Health utilities of type 2 diabetes-related complications: a cross-sectional study in sweden.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

This study estimates health utilities (HU) in Sweden for a range of type 2 diabetes-related complications using EQ-5D and two alternative tariffs (UK and Swedish) from 1757 patients with type 2 diabetes from the Swedish National Diabetes Register (NDR). Ordinary least squares were used for statistical analysis. Lower HU was found for female gender, younger age at diagnosis, higher BMI, and history of complications. Microvascular and macrovascular complications had the most negative effect on HU among women and men, respectively. The greatest decline in HU was associated with kidney disorders (-0.114) using the UK tariff and stroke (-0.059) using the Swedish tariff. Multiple stroke and non-acute ischaemic heart disease had higher negative effect than a single event. With the UK tariff, each year elapsed since the last microvascular/macrovascular complication was associated with 0.013 and 0.007 units higher HU, respectively. We found important heterogeneities in effects of complications on HU in terms of gender, multiple event, and time. The Swedish tariff gave smaller estimates and so may result in less cost-effective interventions than the UK tariff. These results suggest that incorporating subgroup-specific HU in cost-utility analyses might provide more insight for informed decision-making.

Detaljer

Författare
Enheter & grupper
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Miljömedicin och yrkesmedicin
Originalspråkengelska
Sidor (från-till)4939-4952
TidskriftInternational Journal of Environmental Research and Public Health
Volym11
Utgåva nummer5
StatusPublished - 2014
PublikationskategoriForskning
Peer review utfördJa

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Relaterad forskningsoutput

Aliasghar Ahmad Kiadaliri, 2014, Health Economics. 57 s.

Forskningsoutput: AvhandlingDoktorsavhandling (sammanläggning)

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