Diabetes complications

Cost‐effectiveness of investing in earlier access to diabetic foot services: A multi‐centre pre‐post study

Diabet MedPublished Multi-centre pre-post study with cost-effectiveness analysis

Authors' conclusion

We found investing in earlier access to DFS to be cost-effective and generated considerably improved patient outcomes, cost savings, and return on investment.

Study context

Population
Patients with diabetes-related foot disease, 15 regions in Queensland, Australia
Participants
1,687 patients
Comparison
Earlier access to new diabetic foot services (DFS) vs usual access to ambulatory DFS
  • Interventionn = 857
  • Controlsn = 830reference
Outcome
Cost, QALYs and clinical outcomes (cost-effectiveness)
Follow-up
5-year time horizon
Methodological detailsgeneralised linear model, Bayesian Markov model, 7 health states, 5-year time horizon, Australian health service perspective
  • Generalised linear model
  • Bayesian Markov model
  • 7 health states
  • 5-year time horizon
  • Australian health service perspective

Main finding

As reported in the abstract

Difference in costs

-$8429

95% CI -$8461, -$8397

reduced costs with intervention

Difference in quality-adjusted life year (QALYs)

0.06 QALYs

95% CI 0.05–0.07

increased QALYs with intervention

Return per $AU1 invested in the intervention
$AU7.86 [$7.63, $8.09]

Further findings

Lower projected probability of hospitalisation with intervention vs controls, particularly after 20 months

Original publication

Cost‐effectiveness of investing in earlier access to diabetic foot services: A multi‐centre pre‐post study. Diabet Med. Published 26 May 2026. doi:10.1111/dme.70373

Composed by AI from the published abstract and checked against it. How Briefs are made →

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