Annual direct medical costs of diabetic foot disease in Brazil : a cost of illness study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
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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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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1660-4601 |
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001058697 |
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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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