:
Type 2 diabetes: burden of the disease and out-of-pocket expenditures in Argentina
Autor/es:
GAGLIARDINO JJ ET AL.
Lugar:
New Orleans
Reunión:
Congreso; ISPOR 18th ANNUAL INTERNATIONAL MEETING; 2013
Institución organizadora:
International Society For Pharmacoeconomics and Outcomes Research
Resumen:
OBJECTIVES: To assess a) the economic impact of diabetes on quality of life, disabilities and health utilities, the income, employment and education of patients and their families in Argentina, and b) compare these costs with those recorded in people without diabetes. METHODS: Case-control study comparing cases with T2DM with or without chronic complications and controls without diabetes (paired by age and gender) and social contexts. Data was obtained by telephone interviews (March-April 2011) using identical questionnaire. Interview data were supplemented with data obtained from clinical records to fully describe the subjects resources utilization and costs of care. Statistical analysis was done using ANOVA or Kruskal-Wallis and Chi-square (in proportions) tests and the SPSS version 15. The study had ethical clearance and all subjects provided oral informed consent. RESULTS: We interviewed 774 non diabetic controls, 387 people with T2DM without complications, and 387 people with T2DM and complications); mostly female (54.8% in each group). The diabetes duration in the group with complications was significantly higher than in the group without complications (8.1±8.4 vs. 10.8±9.0). Persons with T2DM with complications have significantly lower salaries, higher monthly expenditures (with lower expenditure/income ratio), lower percentage of people with university degree, higher hospitalization rate and resources consumption; they also have lost more working days (16.2) than those either with T2DM without complications (8.48) or those without T2DM (7.78). People with T2DM with complications have significantly higher direct medical and indirect cost. CONCLUSIONS: This report shows objectively the heavy burden of diabetes and its complications for the patient, its family, the health systems and the overall society in Argentina. The data provide a serious warning to health care authorities to strengthen the implementation of prevention strategies to reduce this burden.