Diabetes mellitus type 2 Cost-Effectiveness of Therapy: Difference between revisions
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==Cost-effectiveness of Therapy== | ==Cost-effectiveness of Therapy== | ||
*Based on 56 studies done on 20 countries, the following interventions are considered as cost saving interventions in [[diabetes]]:<ref name="LiZhang2010">{{cite journal|last1=Li|first1=R.|last2=Zhang|first2=P.|last3=Barker|first3=L. E.|last4=Chowdhury|first4=F. M.|last5=Zhang|first5=X.|title=Cost-Effectiveness of Interventions to Prevent and Control Diabetes Mellitus: A Systematic Review|journal=Diabetes Care|volume=33|issue=8|year=2010|pages=1872–1894|issn=0149-5992|doi=10.2337/dc10-0843}}</ref> | |||
**[[ACE inhibitor]] ([[ACE inhibitor|ACEI]]) [[therapy]], compared to other [[antihypertensive]] [[treatment|treatments]] for maintaining the goal [[blood pressure]]. | |||
**[[Chronic renal failure|ESRD]] [[Prevention (medical)|prevention]] by using [[ACE inhibitor]] ([[ACE inhibitor|ACEI]]) or [[Angiotensin II receptor antagonist|angiotensin receptor blocker]] ([[Angiotensin II receptor antagonist|ARB]]), compared to no [[Chronic renal failure|ESRD]] [[Prevention (medical)|prevention]]. | |||
**Initiation of [[Irbesartan]] [[treatment]] when there is [[microalbuminuria]], compared to initiation of [[Irbesartan]] [[treatment]] at macroalbuminuria stage. | |||
**Thorough foot care in order to prevent foot [[ulcer]]. | |||
**Control and assessment of diabetic [[risk factor|risk factors]] and appropriate interventions in order to minimize the [[Complication (medicine)|complications]]. | |||
*The aforementioned study also determined the following interventions as very cost-effective interventions in [[diabetes]]:<ref name="LiZhang2010">{{cite journal|last1=Li|first1=R.|last2=Zhang|first2=P.|last3=Barker|first3=L. E.|last4=Chowdhury|first4=F. M.|last5=Zhang|first5=X.|title=Cost-Effectiveness of Interventions to Prevent and Control Diabetes Mellitus: A Systematic Review|journal=Diabetes Care|volume=33|issue=8|year=2010|pages=1872–1894|issn=0149-5992|doi=10.2337/dc10-0843}}</ref> | |||
**Intensive lifestyle interventions in [[prediabetes]], compared to standard lifestyle intervention. | |||
**General [[Screening (medicine)|screening]] for [[diabetes]] in 45 to 54 years old African Americans. | |||
**Intensive glycemic control in newly diagnosed [[Diabetes mellitus type 2|type 2 diabetes]], based on the UK Prospective Diabetes Study, compared with conventional glycemic control. | |||
**Initiation of [[statin|statins]] in order to prevent [[cardiovascular disease]], compared to no treatment. | |||
**[[Smoking cessation]] | |||
**[[Screening (medicine)|Screening]] for [[diabetic retinopathy]] once a year. | |||
**Prompt [[vitrectomy]] in patients with [[diabetic retinopathy]], compared to delayed [[vitrectomy]]. | |||
==References== | ==References== |
Revision as of 15:44, 17 August 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Cost-effectiveness of Therapy
- Based on 56 studies done on 20 countries, the following interventions are considered as cost saving interventions in diabetes:[1]
- ACE inhibitor (ACEI) therapy, compared to other antihypertensive treatments for maintaining the goal blood pressure.
- ESRD prevention by using ACE inhibitor (ACEI) or angiotensin receptor blocker (ARB), compared to no ESRD prevention.
- Initiation of Irbesartan treatment when there is microalbuminuria, compared to initiation of Irbesartan treatment at macroalbuminuria stage.
- Thorough foot care in order to prevent foot ulcer.
- Control and assessment of diabetic risk factors and appropriate interventions in order to minimize the complications.
- The aforementioned study also determined the following interventions as very cost-effective interventions in diabetes:[1]
- Intensive lifestyle interventions in prediabetes, compared to standard lifestyle intervention.
- General screening for diabetes in 45 to 54 years old African Americans.
- Intensive glycemic control in newly diagnosed type 2 diabetes, based on the UK Prospective Diabetes Study, compared with conventional glycemic control.
- Initiation of statins in order to prevent cardiovascular disease, compared to no treatment.
- Smoking cessation
- Screening for diabetic retinopathy once a year.
- Prompt vitrectomy in patients with diabetic retinopathy, compared to delayed vitrectomy.