PubMed:24052680
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/24052680","sourcedb":"PubMed","sourceid":"24052680","source_url":"http://www.ncbi.nlm.nih.gov/pubmed/24052680","text":"The cost of type 1 diabetes: a nationwide multicentre study in Brazil.\nOBJECTIVE: To determine the direct medical costs of type 1 diabetes mellitus (T1DM) to the National Brazilian Health-Care System (NBHCS) and quantify the contribution of each individual component to the total cost.\nMETHODS: A retrospective, cross-sectional, nationwide multicentre study was conducted between 2008 and 2010 in 28 public clinics in 20 Brazilian cities. The study included 3180 patients with T1DM (mean age 22 years ± 11.8) who were surveyed while receiving health care from the NBHCS. The mean duration of their diabetes was 10.3 years (± 8.0). The costs of tests and medical procedures, insulin pumps, and supplies for administration, and supplies for self-monitoring of blood glucose (SMBG) were obtained from national and local health system sources for 2010-2011. Annual direct medical costs were derived by adding the costs of medications, supplies, tests, medical consultations, procedures and hospitalizations over the year preceding the interview.\nFINDINGS: The average annual direct medical cost per capita was 1319.15 United States dollars (US$). Treatment-related expenditure - US$ 1216.33 per patient per year - represented 92.20% of total direct medical costs. Insulin administration supplies and SMBG (US$ 696.78 per patient per year) accounted for 52.82% of these total costs. Together, medical procedures and haemodialysis accounted for 5.73% (US$ 75.64 per patient per year) of direct medical costs. Consultations accounted for 1.94% of direct medical costs (US$ 25.62 per patient per year).\nCONCLUSION: Health technologies accounted for most direct medical costs of T1DM. These data can serve to reassess the distribution of resources for managing T1DM in Brazil's public health-care system.","tracks":[{"project":"Allie","denotations":[{"id":"SS1_24052680_2_0","span":{"begin":123,"end":147},"obj":"expanded"},{"id":"SS2_24052680_2_0","span":{"begin":149,"end":153},"obj":"abbr"},{"id":"SS1_24052680_2_1","span":{"begin":162,"end":199},"obj":"expanded"},{"id":"SS2_24052680_2_1","span":{"begin":201,"end":206},"obj":"abbr"},{"id":"SS1_24052680_7_0","span":{"begin":739,"end":771},"obj":"expanded"},{"id":"SS2_24052680_7_0","span":{"begin":773,"end":777},"obj":"abbr"}],"relations":[{"id":"AE1_24052680_2_0","pred":"abbreviatedTo","subj":"SS1_24052680_2_0","obj":"SS2_24052680_2_0"},{"id":"AE1_24052680_2_1","pred":"abbreviatedTo","subj":"SS1_24052680_2_1","obj":"SS2_24052680_2_1"},{"id":"AE1_24052680_7_0","pred":"abbreviatedTo","subj":"SS1_24052680_7_0","obj":"SS2_24052680_7_0"}],"attributes":[{"subj":"SS1_24052680_2_0","pred":"source","obj":"Allie"},{"subj":"SS2_24052680_2_0","pred":"source","obj":"Allie"},{"subj":"SS1_24052680_2_1","pred":"source","obj":"Allie"},{"subj":"SS2_24052680_2_1","pred":"source","obj":"Allie"},{"subj":"SS1_24052680_7_0","pred":"source","obj":"Allie"},{"subj":"SS2_24052680_7_0","pred":"source","obj":"Allie"}]},{"project":"PubmedHPO","denotations":[{"id":"T1","span":{"begin":130,"end":147},"obj":"HP_0000819"}],"attributes":[{"subj":"T1","pred":"source","obj":"PubmedHPO"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"Allie","color":"#c4ec93","default":true},{"id":"PubmedHPO","color":"#ec93de"}]}]}}