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Costs of diabetic foot complications

Discussion in 'Diabetic Foot & Wound Management' started by NewsBot, Nov 21, 2007.

  1. NewsBot

    NewsBot The Admin that posts the news.

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    The cost of diabetic foot conditions.
    Siriwardana HD, Weerasekera D.
    Ceylon Med J. 2007 Sep;52(3):89-91.
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
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    Way short of the often quoted 20% of admission and still higher than what I reported of <1% a number of years ago.
     
  3. Admin2

    Admin2 Administrator Staff Member

  4. robby

    robby Active Member

    Sure, though Craig the important cost statistic is the bed stay days of 10.1% and days of stay of10.9 days, especially with the 4.3% of admissions figure taken into account.

    When this is copmpared to other illnesses especially in the UK (where they get you out of hospital very early sometimes too early) it is very high. dont forget diabetes still only accounts for 4-6 % of the population.....
     
  5. Craig Payne

    Craig Payne Moderator

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    There is no doubt about the magnitude of the problem. I traced back the source of the commonly quoted statement that diabetic foot complications make up 20% of all admission to hospital in those with diabetes to a comment in the preface in an earlier edition of Levin's --- there was never any data to support it, but got quoted so many times it became gospel.
     
  6. NewsBot

    NewsBot The Admin that posts the news.

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    A model to analyse costs and benefit of intensified diabetic foot care in Austria
    Habacher, Wolfgang; Rakovac, Ivo; Görzer, Evelyn; Haas, Waltraud; Gfrerer, Robert J.; Wach, Paul; Pieber, Thomas R.
    Journal of Evaluation in Clinical Practice, Volume 13, Number 6, December 2007 , pp. 906-912(7)
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Resource utilisation and costs associated with the treatment of diabetic foot ulcers. Prospective data from the Eurodiale Study.
    Prompers L, Huijberts M, Schaper N, Apelqvist J, Bakker K, Edmonds M, Holstein P, Jude E, Jirkovska A, Mauricio D, Piaggesi A, Reike H, Spraul M, Acker KV, Baal SV, Merode FV, Uccioli L, Urbancic V, Tennvall GR.
    Diabetologia. 2008 Jul 22. [Epub ahead of print]
     
  8. NewsBot

    NewsBot The Admin that posts the news.

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    The personal cost of diabetic foot disease in the developing world—a study from Pakistan
    S. M. Ali, A. Fareed, S. M. Humail, A. Basit, M. Y. Ahmedani, A. Fawwad, Z. Miyan
    Diabetic Medicine Volume 25 Issue 10 (October 2008)
     
  9. NewsBot

    NewsBot The Admin that posts the news.

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    A multidisciplinary diabetic foot protocol at chiang mai university hospital: cost and quality of life.
    Rerkasem K, Kosachunhanun N, Tongprasert S, Guntawongwan K.
    Int J Low Extrem Wounds. 2009 Sep;8(3):153-6.
     
    Last edited: Jun 19, 2014
  10. NewsBot

    NewsBot The Admin that posts the news.

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    The Economic Impact of Hospitalization for Diabetic Foot Infections in a Caribbean Nation
    Shamir O Cawich, MBBS, DM; Shariful Islam, MBBS; Seetharaman Hariharan, MBBS, FRCA; Patrick Harnarayan, MBBS, FRCS;
    Steve Budhooram, MBBS, FRCA; Shivaa Ramsewak, MBBS; Vijay Naraynsingh, MBBS, FRCS
    Perm J 2014 Winter;18(1):e101-e104
     
  11. NewsBot

    NewsBot The Admin that posts the news.

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    Clinical Characteristics and Medical Costs in Patients With Diabetic Amputation and Nondiabetic Patients With Nonacute Amputation in Central Urban Hospitals in China
    Aihong Wang et al
    International Journal of Lower Extremity Wounds March 2014 vol. 13 no. 1 17-21
     
  12. NewsBot

    NewsBot The Admin that posts the news.

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    Effectiveness Targets for Diabetic Foot Ulcer Prevention Efforts
    Author Block: NEAL R. BARSHES, SAMIRA SAEDI, JAMES WROBEL, LECHAUNCY WOODARD, PANOS KOUGIAS, DAVID G. ARMSTRONG
    Presented at the 74th American Diabetes Association Mtg; San Francisco; June 14-17 2014
     
  13. NewsBot

    NewsBot The Admin that posts the news.

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    Trends and determinants of costs associated with the inpatient care of diabetic foot ulcers
    Caitlin W. Hicks, Shalini Selvarajah, Nestoras Mathioudakis, Bruce A. Perler, Julie A. Freischlag, James H. Black III, Christopher J. Abularrage
    Journal of Vascular Surgery; Articles in Press
     
  14. NewsBot

    NewsBot The Admin that posts the news.

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    The extensive inpatient burden of diabetes and diabetes-related foot disease in Barbados.
    Taylor CG Jr, Krimholtz M, Belgrave KC, Hambleton I, George CN, Rayman G.
    Clin Med. 2014 Aug;14(4):367-70.
     
  15. NewsBot

    NewsBot The Admin that posts the news.

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    Healthcare Utilization and Costs in Diabetes Relative to the Clinical Spectrum of Painful Diabetic Peripheral Neuropathy
    Alesia Sadosky, Jack Mardekian, Bruce Parsons, Markay Hopps, E. Jay Bienen, John Markman
    Journal of Diabetes and Its Complications; Articles in Press
     
  16. NewsBot

    NewsBot The Admin that posts the news.

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    Economic burden of illness associated with diabetic foot ulcers in Canada.
    Hopkins RB, Burke N, Harlock J, Jegathisawaran J, Goeree R.
    BMC Health Serv Res. 2015 Jan 22;15(1):13.
     
  17. NewsBot

    NewsBot The Admin that posts the news.

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    A Diabetic Emergency One Million Feet Long: Disparities and Burdens of Illness among Diabetic Foot Ulcer Cases within Emergency Departments in the United States, 2006-2010.
    Skrepnek GH, Mills JL Sr, Armstrong DG
    PLoS One. 2015 Aug 6;10(8):e0134914. doi: 10.1371/journal.pone.0134914. eCollection 2015.
     
  18. NewsBot

    NewsBot The Admin that posts the news.

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    High burden of diabetic foot infections in the top end of Australia: An emerging health crisis (DEFINE study).
    Commons RJ, Robinson CH, Gawler D, Davis JS, Price RN
    Diabetes Res Clin Pract. 2015 Sep 21
     
  19. NewsBot

    NewsBot The Admin that posts the news.

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    Cost of illness among patients with diabetic foot ulcer in secondary and tertiary health facilities in Kano, northwestern Nigeria
    Fakhraddeen Muhammad et al
    Endocrine Abstracts (2015) 38 P248 | DOI:10.1530/endoabs.38.P248
     
  20. NewsBot

    NewsBot The Admin that posts the news.

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    Burden of Infected Diabetic Foot Ulcers on Hospital Admissions and Costs.
    Hicks CW et al
    Ann Vasc Surg. 2016 Feb 20.
     
  21. NewsBot

    NewsBot The Admin that posts the news.

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    Cost of diabetic eye, renal and foot complications: a methodological review.
    Schirr-Bonnans S et al
    Eur J Health Econ. 2016 Mar 14
     
  22. NewsBot

    NewsBot The Admin that posts the news.

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    The burden of diabetes-related foot disorders in community-dwellers living in rural Ecuador: results of the Atahualpa Project
    Oscar H. Del Brutto, Robertino M. Mera, Nathan R. King, Mauricio Zambrano, Lauren J. Sullivan
    The Foot; Article in Press
     
  23. NewsBot

    NewsBot The Admin that posts the news.

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    Effects of foot complications in patients with Type 2 diabetes mellitus on public healthcare: An analysis based on the Korea National Diabetes Program Cohort.
    Park SY et al
    J Diabetes Complications. 2016 Jun 29
     
  24. NewsBot

    NewsBot The Admin that posts the news.

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    A cost-effectiveness analysis of optimal care for diabetic foot ulcers in Australia
    Qinglu Cheng, Peter A Lazzarini, Michelle Gibb, Patrick H Derhy, Ewan M Kinnear, Edward Burn, Nicholas Graves and Rosana E Norman
    International Wound Journal; Early View
     
  25. NewsBot

    NewsBot The Admin that posts the news.

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    The financial burden of surgical and endovascular treatment of diabetic foot wounds
    Maximilian O. Joret et al
    Journal of Vascular Surgery; Volume 64, Issue 3, September 2016, Pages 648?655
     
  26. NewsBot

    NewsBot The Admin that posts the news.

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    Cost of illness among patients with diabetic foot ulcer in Turkey.
    Oksuz E et al
    World J Diabetes. 2016 Oct 15;7(18):462-469.
     
  27. NewsBot

    NewsBot The Admin that posts the news.

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    Losing a foot versus losing a dollar; a systematic review of cost studies in diabetic foot complications.
    Petrakis I et al
    Expert Rev Pharmacoecon Outcomes Res. 2017 Mar 10. doi: 10.1080/14737167.2017.1305891
     
  28. NewsBot

    NewsBot The Admin that posts the news.

