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Title: Direct and indirect costs of diabetes mellitus in Mali: A case-control study
Authors: Bermudez-Tamayo, Clara
Besançon, Stéphane
Johri, Mira
Assa, Sidibe
Brown, Jonathan Betz
Ramaiya, Kaushik
metadata.dc.contributor.authoraffiliation: [ Bermudez-Tamayo,C] Andalusian School of Public Health, Granada, Spain. [Bermudez-Tamayo,C] CIBER Epidemiologia y Salud Publica (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. [Besançon,S] NGO Santé Diabète, Bamako, Mali. [Johri,M] Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Canada, Département d'administration de la santé, École de santé publique, Université de Montréal, Montréal, Canada. [Assa,S] [Endocrinology Department, Mali National Hospital, Bamako, Mali. [Brown,JB] Kaiser Permanente Center for Health Research, Portland, Oregon, United States of America. [Ramaiya,K] Shree Hindu Mandal Hospital, Dar es Salaam, Tanzania
Keywords: Diabetes mellitus;Coste de enfermedad;Estilo de vida sedentario;Mali;Urbanización;Estudios de casos y controles
metadata.dc.subject.mesh: Medical Subject Headings::Diseases::Endocrine System Diseases::Diabetes Mellitus
Medical Subject Headings::Health Care::Health Care Economics and Organizations::Economics::Costs and Cost Analysis::Cost of Illness
Medical Subject Headings::Geographical Locations::Geographic Locations::Africa::Africa South of the Sahara::Africa, Western::Mali
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Life Style::Sedentary Lifestyle
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Sociology::Social Change::Urbanization
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies
Issue Date: 18-May-2017
Publisher: Public Library of Science
Citation: Bermudez-Tamayo C, Besançon S, Johri M, Assa S, Brown JB, Ramaiya K. Direct and indirect costs of diabetes mellitus in Mali: A case-control study. PLoS One. 2017 May 18;12(5):e0176128
Abstract: BACKGROUND: Diabetes mellitus (DM) is one of the most burdensome chronic diseases and is associated with shorter lifetime, diminished quality of life and economic burdens on the patient and society as a result of healthcare, medication, and reduced labor market participation. We aimed to estimate the direct (medical and non-medical) and indirect costs of DM and compare them with those of people without DM (ND), as well as the cost predictors. METHODS AND FINDINGS: Observational retrospective case-control study performed in Mali. Participants were identified and randomly selected from diabetes registries. We recruited 500 subjects with DM and 500 subjects without DM, matched by sex and age. We conducted structured, personal interviews. Costs were expressed for a 90-day period. Direct medical costs comprised: inpatient stays, ICU, laboratory tests and other hospital visits, specialist and primary care doctor visits, others, traditional practitioners, and medication. Direct non-medical costs comprised travel for treatment and paid caregivers. The indirect costs include the productivity losses by patients and caregivers, and absenteeism. We estimate a two-part model by type of service and a linear multiple regression model for the total cost. We found that total costs of persons with DM were almost 4 times higher than total cost of people without DM. Total costs were $77.08 and $281.92 for ND and DM, respectively, with a difference of $204.84. CONCLUSIONS: Healthcare use and costs were dramatically higher for people with DM than for people with normal glucose tolerance and, in relative terms, much higher than in developed countries.
metadata.dc.identifier.doi: 10.1371/journal.pone.0176128
ISSN: 1932-6203 (Online)
Appears in Collections:01- Artículos - EASP. Escuela Andaluza de Salud Pública

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