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Original Articles

Costs of diabetes in Texas, 1992

  1. David C Warner, PHD,
  2. Roy R McCandless, MA, MPA,
  3. Louis A De Nino, PHD,
  4. John E Cornell, PHD,
  5. Jacqueline A Pugh, MD and
  6. Genevieve M Marsh, MS
  1. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin Austin
  2. Mexican American Medical Treatment Effectiveness Research Center, Department of Medicine, The University of Texas Health Science Center at San Antonio San Antonio, Texas
  3. Audie L. Murphy Division, South Texas Veterans Health Care System San Antonio, Texas
  1. Address correspondence and reprint requests to David C. Warner, PhD, Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, P.O. Drawer Y, Austin, TX 78713-7450.
Diabetes Care 1996 Dec; 19(12): 1416-1419. https://doi.org/10.2337/diacare.19.12.1416
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Abstract

OBJECTIVE To estimate direct and indirect costs of diabetes in Texas in 1992.

RESEARCH DESIGN AND METHODS For most direct medical costs, we relied on third party and provider billing databases, including Medicare, Medicaid, VA facilities, public hospitals, and others. The researchers identified people with diabetes in the respective databases, located all records of their care, and sorted records as clearly, probably, or probably not attributable to diabetes on the basis of principal diagnoses. In most cases, costs were valued as allowable or paid charges. Some medical costs, such as private insurance, were estimated from national data and state surveys. Indirect costs included current short- and long-term disability costs and the discounted present value of future costs of mortality. Disability estimates relied on National Health Interview Survey (NHIS) data and U.S. Department of Labor wage data applied to Texas. Mortality estimates were based on death certificates.

RESULTS Total costs clearly or probably attributable to diabetes among Texans in 1992 were estimated at $4.0 billion. Direct medical costs were ∼ $1.6 billion. Indirect costs were estimated at $2.4 billion. the largest direct costs were paid by Medicare. Most indirect costs were from long-term disability.

CONCLUSIONS This study demonstrates methods for conducting cost of illness studies at the state level. In a state like Texas, with a large and growing Mexican-American population, estimation of current and future economic costs of diabetes is vital for development of strategies to minimize social and economic consequences of diabetes.

  • Received May 6, 1996.
  • Revision received August 8, 1996.
  • Accepted August 8, 1996.
  • Copyright © 1996 by the American Diabetes Association

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December 1996, 19(12)
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Costs of diabetes in Texas, 1992
David C Warner, Roy R McCandless, Louis A De Nino, John E Cornell, Jacqueline A Pugh, Genevieve M Marsh
Diabetes Care Dec 1996, 19 (12) 1416-1419; DOI: 10.2337/diacare.19.12.1416

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Costs of diabetes in Texas, 1992
David C Warner, Roy R McCandless, Louis A De Nino, John E Cornell, Jacqueline A Pugh, Genevieve M Marsh
Diabetes Care Dec 1996, 19 (12) 1416-1419; DOI: 10.2337/diacare.19.12.1416
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