Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study

Detalhes bibliográficos
Autor(a) principal: Toscano, Cristiana Maria
Data de Publicação: 2018
Outros Autores: Sugita, Tatiana Haruka, Rosa, Michelle Quarti Machado da, Pedrosa, Hermelinda Cordeiro, Rosa, Roger dos Santos, Bahia, Luciana Ribeiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRGS
Texto Completo: http://hdl.handle.net/10183/173539
Resumo: The aim of this study was to estimate the annual costs for the treatment of diabetic foot disease (DFD) in Brazil. We conducted a cost-of-illness study of DFD in 2014, while considering the Brazilian Public Healthcare System (SUS) perspective. Direct medical costs of outpatient management and inpatient care were considered. For outpatient costs, a panel of experts was convened from which utilization of healthcare services for the management of DFD was obtained. When considering the range of syndromes included in the DFD spectrum, we developed four well-defined hypothetical DFD cases: (1) peripheral neuropathy without ulcer, (2) non-infected foot ulcer, (3) infected foot ulcer, and (4) clinical management of amputated patients. Quantities of each healthcare service was then multiplied by their respective unit costs obtained from national price listings. We then developed a decision analytic tree to estimate nationwide costs of DFD in Brazil, while taking into the account the estimated cost per case and considering epidemiologic parameters obtained from a national survey, secondary data, and the literature. For inpatient care, ICD10 codes related to DFD were identified and costs of hospitalizations due to osteomyelitis, amputations, and other selected DFD related conditions were obtained from a nationwide hospitalization database. Direct medical costs of DFD in Brazil was estimated considering the 2014 purchasing power parity (PPP) (1 Int$ = 1.748 BRL).We estimated that the annual direct medical costs of DFD in 2014 was Int$ 361 million, which denotes 0.31% of public health expenses for this period. Of the total, Int$ 27.7 million (13%) was for inpatient, and Int$ 333.5 million (87%) for outpatient care. Despite using different methodologies to estimate outpatient and inpatient costs related to DFD, this is the first study to assess the overall economic burden of DFD in Brazil, while considering all of its syndromes and both outpatients and inpatients. Although we have various reasons to believe that the hospital costs are underestimated, the estimated DFD burden is significant. As such, public health preventive strategies to reduce DFD related morbidity and mortality and costs are of utmost importance.
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spelling Toscano, Cristiana MariaSugita, Tatiana HarukaRosa, Michelle Quarti Machado daPedrosa, Hermelinda CordeiroRosa, Roger dos SantosBahia, Luciana Ribeiro2018-03-20T02:26:17Z20181660-4601http://hdl.handle.net/10183/173539001058697The aim of this study was to estimate the annual costs for the treatment of diabetic foot disease (DFD) in Brazil. We conducted a cost-of-illness study of DFD in 2014, while considering the Brazilian Public Healthcare System (SUS) perspective. Direct medical costs of outpatient management and inpatient care were considered. For outpatient costs, a panel of experts was convened from which utilization of healthcare services for the management of DFD was obtained. When considering the range of syndromes included in the DFD spectrum, we developed four well-defined hypothetical DFD cases: (1) peripheral neuropathy without ulcer, (2) non-infected foot ulcer, (3) infected foot ulcer, and (4) clinical management of amputated patients. Quantities of each healthcare service was then multiplied by their respective unit costs obtained from national price listings. We then developed a decision analytic tree to estimate nationwide costs of DFD in Brazil, while taking into the account the estimated cost per case and considering epidemiologic parameters obtained from a national survey, secondary data, and the literature. For inpatient care, ICD10 codes related to DFD were identified and costs of hospitalizations due to osteomyelitis, amputations, and other selected DFD related conditions were obtained from a nationwide hospitalization database. Direct medical costs of DFD in Brazil was estimated considering the 2014 purchasing power parity (PPP) (1 Int$ = 1.748 BRL).We estimated that the annual direct medical costs of DFD in 2014 was Int$ 361 million, which denotes 0.31% of public health expenses for this period. Of the total, Int$ 27.7 million (13%) was for inpatient, and Int$ 333.5 million (87%) for outpatient care. Despite using different methodologies to estimate outpatient and inpatient costs related to DFD, this is the first study to assess the overall economic burden of DFD in Brazil, while considering all of its syndromes and both outpatients and inpatients. Although we have various reasons to believe that the hospital costs are underestimated, the estimated DFD burden is significant. As such, public health preventive strategies to reduce DFD related morbidity and mortality and costs are of utmost importance.application/pdfengInternational journal of environmental research and public health. Basel. Vol. 15, no. 