| アブストラクト | BACKGROUND: Approximately 60 000 people in England have coexisting type 2 diabetes mellitus (T2DM) and severe mental illness (SMI). They are more likely to have poorer health outcomes and require more complex care pathways compared with those with T2DM alone. Despite increasing prevalence, little is known about the healthcare resource use and costs for people with both conditions. AIMS: To assess the impact of SMI on healthcare resource use and service costs for adults with T2DM, and explore the predictors of healthcare costs and lifetime costs for people with both conditions. METHOD: This was a matched-cohort study using data from the Clinical Practice Research Datalink linked to Hospital Episode Statistics for 1620 people with comorbid SMI and T2DM and 4763 people with T2DM alone. Generalised linear models and the Bang and Tsiatis method were used to explore cost predictors and mean lifetime costs respectively. RESULTS: There were higher average annual costs for people with T2DM and SMI ( pound1930 higher) than people with T2DM alone, driven primarily by mental health and non-mental health-related hospital admissions. Key predictors of higher total costs were older age, comorbid hypertension, use of antidepressants, use of first-generation antipsychotics, and increased duration of living with both conditions. Expected lifetime costs were approximately pound35 000 per person with both SMI and T2DM. Extrapolating nationally, this would generate total annual costs to the National Health Service of around pound250 m per year. CONCLUSIONS: Our estimates of resource use and costs for people with both T2DM and SMI will aid policymakers and commissioners in service planning and resource allocation. |
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| ジャーナル名 | The British journal of psychiatry : the journal of mental science |
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| 投稿日 | 2022/1/21 |
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| 投稿者 | Wang, Han-I; Han, Lu; Jacobs, Rowena; Doran, Tim; Holt, Richard I G; Prady, Stephanie L; Gilbody, Simon; Shiers, David; Alderson, Sarah; Hewitt, Catherine; Taylor, Jo; Kitchen, Charlotte E W; Bellass, Sue; Siddiqi, Najma |
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| 組織名 | Department of Health Sciences, Seebohm Rowntree Building, University of York, UK.;Department of Health Services Research and Policy, Faculty of Public Health and;Policy, London School of Hygiene and Tropical Medicine, UK.;Centre for Health Economics, University of York, UK.;Human Development and Health Academic Unit, Faculty of Medicine, University of;Southampton, UK; and Southampton National Institute for Health Research;Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust,;UK.;Department of Health Sciences, Seebohm Rowntree Building, University of York, UK;;and Hull York Medical School, University of York, UK.;Division of Psychology and Mental Health/Greater Manchester Mental Health NHS;Trust/Primary Care and Health Sciences (Keele University), University of;Manchester, UK.;Leeds Institute for Health Sciences, University of Leeds, UK.;Hull York Medical School, University of York, UK; and Bradford District Care NHS;Foundation Trust, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/35049484/ |
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