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Jan Apelqvist

Physician

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Cost of illness of adult diabetes mellitus underestimated if comorbidity is not considered

Author

  • A Norlund
  • Jan Apelqvist
  • P O Bitzen
  • Per Nyberg
  • Bengt Scherstén

Summary, in English

OBJECTIVE: To determine costs of illness for adult diabetes mellitus (DM), including complications caused by DM. DESIGN: A population-based multicentre cross- sectional study including an interview and a physical examination of patients identified as having DM. The patients' medical records were analysed regarding diagnoses and complications attributable to DM. SETTING: Eight health care centres of six primary care districts in Southern Sweden. SUBJECTS: 1677 adults aged 25+, cared for at the health care centres, entered the study. MAIN OUTCOME MEASURES: Utilization of health care and care from relatives and the municipality, absence of short- and long-term sickness, cost of illness. RESULTS: The average annual direct and indirect costs for an adult with DM were calculated to be 61 700 Swedish Kronor (SEK) or 2.5 times higher than earlier estimates. The incremental cost of DM was 34 100 SEK. The cost distribution was 28% for health care, 31% for the municipality and relatives and 41% lost productivity. CONCLUSIONS: Calculations for the cost of illness of DM are underestimated if comorbidity caused by DM is not considered. When DM-related complications are included to identify the actual burden of disease to society, the cost of illness as a result of DM in Sweden is substantially higher than previously estimated.

Department/s

  • Genomics, Diabetes and Endocrinology
  • Department of Health Sciences
  • Family Medicine and Community Medicine

Publishing year

2001

Language

English

Pages

57-65

Publication/Series

Journal of Internal Medicine

Volume

250

Issue

1

Document type

Journal article

Publisher

Wiley-Blackwell

Topic

  • Public Health, Global Health, Social Medicine and Epidemiology
  • Nursing
  • Endocrinology and Diabetes

Keywords

  • cost of illness
  • costs and cost analysis
  • diabetes mellitus

Status

Published

Research group

  • Genomics, Diabetes and Endocrinology
  • Family Medicine and Community Medicine

ISBN/ISSN/Other

  • ISSN: 1365-2796