Evidence map›Paper›PMID 12659641›Full record

ArticleBMC health services research2003

Cost of managing complications resulting from type 2 diabetes mellitus in Canada.

Judith A O'Brien, Amanda R Patrick, J Jaime Caro

Abstract read
In one paragraph

Article in BMC health services research, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Screening for Diabetes Complications during the COVID-19 Outbreak in South Korea.International journal of environmental research and public health · 2022
    Article
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  12. Cognitive Behavioural Therapy for Psychosis: A Health Technology Assessment.Ontario health technology assessment series · 2018
    Review
  13. Article
  14. Article
  15. Article
  16. Economic analysis of insulin initiation by pharmacists in a Canadian setting: The RxING study.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2016
    Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Judith A O'BrienCaro Research Institute, Concord, MA, USA. jobrien@caroresearch.com
Amanda R Patrick
J Jaime Caro

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecision makers need to have Canadian-specific cost information in order to develop an accurate picture of diabetes management. The objective of this study is to estimate direct medical costs of managing complications of diabetes. Complication costs were estimated by applying unit costs to typical resource use profiles. For each complication, the event costs refer to those associated with the acute episode and subsequent care in the first year. State costs are the annual costs of continued management. Data were obtained from many Canadian sources, including the Ontario Case Cost Project, physician and laboratory fee schedules, formularies, reports, and literature. All costs are expressed in 2000 Canadian dollars.

resultsMajor events (e.g., acute myocardial infarction: 18,635 dollars event cost; 1,193 dollars state cost), generate a greater financial burden than early stage complications (e.g., microalbuminuria: 62 dollars event cost; 10 dollars state cost). Yet, complications that are initially relatively low in cost (e.g., microalbuminuria) can progress to more costly advanced stages (e.g., end-stage renal disease, 63,045 dollars state cost).

conclusionsMacrovascular and microvascular complication costs should be included in any economic analysis of diabetes. This paper provides Canadian-based cost information needed to inform critical decisions about spending limited health care dollars on emerging new therapies and public health initiatives.

Indexed as

Cost of IllnessEpisode of CareAmputation, SurgicalAngina PectorisCanadaDiabetes Mellitus, Type 2Diabetic AngiopathiesDiabetic FootDiabetic NephropathiesDiabetic NeuropathiesDiabetic RetinopathyHealth Care CostsHealth ResourcesHospital CostsHumansIschemic Attack, Transient

Identifiers

PMID12659641
PMCPMC153533

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.