Type 1 diabetes

Medical Costs Associated With Diabetes Complications in Medicare Beneficiaries Aged 65 Years or Older With Type 1 Diabetes

Diabetes CarePublished Retrospective cohort study

Authors' conclusion

Costs of diabetes complications were large and varied by complications. Our results can assist in cost-effectiveness analysis of treatments and interventions for preventing or delaying diabetes complications in Medicare beneficiaries aged ≥65 years with type 1 diabetes.

Study context

Population
Medicare fee-for-service and Part D beneficiaries aged ≥65 years with T1Dfollow-up 3 to 10 years
Participants
114,879 participants
Outcome
Annual medical costs associated with 17 diabetes complications and treatment procedures (2017 U.S. dollars)
Follow-up
Complication occurrence year and subsequent years
Methodological details2006-2017 100% Medicare claims database, fixed-effects regression
  • 2006-2017 100% Medicare claims database
  • Fixed-effects regression

Main finding

As reported in the abstract

Costliest complications per person (occurrence year; subsequent years)
Kidney failure treated by transplant, occurrence year
$77,809
Kidney failure treated by transplant, subsequent years
$13,556
Kidney failure treated by dialysis, occurrence year
$56,469
Kidney failure treated by dialysis, subsequent years
$41,429
Neuropathy treated by lower-extremity amputation, occurrence year
$40,698
Neuropathy treated by lower-extremity amputation, subsequent years
$7,380

Observational data: associations, not effects.

Further findings

Share of total medical cost for diabetes complications due to congestive HF

Congestive HF share of total complication cost
16%

Original publication

Medical Costs Associated With Diabetes Complications in Medicare Beneficiaries Aged 65 Years or Older With Type 1 Diabetes. Diabetes Care. Published 18 November 2022. doi:10.2337/dc21-2538

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