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Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool

AIM: To provide estimates of the costs of severe and non‐severe insulin‐related hypoglycaemia in the UK using the Local Impact of Hypoglycaemia Tool. METHODS: Rates of hypoglycaemia were extracted from the UK Hypoglycaemia Study Group observational study. The costs of severe and non‐severe hypoglyca...

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Detalles Bibliográficos
Autores principales: Parekh, W. A., Ashley, D., Chubb, B., Gillies, H., Evans, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029754/
https://www.ncbi.nlm.nih.gov/pubmed/25816891
http://dx.doi.org/10.1111/dme.12771
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author Parekh, W. A.
Ashley, D.
Chubb, B.
Gillies, H.
Evans, M.
author_facet Parekh, W. A.
Ashley, D.
Chubb, B.
Gillies, H.
Evans, M.
author_sort Parekh, W. A.
collection PubMed
description AIM: To provide estimates of the costs of severe and non‐severe insulin‐related hypoglycaemia in the UK using the Local Impact of Hypoglycaemia Tool. METHODS: Rates of hypoglycaemia were extracted from the UK Hypoglycaemia Study Group observational study. The costs of severe and non‐severe hypoglycaemic episodes in insulin‐treated adults with Type 1 and Type 2 diabetes were estimated from UK data sources. The rates and costs were then applied to specific populations to give an estimate of the cost of insulin‐related hypoglycaemia for the UK, a specific locality, or a user‐defined population. User‐specific rates and costs could also be applied. RESULTS: The estimated cost of a hypoglycaemic episode can range from as much as £2,152 for severe episodes (for which the patient is admitted to hospital) to as little as £1.67 for non‐severe episodes. With a UK population of 64.1 million, the total estimated cost of managing insulin‐related hypoglycaemia is £468.0 m per year (£295.9 m for severe episodes, £172.1 m for non‐severe episodes). On a local health economy level, using a hypothetical general population of 100 000, the total cost of managing insulin‐related hypoglycaemia is estimated to be £730,052 per year (£461,658 for severe and £268,394 for non‐severe episodes). CONCLUSIONS: The Local Impact of Hypoglycaemia Tool highlights the economic burden of insulin‐related hypoglycaemia. Non‐severe episodes are often overlooked because of their low individual cost, but their high frequency makes the cumulative cost substantial. The Local Impact of Hypoglycaemia Tool also shows clinicians and budget‐holders the economic impact of lower rates of hypoglycaemia.
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spelling pubmed-50297542016-10-03 Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool Parekh, W. A. Ashley, D. Chubb, B. Gillies, H. Evans, M. Diabet Med Research Articles AIM: To provide estimates of the costs of severe and non‐severe insulin‐related hypoglycaemia in the UK using the Local Impact of Hypoglycaemia Tool. METHODS: Rates of hypoglycaemia were extracted from the UK Hypoglycaemia Study Group observational study. The costs of severe and non‐severe hypoglycaemic episodes in insulin‐treated adults with Type 1 and Type 2 diabetes were estimated from UK data sources. The rates and costs were then applied to specific populations to give an estimate of the cost of insulin‐related hypoglycaemia for the UK, a specific locality, or a user‐defined population. User‐specific rates and costs could also be applied. RESULTS: The estimated cost of a hypoglycaemic episode can range from as much as £2,152 for severe episodes (for which the patient is admitted to hospital) to as little as £1.67 for non‐severe episodes. With a UK population of 64.1 million, the total estimated cost of managing insulin‐related hypoglycaemia is £468.0 m per year (£295.9 m for severe episodes, £172.1 m for non‐severe episodes). On a local health economy level, using a hypothetical general population of 100 000, the total cost of managing insulin‐related hypoglycaemia is estimated to be £730,052 per year (£461,658 for severe and £268,394 for non‐severe episodes). CONCLUSIONS: The Local Impact of Hypoglycaemia Tool highlights the economic burden of insulin‐related hypoglycaemia. Non‐severe episodes are often overlooked because of their low individual cost, but their high frequency makes the cumulative cost substantial. The Local Impact of Hypoglycaemia Tool also shows clinicians and budget‐holders the economic impact of lower rates of hypoglycaemia. John Wiley and Sons Inc. 2015-04-22 2015-09 /pmc/articles/PMC5029754/ /pubmed/25816891 http://dx.doi.org/10.1111/dme.12771 Text en © 2015 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Parekh, W. A.
Ashley, D.
Chubb, B.
Gillies, H.
Evans, M.
Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool
title Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool
title_full Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool
title_fullStr Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool
title_full_unstemmed Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool
title_short Approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel Local Impact of Hypoglycaemia Tool
title_sort approach to assessing the economic impact of insulin‐related hypoglycaemia using the novel local impact of hypoglycaemia tool
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029754/
https://www.ncbi.nlm.nih.gov/pubmed/25816891
http://dx.doi.org/10.1111/dme.12771
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