Direct and indirect costs associated to type 2 diabetes and its complications measured in a social security institution of Argentina
Direct and indirect costs associated to type 2 diabetes and its complications measured in a social security institution of Argentina
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DOI：
10.1007/s00038-014-0604-4
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发表时间：
2014-10-01
影响因子：
4.6
通讯作者：
Jose Gagliardino, Juan
中科院分区：
文献类型：
--
作者：
Elgart, Jorge F.;Asteazaran, Santiago;Jose Gagliardino, Juan
估算阿根廷 2 型糖尿病 (T2DM) 及其并发症的直接和间接护理费用，并将其与非糖尿病 (ND) 患者记录的费用进行比较。在阿根廷社会保障系统的一个机构进行的观察性回顾性病例对照研究。参与者是从该机构的电子病历中确定并随机选择的。我们招募了患有 (387) 例或不患有 (387) 例慢性并发症的 T2DM 患者以及 774 例 ND 患者，并按年龄和性别进行匹配。数据是通过电话采访获得的，并补充了机构记录中的数据。使用参数和非参数检验进行组间比较。T2DM 患者的直接成本高于 ND 患者：无并发症的 T2DM 患者是其两倍，有并发症的患者是 3.6 倍。仅伴有并发症的 T2DM 患者的缺勤率较高，但各组之间在缺勤的持续时间或费用方面没有差异。在阿根廷，T2DM 及其并发症的发展与较高的直接费用呈正相关。
To estimate direct and indirect costs of care of type 2 diabetes (T2DM) and its complications in Argentina, and compare them with those recorded in people without diabetes (ND).Observational retrospective case-control study performed in one institution of the Social Security System of Argentina. Participants were identified and randomly selected from the Institution's electronic medical records. We recruited persons with T2DM with (387) or without (387) chronic complications and 774 ND, matched by age and gender. Data were obtained by telephone interviews and supplemented with data from the Institution's records. Parametric and non-parametric tests were used for group comparisons.Direct costs were higher in people with T2DM than in ND: twice as high in people with T2DM without complications and 3.6 times in those with complications. Absenteeism was only higher in T2DM with complications, but there were no differences among groups either in the duration or in the cost of such absenteeism.T2DM and the development of its complications are positively associated with higher direct costs in Argentina.