Trends in direct health care costs among US adults with atherosclerotic cardiovascular disease with and without diabetes
Main finding · Direct health care expendituresResult — go to the resultAdjusted incremental expenditures 5563 $ 95% CI $4643-$6483Authors' conclusion
In the setting of ASCVD, diabetes is associated with significantly increased health care costs, an increase that was driven by marked increase in medication costs.
Study context
- Population
- US adults aged ≥18 years with atherosclerotic cardiovascular diseases (ASCVD), Medical Expenditure Panel Survey 2008–2019
- Participants
- 28,144 adults
- Exposure
- ASCVD with diabetes vs without diabetes
- Outcome
- Direct total health care expenditures (mean and adjusted incremental) by diabetes status
Methodological detailspopulation-based, national survey data 2008-2019, two-part model adjusting for demographics, comorbidities and time
- Population-based
- National survey data 2008-2019
- Two-part model adjusting for demographics, comorbidities and time
Main finding
Direct health care expenditures
Adjusted incremental expenditures
5563 $
95% CI $4643-$6483
As reported in the abstract
- Mean expenditure with diabetes vs without diabetes
- 1.5-fold higher
- Total direct excess medical expenditures, diabetes vs no diabetes
- $42 billion per year
Observational data: associations, not effects.
Further findings
Total direct expenditures, all individuals with ASCVD · 2008-2009 to 2008-2019
- 2008-2009
- $14,713 (95% CI: $13,808-$15,619)
- 2008-2019
- $19,145 (95% CI: $17,988-$20,301)
- Increase
- 30%
Prescription drug costs
- Increase among all with ASCVD
- 37%
- Increase among ASCVD and diabetes
- 45%
- ASCVD and diabetes, 2008-2009
- $5184 (95% CI: $4721-$5646)
- ASCVD and diabetes, 2018-2019
- $7501 (95% CI: $6678-$8325)
Original publication
Trends in direct health care costs among US adults with atherosclerotic cardiovascular disease with and without diabetes. Cardiovasc Diabetol. Published 8 July 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →