National health and economic impact of a lifestyle program to prevent type 2 diabetes mellitus in Germany: a simulation study
Authors' conclusion
Implementing the lifestyle intervention for people with HbA1c from 6.0% to 6.4% could be a cost-effective at standard willingness to pay level strategy for type 2 diabetes prevention. The intervention in the younger cohort could be cost saving from a societal perspective. The successful implementation of a lifestyle-based diabetes prevention program could be an important component of a successful National Diabetes Strategy in Germany.
Study context
- Population
- German adults aged 35–54 and 55–74 years with hemoglobin A1c (HbA1c) from 6.0% to 6.4%simulation
- Comparison
- 2-year pragmatic lifestyle diabetes prevention program
- Outcome
- ICER in cost per QALY
- Follow-up
- Lifetime
Methodological detailscost-effectiveness analysis, lifetime horizon, CDC-RTI Diabetes Cost-Effectiveness Model adapted to German context, healthcare system and societal perspectives
- Cost-effectiveness analysis
- Lifetime horizon
- CDC-RTI Diabetes Cost-Effectiveness Model adapted to German context
- Healthcare system and societal perspectives
Main finding
As reported in the abstract
Lifetime ICER (cost per QALY)
| Group | Value | ICER, societal perspective |
|---|---|---|
| 35-54 years | 14 690€ | −3805€ |
| 55-74 years | 14 372€ | 4579€ |
Value
35-54 years14 690€
55-74 years14 372€
ICER, societal perspective
35-54 years−3805€
55-74 years4579€
Further findings
T2D cases prevented nationwide over lifetime, with 25% participation
- Diabetes cases prevented
- 10 527
Original publication
National health and economic impact of a lifestyle program to prevent type 2 diabetes mellitus in Germany: a simulation study. BMJ Open Diabetes Res Care. Published 18 October 2024. doi:10.
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