Disease and economic burden of hospitalizations attributable to diabetes mellitus and its complications: a nationwide study in Brazil
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2018
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Resumo
Diabetes is associated with a significant burden globally. The costs of diabetes-related
hospitalizations are unknown in most developing countries. The aim of this study was to estimate
the total number and economic burden of hospitalizations attributable to diabetes mellitus (DM)
and its complications in adults from the perspective of the Brazilian Public Health System in 2014.
Data sources included the National Health Survey (NHS) and National database of Hospitalizations
(SIH). We considered diabetes, its microvascular (retinopathy, nephropathy, and neuropathy) and
macrovascular complications (coronary heart disease, cerebrovascular disease, and peripheral
arterial disease), respiratory and urinary tract infections, as well as selected cancers. Assuming
that DM patients are hospitalized for these conditions more frequently that non-DM individuals,
we estimated the etiological fraction of each condition related to DM, using the attributable risk
methodology. We present number, average cost per case, and overall costs of hospitalizations
attributable to DM in Brazil in 2014, stratified by condition, state of the country, gender and age
group. In 2014, a total of 313,273 hospitalizations due to diabetes in adults were reported in Brazil
(4.6% of total adult hospitalization), totaling (international dollar) Int$264.9 million. The average
cost of an adult hospitalization due to diabetes was Int$845, 19% higher than hospitalization without
DM. Hospitalizations due to cardiovascular diseases related to diabetes accounted for the higher
proportion of costs (47.9%), followed by microvascular complications (25.4%) and DM per se (18.1%).
Understanding the costs of diabetes and its major complications is crucial to raise awareness and
to support the decision-making process on policy implementation, also allowing the assessment of
prevention and control strategies.
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Diabetes mellitus, Cost and cost analysis, Hospitalization, Inpatients, Health care expenditure, Cardiovascular disease, Chronic non-communicable disease
Citação
ROSA, Michelle Quarti Machado et al. Disease and economic burden of hospitalizations attributable to diabetes mellitus and its complications: a nationwide study in Brazil. International Journal of Environmental Research and Public Health, Basel, v. 15, n. 2, p. 294, 2018. DOI: 10.3390/ijerph15020294. Disponível em: https://www.mdpi.com/1660-4601/15/2/294. Acesso em: 4 dez. 2024.