Disease and economic burden of hospitalizations attributable to diabetes mellitus and its complications: a nationwide study in Brazil

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dc.creatorRosa, Michelle Quarti Machado da
dc.creatorRosa, Roger dos Santos
dc.creatorCorreia, Marcelo Goulart
dc.creatorAraujo, Denizar Vianna
dc.creatorBahia, Luciana Ribeiro
dc.creatorToscano, Cristiana Maria
dc.date.accessioned2024-12-06T12:28:46Z
dc.date.available2024-12-06T12:28:46Z
dc.date.issued2018
dc.description.abstractDiabetes 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.
dc.identifier.citationROSA, 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.
dc.identifier.doi10.3390/ijerph15020294
dc.identifier.issne- 1660-4601
dc.identifier.issn1661-7827
dc.identifier.urihttp://repositorio.bc.ufg.br//handle/ri/26051
dc.language.isoeng
dc.publisher.countrySuica
dc.publisher.departmentInstituto de Patologia Tropical e Saúde Pública - IPTSP (RMG)
dc.rightsAcesso Aberto
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectDiabetes mellitus
dc.subjectCost and cost analysis
dc.subjectHospitalization
dc.subjectInpatients
dc.subjectHealth care expenditure
dc.subjectCardiovascular disease
dc.subjectChronic non-communicable disease
dc.titleDisease and economic burden of hospitalizations attributable to diabetes mellitus and its complications: a nationwide study in Brazil
dc.typeArtigo

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