PMID- 25631469
OWN - NLM
STAT- MEDLINE
DCOM- 20160629
LR  - 20181202
IS  - 1878-0210 (Electronic)
IS  - 1878-0210 (Linking)
VI  - 9
IP  - 5
DP  - 2015 Oct
TI  - Healthcare utilization and costs following newly diagnosed type-2 diabetes in 
      Sweden: A follow-up of 38,956 patients in a clinical practice setting.
PG  - 330-7
LID - S1751-9918(15)00002-9 [pii]
LID - 10.1016/j.pcd.2015.01.001 [doi]
AB  - AIMS: To describe healthcare resource use patterns and estimate healthcare costs 
      of newly diagnosed Type 2 diabetes mellitus (T2DM) patients in Sweden. METHODS: 
      Patients with a newly diagnosed T2DM between 1999 and 2009 were identified from 
      84 Swedish primary care centres. Healthcare resource use data, excluding 
      pharmaceuticals, were extracted from electronic patient records and a national 
      patient register, and reported as per patient mean number of primary care 
      contacts, laboratory tests and hospitalizations. Per patient mean healthcare 
      costs are reported as annual and cumulative costs. RESULTS: During a median 
      (maximum) of 4.6 (9.0) years follow-up; 38,956 patients (183,513 patient years) 
      on average made 81 primary care contacts, was hospitalized 2.14 times, and took 
      31 laboratory tests. Mean per patient annual healthcare costs were euro4128 (95% CI, 
      4054-4199) the first year after diagnosis, euro2708 (95% CI, 2641-2776) the second 
      year, and euro3030 (95% CI, 2854-3204) in year 9 (2012 values). Mean per patient 
      cumulative healthcare costs were euro26,503 (95% CI, 26,025-26,970) at 9 years of 
      follow-up. Hospitalizations accounted for the majority of healthcare costs. 
      CONCLUSIONS: Although newly diagnosed T2DM patients require a substantial amount 
      of healthcare services in primary care, hospitalizations account for the majority 
      of healthcare costs.
CI  - Copyright (c) 2015 Primary Care Diabetes Europe. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Sabale, Ugne
AU  - Sabale U
AD  - AstraZeneca Nordic-Baltic, Sodertalje, Sweden. Electronic address: 
      ugne.sabale@astrazeneca.com.
FAU - Bodegard, Johan
AU  - Bodegard J
AD  - AstraZeneca Nordic-Baltic, Sodertalje, Sweden.
FAU - Sundstrom, Johan
AU  - Sundstrom J
AD  - Uppsala University, Uppsala, Sweden.
FAU - Ostgren, Carl Johan
AU  - Ostgren CJ
AD  - Linkoping University, Linkoping, Sweden.
FAU - Nilsson, Peter
AU  - Nilsson P
AD  - Lund University, Malmo, Sweden.
FAU - Johansson, Gunnar
AU  - Johansson G
AD  - Uppsala University, Uppsala, Sweden.
FAU - Svennblad, Bodil
AU  - Svennblad B
AD  - Uppsala University, Uppsala, Sweden.
FAU - Henriksson, Martin
AU  - Henriksson M
AD  - AstraZeneca Nordic-Baltic, Sodertalje, Sweden.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20150124
PL  - England
TA  - Prim Care Diabetes
JT  - Primary care diabetes
JID - 101463825
SB  - IM
MH  - Aged
MH  - Diabetes Mellitus, Type 2/diagnosis/*economics/*therapy
MH  - Diagnostic Tests, Routine/economics
MH  - Electronic Health Records
MH  - Female
MH  - Follow-Up Studies
MH  - *Health Care Costs/trends
MH  - Health Resources/*economics/statistics & numerical data/trends
MH  - Hospital Costs
MH  - House Calls/economics
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Office Visits/economics
MH  - Primary Health Care/*economics/statistics & numerical data/trends
MH  - Registries
MH  - Retrospective Studies
MH  - Sweden
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Healthcare utilization, Healthcare costs, Retrospective observational study
OT  - Type 2 diabetes mellitus
EDAT- 2015/01/30 06:00
MHDA- 2016/06/30 06:00
CRDT- 2015/01/30 06:00
PHST- 2014/06/04 00:00 [received]
PHST- 2014/12/14 00:00 [revised]
PHST- 2015/01/03 00:00 [accepted]
PHST- 2015/01/30 06:00 [entrez]
PHST- 2015/01/30 06:00 [pubmed]
PHST- 2016/06/30 06:00 [medline]
AID - S1751-9918(15)00002-9 [pii]
AID - 10.1016/j.pcd.2015.01.001 [doi]
PST - ppublish
SO  - Prim Care Diabetes. 2015 Oct;9(5):330-7. doi: 10.1016/j.pcd.2015.01.001. Epub 
      2015 Jan 24.