2007
DOI: 10.1111/j.1464-5491.2007.02108.x
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Clinical and cost‐effectiveness of primary prevention of Type 2 diabetes in a ‘real world’ routine healthcare setting: model based on the KORA Survey 2000

Abstract: Total cost and cost per case of diabetes avoided was high. Staff education and screening had a considerable impact. In view of the low participation in a routine healthcare setting, with both strategies only a small number of cases of diabetes would be prevented. Before implementing the programme, efforts should be made to improve patient participation in order to achieve better clinical and cost-effectiveness of the prevention of Type 2 diabetes in 'real world' clinical practice.

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Cited by 40 publications
(49 citation statements)
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References 25 publications
(42 reference statements)
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“…This was shown to be the case, but intervention was cost-effective in both groups, with costs per QALY of US$8181 and US$9511, respectively. 263 applied the results of the DPP to the German population in Augsberg, modelling no intervention, lifestyle and metformin, with a 3-year timescale. 263 However, they tried to model a 'real-life' scenario with pessimistic estimates of participation.…”
Section: Hoerger Et Al (2007)mentioning
confidence: 99%
See 3 more Smart Citations
“…This was shown to be the case, but intervention was cost-effective in both groups, with costs per QALY of US$8181 and US$9511, respectively. 263 applied the results of the DPP to the German population in Augsberg, modelling no intervention, lifestyle and metformin, with a 3-year timescale. 263 However, they tried to model a 'real-life' scenario with pessimistic estimates of participation.…”
Section: Hoerger Et Al (2007)mentioning
confidence: 99%
“…263 applied the results of the DPP to the German population in Augsberg, modelling no intervention, lifestyle and metformin, with a 3-year timescale. 263 However, they tried to model a 'real-life' scenario with pessimistic estimates of participation. They assumed from previous experience in Germany, and elsewhere, that participation in screening would be low (30-35%), adherence to lifestyle would be poor (in a German disease management programme only 40% of patients with diabetes followed lifestyle training), and obese patients would have even poorer adherence (only 20% participated in a lifestyle programme to lose weight).…”
Section: Hoerger Et Al (2007)mentioning
confidence: 99%
See 2 more Smart Citations
“…Un diabético cuesta hasta 2,5 veces el costo de un no diabético 22,23 , incluyendo pacientes hospitalizados [24][25][26] . Pacientes considerados prediabéticos, que progresan a DM tipo 2, aumentan sus costos de atención 27 , los que podrían ser efectivamente evitados 28 . El número de complicaciones aumenta el costo de atención: la literatura anglosajona calcula costos directos según presencia de complicaciones [29][30][31] .…”
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