Cost of diabetes care in out-patient clinics of Karachi, Pakistan
<p>Abstract</p> <p>Background</p> <p>Diabetes Mellitus (DM) is a growing epidemic and the cost of treating diabetes is largely increasing. The objective of this study was to estimate the cost-of-illness of DM among attendees of out-patient clinics in Karachi, Pakistan....
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| Format: | Article |
| Language: | English |
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BMC
2007-11-01
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| Series: | BMC Health Services Research |
| Online Access: | http://www.biomedcentral.com/1472-6963/7/189 |
| _version_ | 1811298360136564736 |
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| author | Khuwaja Ali K Khowaja Liaquat A Cosgrove Peter |
| author_facet | Khuwaja Ali K Khowaja Liaquat A Cosgrove Peter |
| author_sort | Khuwaja Ali K |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Diabetes Mellitus (DM) is a growing epidemic and the cost of treating diabetes is largely increasing. The objective of this study was to estimate the cost-of-illness of DM among attendees of out-patient clinics in Karachi, Pakistan. This is the first study conducted from a societal perspective to estimate the cost of managing diabetes in Pakistan.</p> <p>Methods</p> <p>A prevalence-based 'Cost-of-Illness' study for diabetes care was conducted in six different out-patient clinics of Karachi, Pakistan from July to September 2006. A pre-tested questionnaire was administered to collect the data from 345 randomly selected persons with diabetes.</p> <p>Results</p> <p>The annual mean direct cost for each person with diabetes was estimated to be Pakistani rupees 11,580 (US$ 197). Medicines accounted for the largest share of direct cost (46%), followed by laboratory investigations (32%). We found that increased age, the number of complications and longer duration of the disease significantly increase the burden of cost on society (p < 0.001). Comparing cost with family income it was found that the poorest segment of society is spending 18% of total family income on diabetes care.</p> <p>Conclusion</p> <p>This study concluded that substantial expenditure is incurred by people with diabetes; with the implication that resources could be saved by prevention, earlier detection and a reduction in diabetes co-morbidities and complications through improved diabetes care. Large scale and cost-effective prevention programs need to be initiated to maximise health gains and to reverse the advance of this epidemic.</p> |
| first_indexed | 2024-04-13T06:18:20Z |
| format | Article |
| id | doaj.art-b05f3dc4a3454ffa828f0e3b0be7c78b |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-13T06:18:20Z |
| publishDate | 2007-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-b05f3dc4a3454ffa828f0e3b0be7c78b2022-12-22T02:58:44ZengBMCBMC Health Services Research1472-69632007-11-017118910.1186/1472-6963-7-189Cost of diabetes care in out-patient clinics of Karachi, PakistanKhuwaja Ali KKhowaja Liaquat ACosgrove Peter<p>Abstract</p> <p>Background</p> <p>Diabetes Mellitus (DM) is a growing epidemic and the cost of treating diabetes is largely increasing. The objective of this study was to estimate the cost-of-illness of DM among attendees of out-patient clinics in Karachi, Pakistan. This is the first study conducted from a societal perspective to estimate the cost of managing diabetes in Pakistan.</p> <p>Methods</p> <p>A prevalence-based 'Cost-of-Illness' study for diabetes care was conducted in six different out-patient clinics of Karachi, Pakistan from July to September 2006. A pre-tested questionnaire was administered to collect the data from 345 randomly selected persons with diabetes.</p> <p>Results</p> <p>The annual mean direct cost for each person with diabetes was estimated to be Pakistani rupees 11,580 (US$ 197). Medicines accounted for the largest share of direct cost (46%), followed by laboratory investigations (32%). We found that increased age, the number of complications and longer duration of the disease significantly increase the burden of cost on society (p < 0.001). Comparing cost with family income it was found that the poorest segment of society is spending 18% of total family income on diabetes care.</p> <p>Conclusion</p> <p>This study concluded that substantial expenditure is incurred by people with diabetes; with the implication that resources could be saved by prevention, earlier detection and a reduction in diabetes co-morbidities and complications through improved diabetes care. Large scale and cost-effective prevention programs need to be initiated to maximise health gains and to reverse the advance of this epidemic.</p>http://www.biomedcentral.com/1472-6963/7/189 |
| spellingShingle | Khuwaja Ali K Khowaja Liaquat A Cosgrove Peter Cost of diabetes care in out-patient clinics of Karachi, Pakistan BMC Health Services Research |
| title | Cost of diabetes care in out-patient clinics of Karachi, Pakistan |
| title_full | Cost of diabetes care in out-patient clinics of Karachi, Pakistan |
| title_fullStr | Cost of diabetes care in out-patient clinics of Karachi, Pakistan |
| title_full_unstemmed | Cost of diabetes care in out-patient clinics of Karachi, Pakistan |
| title_short | Cost of diabetes care in out-patient clinics of Karachi, Pakistan |
| title_sort | cost of diabetes care in out patient clinics of karachi pakistan |
| url | http://www.biomedcentral.com/1472-6963/7/189 |
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