Diabetes complications

The Broader Economic Value of Treatment for Diabetic Macular Edema

Diabetes CarePublished Economic modelling study

Authors' conclusion

Treatment for DME provides economic value to patients and society through improved vision, life expectancy, and quality of life and indirectly through improved employment and disability outcomes.

Study context

Population
Simulated individuals with diabetic macular edema (DME); representative 51-year-old; U.S. DME cohort (1.1. million people)
Exposure
DME treatment vs untreated
Outcome
SRV and economic outcomes, treated vs untreated
Follow-up
Lifetime horizon
Methodological detailsmicrosimulation and cohort-level analysis, microsimulation model, lifetime horizon, cohort-level analysis based on real-world treatment parameters
  • Microsimulation and cohort-level analysis
  • Microsimulation model
  • Lifetime horizon
  • Cohort-level analysis based on real-world treatment parameters

Main finding

As reported in the abstract

lifetime horizon
Additional years with excellent/good self-reported vision (SRV), treated vs untreated
30-35%
Fewer years with fair/poor SRV, treated vs untreated
29-32%
Greater life expectancy, treated
4-5%
More quality-adjusted life-years, treated
9-13%
More years working, treated
6-9%
Greater lifetime earnings, treated
12-19%
Fewer years with disability, treated
8-16%

Observational data: associations, not effects.

Further findings

U.S. DME cohort benefits and net value · 20 years

Total direct benefit
$63.0 billion
Total indirect benefit
$4.8 billion
Net value (benefit - cost) of treatment
$28.1 billion to $52.8 billion

Original publication

The Broader Economic Value of Treatment for Diabetic Macular Edema. Diabetes Care. Published 26 April 2023. doi:10.2337/dc22-2527

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

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