Type 2 & other diabetes

Real‐World Cost and Utilisation Burden of Diagnosed Metabolic Dysfunction‐Associated Steatotic Liver Disease in Patients With Type 2 Diabetes in the United States: A Retrospective Cohort Study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Among adults with T2D, MASLD was associated with substantially higher healthcare costs and utilisation.

Study context

Population
Adults aged 18–64 years with T2D, IQVIA PharMetrics Plus Closed Health Plan data, January 2016 to June 2025, United States
Participants
155,172 adults17,412 matched pairs
Exposure
T2D with diagnosed MASLD vs T2D-only controls
Outcome
All-cause total direct healthcare costs
Follow-up
12 months
Methodological detailspropensity-score matched 1:1
  • Propensity-score matched 1:1

Main finding

As reported in the abstract

Total healthcare costs · 12 months

aCR

1.62

95% CI 1.58–1.67

62% higher total healthcare costs

AME

$11 411 per patient per year (95% CI $10 725-$12 097)

Total healthcare costs

MASLD

$29 734

mean

Matched controls

$18 320

mean

Observational data: associations, not effects.

Further findings

OutcomeAME
Excess costs in GLP-1 RA subgroup$10 653
Excess costs in SGLT2i subgroup$13 842

Healthcare utilisation

MASLD associated with greater healthcare utilisation across all service settings

Original publication

Real‐World Cost and Utilisation Burden of Diagnosed Metabolic Dysfunction‐Associated Steatotic Liver Disease in Patients With Type 2 Diabetes in the United States: A Retrospective Cohort Study. Diabetes Obes Metab. Published 14 September 2026. doi:10.1111/dom.71355

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

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