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Major Diabetes Complications Have an Impact on Total Annual Medical Cost of Type 2 Diabetes

  1. Andrea Morsanutto, PHARMD1,
  2. Patrizia Berto, PHARMD, MBA2,
  3. Stefania Lopatriello, PHARMD2,
  4. Dario Voinovich, PHD3,
  5. Renzo Gelisio, MD4 and
  6. Lorenzo G. Mantovani, MSC, DSC1
  1. 1Center of Pharmacoeconomics, Department of Pharmacological Sciences, University of Milan, Milan, Italy
  2. 2PBE Consulting, Verona, Italy
  3. 3Department of Pharmacological Sciences, University of Trieste, Trieste, Italy
  4. 4Diabetologic Center, ULSS 10 Portogruarese, Portogruaro, Italy
  1. Address correspondence to Dr. Lorenzo G. Mantovani, Center of Pharmacoeconomics, Department of Pharmacological Sciences, University of Milan, Via Balzaretti, 9 I-20133 Milan, Italy. E-mail: lorenzo.mantovani{at}unimi.it

Brandle et al. (1) found that the occurrence of diabetes-related comorbidities in type 2 diabetic patients are associated with an increase in average annual medical cost.

To investigate the medical cost attributable to type 2 diabetes, we conducted a retrospective longitudinal cost-of-care study in a diabetologic center in Italy. A priori, we estimated to validly enroll 300 type 2 diabetic patients with at least 1 year of follow-up. To this aim, we randomly selected 315 type 2 diabetic patients from a base of ∼2,000 diabetic patients attending the diabetologic center of Portogruaro during the period from January 2001 to August 2002.

Cost included hospitalizations, visits, diagnostics, and pharmacological therapies and were quantified in …

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