PuSH - Publication Server of Helmholtz Zentrum München

Ng, B.P.* ; Laxy, M. ; Shrestha, S.S.* ; Soler, R.E.* ; Cannon, M.J.* ; Smith, B.D.* ; Zhang, P.*

Prevalence and medical expenditures of diabetes-related complications among adult medicaid enrollees with diabetes in eight U.S. states.

J. Diab. Complic. 35:107814 (2021)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
Aims: To estimate the prevalence and medical expenditures of diabetes-related complications (DRCs) among adult Medicaid enrollees with diabetes. Methods: We estimated the prevalence and medical expenditures for 12 diabetes-related complications by Medicaid eligibility category (disability-based vs. non-disability-based) in eight states. We used generalized linear models with log link and gamma distribution to estimate the total per-person annual medical expenditures for DRCs, controlling for demographics, and other comorbidities. Results: Among non-disability-based enrollees (NDBEs), 40.1% (in California) to 47.5% (in Oklahoma) had one or more DRCs, compared to 53.6% (in Alabama) to 64.8% (in Florida) among disability-based enrollees (DBEs). The most prevalent complication was neuropathy (16.1%–27.1% for NDBEs; 20.2%–30.4% for DBEs). Lower extremity amputation (<1% for both eligibilities) was the least prevalent complication. The costliest per-person complication was dialysis (per-person excess annual expenditure of $22,481–$41,298 for NDBEs; $23,569–$51,470 for DBEs in 2012 USD). Combining prevalence and per-person excess expenditures, the three costliest complications were nephropathy, heart failure, and ischemic heart disease (IHD) for DBEs, compared to neuropathy, nephropathy, and IHD for NDBEs. Conclusions: Our study provides data that can be used for assessing the health care resources needed for managing DRCs and evaluating cost-effectiveness of interventions to prevent and management DRCs.
Impact Factor
Scopus SNIP
Web of Science
Times Cited
Scopus
Cited By
Altmetric
2.852
1.091
1
1
Tags
Annotations
Special Publikation
Hide on homepage

Edit extra information
Edit own tags
Private
Edit own annotation
Private
Hide on publication lists
on hompage
Mark as special
publikation
Publication type Article: Journal article
Document type Scientific Article
Keywords Diabetes-related Complications ; Medicaid ; Medicaid Eligibility Category ; Medical Expenditures ; Prevalence
Language english
Publication Year 2021
Prepublished in Year 2020
HGF-reported in Year 2020
ISSN (print) / ISBN 1056-8727
e-ISSN 1056-8727
Quellenangaben Volume: 35, Issue: 3, Pages: , Article Number: 107814 Supplement: ,
Publisher Elsevier
Publishing Place Ste 800, 230 Park Ave, New York, Ny 10169 Usa
Reviewing status Peer reviewed
POF-Topic(s) 30202 - Environmental Health
Research field(s) Genetics and Epidemiology
PSP Element(s) G-505300-002
Scopus ID 85098932100
PubMed ID 33419632
Erfassungsdatum 2021-01-14