Direct Costs of Healthcare for Children with Type 1 Diabetes Using a CGM System: A Health Economic Analysis of the VIDIKI Telemedicine Study in a German Setting.

IF 1.6 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Experimental and Clinical Endocrinology & Diabetes Pub Date : 2022-09-01 Epub Date: 2022-01-03 DOI:10.1055/a-1708-3134
Fabian Simon Frielitz, Nora Eisemann, Kristin Werner, Olaf Hiort, Alexander Katalinic, Karin Lange, Simone von Sengbusch
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引用次数: 4

Abstract

Aims: The Virtual Diabetes Outpatient Clinic for Children and Adolescents (VIDIKI) study was a 6-month quasi-randomized, multicentre study followed by an extension phase to evaluate the effects of monthly video consultations in addition to regular care. A health economic analysis was conducted to assess the direct costs.

Methods: The cost data of 240 study participants (1-16 years of age) with type 1 diabetes who were already using a continuous glucose monitoring system were collected in the first 6 months of the study. The intervention group (IG) received monthly video consultations plus regular care, and the waiting control group (WG) received only regular care. Cost data were collected for a comparable anonymized group of children from the participating health insurance companies during the 6-month period before the study started (aggregated data group [AG]).

Results: Cost data were analysed for the AG (N=840) 6 months before study initiation and those for the study participants (N=225/240). Hospital treatment was the highest cost category in the AG. There was a cost shift and cost increase in the IG and WG, whereby diabetes supplies were the highest cost category. The mean direct diabetes-associated 6-month costs were € 4,702 (IG) and € 4,936 (WG).

Conclusion: The cost development within the cost collection period over two years possibly reflects the switch to higher-priced medical supplies. Video consultation as an add-on service resulted in a small but nonsignificant reduction in the overall costs.

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使用CGM系统治疗1型糖尿病儿童的直接医疗成本:德国设置的VIDIKI远程医疗研究的健康经济分析
目的:儿童和青少年虚拟糖尿病门诊(VIDIKI)研究是一项为期6个月的准随机、多中心研究,随后是一个扩展阶段,以评估除常规护理外每月视频咨询的效果。进行了卫生经济分析以评估直接成本。方法:在研究的前6个月收集240名已经使用连续血糖监测系统的1型糖尿病患者(1-16岁)的成本数据。干预组(IG)每月接受视频咨询和常规护理,而等待对照组(WG)仅接受常规护理。在研究开始前的6个月期间,从参与的健康保险公司收集了一组可比较的匿名儿童的成本数据(汇总数据组[AG])。结果:对研究开始前6个月的AG (N=840)和研究参与者(N=225/240)的成本数据进行了分析。在澳大利亚,住院治疗是费用最高的类别。在IG和WG中出现了成本转移和成本增加,其中糖尿病用品是成本最高的类别。与糖尿病直接相关的6个月平均成本为4,702欧元(IG)和4,936欧元(WG)。结论:2年多的费用征收期内的费用发展可能反映了医疗用品向高价位的转变。视频咨询作为一项附加服务,在总成本上产生了很小但不显著的减少。
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来源期刊
CiteScore
4.10
自引率
5.60%
发文量
72
审稿时长
3 months
期刊介绍: Publishing outstanding articles from all fields of endocrinology and diabetology, from molecular biology to clinical research, this journal is a brilliant resource. Since being published in English in 1983, the popularity of this journal has grown steadily, reflecting the importance of this publication within its field. Original contributions and short communications appear in each issue along with reviews addressing current topics. In addition, supplementary issues are published each year presenting abstracts or proceedings of national and international scientific meetings. The journal was initially published in German and is still the oldest endocrinological periodical in the German-language market!
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