Evidence map›Paper›PMID 28069621›Full record

ArticleBMJ open2017

The costs of diabetes among Australians aged 45-64 years from 2015 to 2030: projections of lost productive life years (PLYs), lost personal income, lost taxation revenue, extra welfare payments and lost gross domestic product from Health&WealthMOD2030.

Deborah Schofield, Rupendra N Shrestha, Michelle M Cunich, Megan E Passey, Lennert Veerman, Robert Tanton, Simon J Kelly

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Health Care Financing Systems and Their Effectiveness: An Empirical Study of OECD Countries.International journal of environmental research and public health · 2019
    Article
  12. Social economic costs of COPD in Extremadura (Spain): an observational study.International journal of chronic obstructive pulmonary disease · 2018
    Observational
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

7 authors.

Deborah SchofieldFaculty of Pharmacy, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Rupendra N ShresthaFaculty of Pharmacy, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Michelle M CunichFaculty of Pharmacy, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Megan E PasseyUniversity Centre for Rural Health, School of Public Health, The University of Sydney, Lismore, New South Wales, Australia.ORCID 0000-0001-5766-0235
Lennert VeermanFaculty of Medicine and Biomedical Sciences, School of Public Health, University of Queensland, Brisbane, Queensland, Australia.
Robert TantonNational Centre for Social and Economic Modelling, University of Canberra, Canberra, Australian Capital Territory, Australia.
Simon J KellyNational Centre for Social and Economic Modelling, University of Canberra, Canberra, Australian Capital Territory, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo project the number of people aged 45-64 years with lost productive life years (PLYs) due to diabetes and related costs (lost income, extra welfare payments, lost taxation revenue); and lost gross domestic product (GDP) attributable to diabetes in Australia from 2015 to 2030.

designA simulation study of how the number of people aged 45-64 years with diabetes increases over time (based on population growth and disease trend data) and the economic losses incurred by individuals and the government. Cross-sectional outputs of a microsimulation model (Health&WealthMOD2030) which used the Australian Bureau of Statistics' Survey of Disability, Ageing and Carers 2003 and 2009 as a base population and integrated outputs from two microsimulation models (Static Incomes Model and Australian Population and Policy Simulation Model), Treasury's population and labour force projections, and chronic disease trends data.

settingAustralian population aged 45-64 years in 2015, 2020, 2025 and 2030. OUTCOME MEASURES: Lost PLYs, lost income, extra welfare payments, lost taxation revenue, lost GDP.

results18 100 people are out of the labour force due to diabetes in 2015, increasing to 21 400 in 2030 (18% increase). National costs consisted of a loss of $A467 million in annual income in 2015, increasing to $A807 million in 2030 (73% increase). For the government, extra annual welfare payments increased from $A311 million in 2015 to $A350 million in 2030 (13% increase); and lost annual taxation revenue increased from $A102 million in 2015 to $A166 million in 2030 (63% increase). A loss of $A2.1 billion in GDP was projected for 2015, increasing to $A2.9 billion in 2030 attributable to diabetes through its impact on PLYs.

conclusionsIndividuals incur significant costs of diabetes through lost PLYs and lost income in addition to disease burden through human suffering and healthcare costs. The government incurs extra welfare payments, lost taxation revenue and lost GDP, along with direct healthcare costs.

Indexed as

AdultAgedAustraliaCost of IllnessDiabetes MellitusEfficiencyFemaleHumansIncomeMaleMiddle AgedPersons with DisabilitiesPrevalenceQuality-Adjusted Life YearsSocial SecuritySocial WelfareDIABETES & ENDOCRINOLOGYHEALTH ECONOMICSPUBLIC HEALTH

Identifiers

PMID28069621
PMCPMC5223630

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.