Decision modelling for the evaluation of diabetes outcomes

The process of decision modelling in diabetes mellitus (DM) is often complicated by comorbidity among diabetic patients, complexity of endpoint selection, and unclear time horizons. Aim. To review the available recommendations, relevant methods and mathematical approaches to decision modelling in DM...

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Main Authors: A. A. Mosikian, W. Zhao, T. L. Galankin, A. S. Kolbin
Format: Article
Language:Russian
Published: IRBIS LLC 2017-11-01
Series:Фармакоэкономика
Subjects:
Online Access:https://www.pharmacoeconomics.ru/jour/article/view/208
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author A. A. Mosikian
W. Zhao
T. L. Galankin
A. S. Kolbin
author_facet A. A. Mosikian
W. Zhao
T. L. Galankin
A. S. Kolbin
author_sort A. A. Mosikian
collection DOAJ
description The process of decision modelling in diabetes mellitus (DM) is often complicated by comorbidity among diabetic patients, complexity of endpoint selection, and unclear time horizons. Aim. To review the available recommendations, relevant methods and mathematical approaches to decision modelling in DM. Materials and Methods. We searched through the PubMed database using the ResearchGate and Mendeley networks; we also collected data from the websites of the key opinion leaders in the field of pharmacoeconomics and decision modelling. Results. This review contains up-to-date information on the validity of the most common DM decision models and on the validity of extrapolating the type 2 DM models to patients with type 1 DM. We also provide some clinically relevant comments on the American Diabetes Association’s requirements concerning the decision models in DM. The review incorporates data on the current mathematical approaches to modelling the changes in glycated hemoglobin levels, the body mass index and the quality-adjusted life expectancy – for both type 1 and type 2 DM. Conclusion. Despite recent successes in DM decision modelling, the existing approaches are not always relevant to some groups of DM patients or to some aspects of the disease. Thus, the use of the novel anti-diabetic drugs (liraglutide, semaglutide, empagliflozin) capable of significantly reducing cardiovascular risks in DM patients, require new approaches to decision modelling in diabetes mellitus.
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spelling doaj.art-d66fb85716284a7fa28ef2cd68b75d9d2023-03-13T07:48:16ZrusIRBIS LLCФармакоэкономика2070-49092070-49332017-11-01103475810.17749/2070-4909.2017.10.3.047-058183Decision modelling for the evaluation of diabetes outcomesA. A. Mosikian0W. Zhao1T. L. Galankin2A. S. Kolbin3Federal Almazov North West Medical Research CentrePavlov First Saint Petersburg State Medical UniversityФедеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени акад. И. П. Павлова» Минздрава РоссииPavlov First Saint Petersburg State Medical University: Saint Petersburg State UniversityThe process of decision modelling in diabetes mellitus (DM) is often complicated by comorbidity among diabetic patients, complexity of endpoint selection, and unclear time horizons. Aim. To review the available recommendations, relevant methods and mathematical approaches to decision modelling in DM. Materials and Methods. We searched through the PubMed database using the ResearchGate and Mendeley networks; we also collected data from the websites of the key opinion leaders in the field of pharmacoeconomics and decision modelling. Results. This review contains up-to-date information on the validity of the most common DM decision models and on the validity of extrapolating the type 2 DM models to patients with type 1 DM. We also provide some clinically relevant comments on the American Diabetes Association’s requirements concerning the decision models in DM. The review incorporates data on the current mathematical approaches to modelling the changes in glycated hemoglobin levels, the body mass index and the quality-adjusted life expectancy – for both type 1 and type 2 DM. Conclusion. Despite recent successes in DM decision modelling, the existing approaches are not always relevant to some groups of DM patients or to some aspects of the disease. Thus, the use of the novel anti-diabetic drugs (liraglutide, semaglutide, empagliflozin) capable of significantly reducing cardiovascular risks in DM patients, require new approaches to decision modelling in diabetes mellitus.https://www.pharmacoeconomics.ru/jour/article/view/208diabetes mellitushealth economic evaluationdecision modeling
spellingShingle A. A. Mosikian
W. Zhao
T. L. Galankin
A. S. Kolbin
Decision modelling for the evaluation of diabetes outcomes
Фармакоэкономика
diabetes mellitus
health economic evaluation
decision modeling
title Decision modelling for the evaluation of diabetes outcomes
title_full Decision modelling for the evaluation of diabetes outcomes
title_fullStr Decision modelling for the evaluation of diabetes outcomes
title_full_unstemmed Decision modelling for the evaluation of diabetes outcomes
title_short Decision modelling for the evaluation of diabetes outcomes
title_sort decision modelling for the evaluation of diabetes outcomes
topic diabetes mellitus
health economic evaluation
decision modeling
url https://www.pharmacoeconomics.ru/jour/article/view/208
work_keys_str_mv AT aamosikian decisionmodellingfortheevaluationofdiabetesoutcomes
AT wzhao decisionmodellingfortheevaluationofdiabetesoutcomes
AT tlgalankin decisionmodellingfortheevaluationofdiabetesoutcomes
AT askolbin decisionmodellingfortheevaluationofdiabetesoutcomes