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    Cost-of-illness studies in chronic ulcers: a systematic review.
    Chan B et al
    J Wound Care. 2017 Apr 1;26(sup4):S4-S14. doi: 10.12968/jowc.2017.26.Sup4.S4.
     
  29. NewsBot

    NewsBot The Admin that posts the news.

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  30. NewsBot

    NewsBot The Admin that posts the news.

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    In-hospital costs of diabetic foot disease treated by a multidisciplinary foot team
    Willem D. Rinkel et al
    Diabetes Research and Clinical Practice; 29 July 2017
     
  31. NewsBot

    NewsBot The Admin that posts the news.

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    Cost-Effectiveness of Prevention and Management of Diabetic Foot Ulcer and Amputation in a Health Resource-limited Setting.
    Wu B et al
    J Diabetes. 2017 Oct 4. doi: 10.1111/1753-0407.12612.
     
  32. NewsBot

    NewsBot The Admin that posts the news.

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    PUBLIC RELEASE: 8-NOV-2017
    Research reveals the true impact of diabetic foot ulcers
    The prognosis for people with an infected diabetic foot ulcer is worse than was previously thought, according to new research.

    More than half the patients in the research study did not see their ulcer heal over a year - and one in seven had to have part or all of their foot amputated.

    Foot ulcers are open wounds and they affect around a quarter of the 3.3 million people in the UK living with diabetes.

    The wounds develop because diabetes damages the nerves and blood vessels in the feet.

    These wounds are chronic, slow to heal and prone to infection, and it is infection that normally leads to some of the severe consequences such as losing a limb or multiple amputations.

    The research, led by Professor Andrea Nelson at the University of Leeds, set out to examine the outcomes for people with infected diabetic foot ulcers and the results underline the need for people at risk of foot ulcers to be closely monitored.

    Not only do the ulcers cause disability, there are big financial implications for the NHS. The National Institute for Health and Care Excellence or NICE puts the annual cost for treating diabetic foot wounds at £650 million.

    The University of Leeds is at the forefront of research into preventing and treating diabetic foot ulcers as well as skin wounds and pressure sores more generally, a problem that affects people with poor circulation, obesity or limited mobility - and one that is expected to grow as society gets older.

    This latest study is published in the journal Diabetic Medicine.

    The researchers tracked 299 people who had attended a diabetic clinic with an infected foot ulcer, a big enough sample for it to be representative of the picture across the UK. The patients were followed up a year later.

    By then, one in seven people (17.4 percent) had part or all of their foot amputated. Among the others, less than half (45.5 percent) had seen their ulcer heal. The researchers say the outcomes are worse than previously thought - a conclusion based on a more accurate statistical analysis of the scale of the problem.

    Professor Nelson from the Faculty of Medicine and Health said: "Foot ulcers are a very nasty condition. They're painful and are debilitating. People with foot ulcers have limited mobility, and that brings with it a whole set of other risk factors - obesity and heart disease, for example.

    "The key point is that people need to be seen quickly if an ulcer begins to form - that gives health workers the greatest chance of trying to treat the condition." Dr Michael Backhouse, a podiatrist and Senior Research Fellow at the University of Leeds, said: "The results of our study are important and should help clinicians caring for patients with diabetes to identify those most at risk for poor outcomes so that we can look to provide further support."

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  33. NewsBot

    NewsBot The Admin that posts the news.

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    Financial burden of diabetic foot ulcers to world: a progressive topic to discuss always
    Alok Raghav, Zeeshan Ahmad Khan, Rajendra Kumar Labala, ...
    Therapeutic Advances in Endocrinology and Metabolism December 12, 2017
     
  34. NewsBot

    NewsBot The Admin that posts the news.

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    Annual Direct Medical Costs of Diabetic Foot Disease in Brazil: A Cost of Illness Study.
    Toscano CM et al
    Int J Environ Res Public Health. 2018 Jan 8;15(1). pii: E89. doi: 10.3390/ijerph15010089.
     
  35. NewsBot

    NewsBot The Admin that posts the news.

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    Cost of diabetic foot in France, Spain, Italy, Germany and United Kingdom: A systematic review.
    Tchero H et al
    Ann Endocrinol (Paris). 2018 Mar 12. pii: S0003-4266(17)30959-9. doi: 10.1016/j.ando.2017.11.005.
     
  36. NewsBot

    NewsBot The Admin that posts the news.

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    Hospitalisation Cost of Patients with Diabetic Foot Ulcers in Valencia (Spain) in the Period 2009⁻2013: A Retrospective Descriptive Analysis.
    Nieto-Gil P et al
    Int J Environ Res Public Health. 2018 Aug 24;15(9). pii: E1831. doi: 10.3390/ijerph15091831.
     
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