1 (2018), 89, 13 p.Diabetes mellitusPé diabéticoÚlcera do péAmputação cirúrgicaGastos em saúdeBrasilDiabetes mellitusDiabetic footCost and cost analysisHealth care expenditureBrazilFoot ulcerAmputationNeuropathyAnnual direct medical costs of diabetic foot disease in Brazil : a cost of illness studyEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001058697.pdf001058697.pdfTexto completo (inglês)application/pdf489939http://www.lume.ufrgs.br/bitstream/10183/173539/1/001058697.pdfeff0dc600078eade540e741665991bc4MD51TEXT001058697.pdf.txt001058697.pdf.txtExtracted Texttext/plain47881http://www.lume.ufrgs.br/bitstream/10183/173539/2/001058697.pdf.txt563af74d4ec3bd49a315ea6319cbd3e4MD5210183/1735392023-11-18 04:25:01.424754oai:www.lume.ufrgs.br:10183/173539Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-11-18T06:25:01Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.pt_BR.fl_str_mv Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
title Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
spellingShingle Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
Toscano, Cristiana Maria
Diabetes mellitus
Pé diabético
Úlcera do pé
Amputação cirúrgica
Gastos em saúde
Brasil
Diabetes mellitus
Diabetic foot
Cost and cost analysis
Health care expenditure
Brazil
Foot ulcer
Amputation
Neuropathy
title_short Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
title_full Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
title_fullStr Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
title_full_unstemmed Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
title_sort Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
author Toscano, Cristiana Maria
author_facet Toscano, Cristiana Maria
Sugita, Tatiana Haruka
Rosa, Michelle Quarti Machado da
Pedrosa, Hermelinda Cordeiro
Rosa, Roger dos Santos
Bahia, Luciana Ribeiro
author_role author
author2 Sugita, Tatiana Haruka
Rosa, Michelle Quarti Machado da
Pedrosa, Hermelinda Cordeiro
Rosa, Roger dos Santos
Bahia, Luciana Ribeiro
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Toscano, Cristiana Maria
Sugita, Tatiana Haruka
Rosa, Michelle Quarti Machado da
Pedrosa, Hermelinda Cordeiro
Rosa, Roger dos Santos
Bahia, Luciana Ribeiro
dc.subject.por.fl_str_mv Diabetes mellitus
Pé diabético
Úlcera do pé
Amputação cirúrgica
Gastos em saúde
Brasil
topic Diabetes mellitus
Pé diabético
Úlcera do pé
Amputação cirúrgica
Gastos em saúde
Brasil
Diabetes mellitus
Diabetic foot
Cost and cost analysis
Health care expenditure
Brazil
Foot ulcer
Amputation
Neuropathy
dc.subject.eng.fl_str_mv Diabetes mellitus
Diabetic foot
Cost and cost analysis
Health care expenditure
Brazil
Foot ulcer
Amputation
Neuropathy
description The aim of this study was to estimate the annual costs for the treatment of diabetic foot disease (DFD) in Brazil. We conducted a cost-of-illness study of DFD in 2014, while considering the Brazilian Public Healthcare System (SUS) perspective. Direct medical costs of outpatient management and inpatient care were considered. For outpatient costs, a panel of experts was convened from which utilization of healthcare services for the management of DFD was obtained. When considering the range of syndromes included in the DFD spectrum, we developed four well-defined hypothetical DFD cases: (1) peripheral neuropathy without ulcer, (2) non-infected foot ulcer, (3) infected foot ulcer, and (4) clinical management of amputated patients. Quantities of each healthcare service was then multiplied by their respective unit costs obtained from national price listings. We then developed a decision analytic tree to estimate nationwide costs of DFD in Brazil, while taking into the account the estimated cost per case and considering epidemiologic parameters obtained from a national survey, secondary data, and the literature. For inpatient care, ICD10 codes related to DFD were identified and costs of hospitalizations due to osteomyelitis, amputations, and other selected DFD related conditions were obtained from a nationwide hospitalization database. Direct medical costs of DFD in Brazil was estimated considering the 2014 purchasing power parity (PPP) (1 Int$ = 1.748 BRL).We estimated that the annual direct medical costs of DFD in 2014 was Int$ 361 million, which denotes 0.31% of public health expenses for this period. Of the total, Int$ 27.7 million (13%) was for inpatient, and Int$ 333.5 million (87%) for outpatient care. Despite using different methodologies to estimate outpatient and inpatient costs related to DFD, this is the first study to assess the overall economic burden of DFD in Brazil, while considering all of its syndromes and both outpatients and inpatients. Although we have various reasons to believe that the hospital costs are underestimated, the estimated DFD burden is significant. As such, public health preventive strategies to reduce DFD related morbidity and mortality and costs are of utmost importance.
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-03-20T02:26:17Z
dc.date.issued.fl_str_mv 2018
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dc.relation.ispartof.pt_BR.fl_str_mv International journal of environmental research and public health. Basel. Vol. 15, no. 1 (2018), 89, 13 p.
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