An economic evaluation of the cost of diabetic foot ulcers: results of a retrospective study on 239 patients

Girod, I; Valensi, P.; Laforêt, C; Moreau-Defarges, T; Guillon, P.; Baron, Florence

doi:10.1016/s1262-3636(07)70036-8

Cited by 57 publications

(35 citation statements)

References 14 publications

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“…In 2011, in Canada, the resource utilization associated with diabetic foot ulcer for acute institutional care was $3586.6million of which $320.50 million was for admission (89%), $19.1 million for emergency and clinic visits (5%) and an additional $19.0million for interventions [28]. A retrospective pharmacoeconomic study using direct and indirect costs from the perspective of French social security system found that hospitalization represented 70% of the average cost for foot ulcers [29]. Medication on the other hand only represented 10% of the total costs.…”

Section: Discussionmentioning

confidence: 99%

“…In Great Britain, the prevalence of diabetic foot ulcer among patients with diabetes is 10% while in Jordan, it is 4.6%. In France, between 75,000 and 150,000 diabetic patients suffer from diabetic foot ulcer with an annual incidence of 40,000 and 80,000 [1][2][3][4]. In Nigeria, around 10% of people with diabetes suffer from foot ulceration, among newly diagnosed diabetics, about a quarter present with foot ulceration [5].…”

Section: Introductionmentioning

confidence: 99%

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Cost of Illness of Diabetic Foot Ulcer in a Resource Limited Setting: A Study from Northwestern Nigeria

Muhammad

Pedro

Suleiman

et al. 2018

J Diabetes Metab Disord

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Introduction Diabetic foot ulcer is a major complication of diabetes with a high economic cost of managing. Data from resource limited setting will bring to light how patients in these localities suffer financially in addition to poverty and lack of health insurance. This study estimated cost of illness among patients with diabetic foot ulcer in northwestern Nigeria. Methods It was a hospital based cross-sectional study. Questionnaire was used to take the bio data and medical history. Direct medical, direct non-medical and indirect cost were estimated. Result Majority of the patients were males with the mean age of 59.3 ± 15.1 yrs. About 60% of the patients earn less than $100 monthly. The total cost of illness of diabetic foot ulcer was estimated at $140,735.56 (median = $1381.55 [IQR 1002.42-]). Direct cost of illness was $107,797.06 (median = $1023.27 [IQR 773.93-1568]), while the indirect cost was $32, ). Out of pocket payment accounted for 90% of the payment. Conclusion The cost of diabetic foot ulcer is very exorbitant and the patients affected are mostly poor, unemployed and the breadwinners of their families.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cost of Illness of Diabetic Foot Ulcer in a Resource Limited Setting: A Study from Northwestern Nigeria

Muhammad

Pedro

Suleiman

et al. 2018

J Diabetes Metab Disord

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“…Several retrospective single-centre studies, using different methodologies, have found that costs for foot ulcer treatment in general are also high [7][8][9][10]. The pathophysiology of diabetic foot disease is complex, and because several factors may play a role in the development of foot ulcers, the population of individuals presenting with diabetic foot ulcers is relatively heterogeneous.…”

Section: Introductionmentioning

confidence: 99%

Resource utilisation and costs associated with the treatment of diabetic foot ulcers. Prospective data from the Eurodiale Study

et al. 2008

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Aims/hypothesis The aim of the present study was to investigate resource utilisation and associated costs in patients with diabetic foot ulcers and to analyse differences in resource utilisation between individuals with or without peripheral arterial disease (PAD) and/or infection. Methods Data on resource utilisation were collected prospectively in a European multicentre study. Data on 1,088 patients were available for the analysis of resource use, and data on 821 patients were included in the costing analysis. Costs were calculated for each patient by multiplying the country-specific direct and indirect unit costs by the number of resources used from inclusion into the study up to a defined endpoint. Country-specific costs were converted into purchasing power standards. Results Resource use and costs varied between outcome groups and between disease severity groups. The highest costs per patient were for hospitalisation, antibiotics, Diabetologia (2008) amputations and other surgery. All types of resource utilisation and costs increased with the severity of disease. The total cost per patient was more than four times higher for patients with infection and PAD at inclusion than for patients in the least severe group, who had neither. Conclusions/interpretation Important differences in resource use and costs were found between different patient groups. The costs are highest for individuals with both peripheral arterial disease and infection, and these are mainly related to substantial costs for hospitalisation. In view of the magnitude of the costs associated with inhospital stay, reducing the number and duration of hospital admissions seems an attractive option to decrease costs in diabetic foot disease.

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“…Existe evidencia respecto de que un enfoque preventivo y un tratamiento precoz de las úlceras del pie son costo efectivas, mejora la calidad de vida de los pacientes, ahorra recursos y aumenta la sobrevida 24,25,26 . En conclusión, es perentorio que autoridades políticas, directivos, clínicos y pacientes asuman el desafío de optimizar el manejo del pie diabético, ya que, el alza progresiva en la prevalencia de DM en el mundo y particularmente en Chile sugiere que la brecha de atención y calidad para esta patología se profundizará.…”

Section: Calidad De Vida Y Pie Diabéticounclassified

¿Por qué debemos preocuparnos del pie diabético?: Importancia del pie diabético

Seguel

2013

Rev. méd. Chile

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An economic evaluation of the cost of diabetic foot ulcers: results of a retrospective study on 239 patients

Cited by 57 publications

References 14 publications

Cost of Illness of Diabetic Foot Ulcer in a Resource Limited Setting: A Study from Northwestern Nigeria

Cost of Illness of Diabetic Foot Ulcer in a Resource Limited Setting: A Study from Northwestern Nigeria

Resource utilisation and costs associated with the treatment of diabetic foot ulcers. Prospective data from the Eurodiale Study

¿Por qué debemos preocuparnos del pie diabético?: Importancia del pie diabético

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