PMID- 25660136
OWN - NLM
STAT- MEDLINE
DCOM- 20160412
LR  - 20220408
IS  - 1873-460X (Electronic)
IS  - 1056-8727 (Linking)
VI  - 29
IP  - 4
DP  - 2015 May-Jun
TI  - Health care resource utilization and costs during episodes of care for type 2 
      diabetes mellitus-related comorbidities.
PG  - 529-33
LID - S1056-8727(14)00406-1 [pii]
LID - 10.1016/j.jdiacomp.2014.12.009 [doi]
AB  - AIMS: To obtain costs of episodes of care for type 2 diabetes mellitus 
      (T2DM)-related comorbidities. METHODS: Data from the MarketScan Commercial Claims 
      and Encounters Database were analyzed with the Medical Episode Grouper software, 
      which uses proprietary algorithms to identify episodes of care. Episodes relevant 
      to the T2DM population were examined, including: coronary artery disease with 
      acute myocardial infarction, ventricular fibrillation, shock, and/or cardiac 
      arrest (CAD episodes); cerebrovascular disease with stroke (CVD episodes); 
      hypoglycemia; T2DM with complications (complication episodes); and renal failure. 
      RESULTS: 45,350 CAD; 85,287 CVD; 29,886 hypoglycemia; 40,339 complication; and 
      211,673 renal failure episodes were identified. Mean (SD) episode durations were 
      15.2 (39.1), 25.5 (55.0), 5.9 (24.0), 21.2 (54.6), and 364.0 (0.0) days, 
      respectively. Inpatient visits were the largest component of unadjusted costs for 
      CAD, CVD, and complication episodes (93.4%, 78.3%, and 91.9%, respectively). 
      Other ancillary care represented the largest component of unadjusted costs for 
      hypoglycemia (53.3%) and renal failure (80.5%) episodes. Mean adjusted total 
      costs were $16,435; $4558; $445; $5675; and $8765 for CAD, CVD, hypoglycemia, 
      complication, and renal failure episodes, respectively. CONCLUSIONS: This study 
      adds important information to the literature regarding costs of episodes of care 
      for patients with T2DM in the US.
CI  - Copyright (c) 2015 Elsevier Inc. All rights reserved.
FAU - Candrilli, S D
AU  - Candrilli SD
AD  - RTI Health Solutions, 300 Park Offices Drive, Research Triangle Park, NC 27709, 
      USA. Electronic address: scandrilli@rti.org.
FAU - Meyers, J L
AU  - Meyers JL
AD  - RTI Health Solutions, 300 Park Offices Drive, Research Triangle Park, NC 27709, 
      USA. Electronic address: jmeyers@rti.org.
FAU - Boye, K
AU  - Boye K
AD  - Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN 46285, USA. 
      Electronic address: boye_kristina_secnik@lilly.com.
FAU - Bae, J P
AU  - Bae JP
AD  - Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN 46285, USA. 
      Electronic address: bae_jay@lilly.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20141224
PL  - United States
TA  - J Diabetes Complications
JT  - Journal of diabetes and its complications
JID - 9204583
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Comorbidity
MH  - Diabetes Complications/*economics/epidemiology/*therapy
MH  - Diabetes Mellitus, Type 2/complications/*economics/epidemiology/*therapy
MH  - *Episode of Care
MH  - Female
MH  - Health Care Costs/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Retrospective Studies
MH  - United States/epidemiology
OTO - NOTNLM
OT  - Comorbidities
OT  - Costs
OT  - Diabetes
OT  - Economic burden
OT  - Episodes of care
OT  - T2DM
EDAT- 2015/02/11 06:00
MHDA- 2016/04/14 06:00
CRDT- 2015/02/10 06:00
PHST- 2014/09/03 00:00 [received]
PHST- 2014/12/11 00:00 [revised]
PHST- 2014/12/19 00:00 [accepted]
PHST- 2015/02/10 06:00 [entrez]
PHST- 2015/02/11 06:00 [pubmed]
PHST- 2016/04/14 06:00 [medline]
AID - S1056-8727(14)00406-1 [pii]
AID - 10.1016/j.jdiacomp.2014.12.009 [doi]
PST - ppublish
SO  - J Diabetes Complications. 2015 May-Jun;29(4):529-33. doi: 
      10.1016/j.jdiacomp.2014.12.009. Epub 2014 Dec 24.