Disease and Economic Burden of Hospitalizations Attributable to Diabetes Mellitus and Its Complications: A Nationwide Study in Brazil

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dc.contributor.authorRosa, Michelle Quarti Machado
dc.contributor.authorRosa, Roger Dos Santos
dc.contributor.authorCorreia, Marcelo G
dc.contributor.authorAraujo, Denizar V
dc.contributor.authorBahia, Luciana R
dc.contributor.authorToscano, Cristiana M
dc.date.accessioned2024-10-08T19:21:37Z
dc.date.available2024-10-08T19:21:37Z
dc.date.issued2018
dc.description.abstractAbstract: 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.
dc.identifier.citationRosa MQM, Rosa RDS, Correia MG, Araujo DV, Bahia LR, Toscano CM. Disease and Economic Burden of Hospitalizations Attributable to Diabetes Mellitus and Its Complications: A Nationwide Study in Brazil. Int J Environ Res Public Health. 2018 Feb 8;15(2):294. doi: 10.3390/ijerph15020294.
dc.identifier.otherDOI: 10.3390/ijerph15020294.
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/482
dc.language.isoen
dc.publisherInternational Journal of Environmental Research and Public Health
dc.subjectdiabetes mellitusen
dc.subjectcost and cost analysisen
dc.subjecthospitalizationen
dc.subjectinpatientsen
dc.subjecthealth care expenditureen
dc.subjectcardiovascular diseaseen
dc.subjectchronic non-communicable diseaseen
dc.titleDisease and Economic Burden of Hospitalizations Attributable to Diabetes Mellitus and Its Complications: A Nationwide Study in Brazil
dc.typeArticle
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