Cargando…

Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years

BACKGROUND AND AIMS: My Diabetes My Way (MDMW) is Scotland’s interactive website and mobile app for people with diabetes and their caregivers. It contains multimedia resources for diabetes education and offers access to electronic personal health records. This study aims to assess the cost-utility o...

Descripción completa

Detalles Bibliográficos
Autores principales: Cunningham, Scott G., Stoddart, Andrew, Wild, Sarah H., Conway, Nicholas J., Gray, Alastair M., Wake, Deborah J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210109/
https://www.ncbi.nlm.nih.gov/pubmed/34986658
http://dx.doi.org/10.1177/19322968211069172
_version_ 1785047000447713280
author Cunningham, Scott G.
Stoddart, Andrew
Wild, Sarah H.
Conway, Nicholas J.
Gray, Alastair M.
Wake, Deborah J.
author_facet Cunningham, Scott G.
Stoddart, Andrew
Wild, Sarah H.
Conway, Nicholas J.
Gray, Alastair M.
Wake, Deborah J.
author_sort Cunningham, Scott G.
collection PubMed
description BACKGROUND AND AIMS: My Diabetes My Way (MDMW) is Scotland’s interactive website and mobile app for people with diabetes and their caregivers. It contains multimedia resources for diabetes education and offers access to electronic personal health records. This study aims to assess the cost-utility of MDMW compared with routine diabetes care in people with type 2 diabetes who do not use insulin. MATERIALS AND METHODS: Analysis used the United Kingdom Prospective Diabetes Study (UKPDS) Outcomes Model 2. Clinical parameters of MDMW users (n = 2576) were compared with a matched cohort of individuals receiving routine care alone (n = 11 628). Matching criteria: age, diabetes duration, sex, and socioeconomic status. Impact on life expectancy, quality-adjusted life years (QALYs), and costs of treatment and complications were simulated over ten years, including a 10% sensitivity analysis. RESULTS: MDMW cohort: 1670 (64.8%) men; average age 64.3 years; duration of diabetes 5.5 years. 906 (35.2%) women: average age 61.6 years; duration 4.7 years. The cumulative mean QALY (95% CI) gain: 0.054 (0.044-0.062) years. Mean difference in cost: –£118.72 (–£150.16 to –£54.16) over ten years. Increasing MDMW costs (10%): –£50.49 (–£82.24-£14.14). Decreasing MDMW costs (10%): –£186.95 (–£218.53 to –£122.51). CONCLUSIONS: MDMW is “dominant” over usual care (cost-saving and life improving) in supporting self-management in people with type 2 diabetes not treated with insulin. Wider use may result in significant cost savings through delay or reduction of long-term complications and improved QALYs in Scotland and other countries. MDMW may be among the most cost-effective interventions currently available to support diabetes.
format Online
Article
Text
id pubmed-10210109
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-102101092023-05-26 Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years Cunningham, Scott G. Stoddart, Andrew Wild, Sarah H. Conway, Nicholas J. Gray, Alastair M. Wake, Deborah J. J Diabetes Sci Technol Original Articles BACKGROUND AND AIMS: My Diabetes My Way (MDMW) is Scotland’s interactive website and mobile app for people with diabetes and their caregivers. It contains multimedia resources for diabetes education and offers access to electronic personal health records. This study aims to assess the cost-utility of MDMW compared with routine diabetes care in people with type 2 diabetes who do not use insulin. MATERIALS AND METHODS: Analysis used the United Kingdom Prospective Diabetes Study (UKPDS) Outcomes Model 2. Clinical parameters of MDMW users (n = 2576) were compared with a matched cohort of individuals receiving routine care alone (n = 11 628). Matching criteria: age, diabetes duration, sex, and socioeconomic status. Impact on life expectancy, quality-adjusted life years (QALYs), and costs of treatment and complications were simulated over ten years, including a 10% sensitivity analysis. RESULTS: MDMW cohort: 1670 (64.8%) men; average age 64.3 years; duration of diabetes 5.5 years. 906 (35.2%) women: average age 61.6 years; duration 4.7 years. The cumulative mean QALY (95% CI) gain: 0.054 (0.044-0.062) years. Mean difference in cost: –£118.72 (–£150.16 to –£54.16) over ten years. Increasing MDMW costs (10%): –£50.49 (–£82.24-£14.14). Decreasing MDMW costs (10%): –£186.95 (–£218.53 to –£122.51). CONCLUSIONS: MDMW is “dominant” over usual care (cost-saving and life improving) in supporting self-management in people with type 2 diabetes not treated with insulin. Wider use may result in significant cost savings through delay or reduction of long-term complications and improved QALYs in Scotland and other countries. MDMW may be among the most cost-effective interventions currently available to support diabetes. SAGE Publications 2022-01-05 /pmc/articles/PMC10210109/ /pubmed/34986658 http://dx.doi.org/10.1177/19322968211069172 Text en © 2022 Diabetes Technology Society https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles
Cunningham, Scott G.
Stoddart, Andrew
Wild, Sarah H.
Conway, Nicholas J.
Gray, Alastair M.
Wake, Deborah J.
Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years
title Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years
title_full Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years
title_fullStr Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years
title_full_unstemmed Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years
title_short Cost-Utility of an Online Education Platform and Diabetes Personal Health Record: Analysis Over Ten Years
title_sort cost-utility of an online education platform and diabetes personal health record: analysis over ten years
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10210109/
https://www.ncbi.nlm.nih.gov/pubmed/34986658
http://dx.doi.org/10.1177/19322968211069172
work_keys_str_mv AT cunninghamscottg costutilityofanonlineeducationplatformanddiabetespersonalhealthrecordanalysisovertenyears
AT stoddartandrew costutilityofanonlineeducationplatformanddiabetespersonalhealthrecordanalysisovertenyears
AT wildsarahh costutilityofanonlineeducationplatformanddiabetespersonalhealthrecordanalysisovertenyears
AT conwaynicholasj costutilityofanonlineeducationplatformanddiabetespersonalhealthrecordanalysisovertenyears
AT grayalastairm costutilityofanonlineeducationplatformanddiabetespersonalhealthrecordanalysisovertenyears
AT wakedeborahj costutilityofanonlineeducationplatformanddiabetespersonalhealthrecordanalysisovertenyears