Type 2 & other diabetes

Use of hospital care among Dutch diabetes patients

Diabetes Obes MetabPublished Observational cohort study

Authors' conclusion

The hospital resource use of Dutch diabetes patients is high, with a large burden of cardiovascular complications. Resource use is rooted mainly in hospital care of diabetes-related complications, not in the treatment of diabetes. Early treatment and prevention of complications remain imperative to taper future healthcare expenditure on patients with diabetes.

Study context

Population
Patients aged ≥18 years treated for DM in 65 Dutch hospitals, 2019 to 2020
Participants
193,840 patients
Outcome
Healthcare resource utilization and hospital expenditure (consultations, hospitalizations, technology use, total hospital and diabetes care costs)
Follow-up
1-year follow-up
Methodological detailsreal-world reimbursement data, 65 hospitals
  • Real-world reimbursement data
  • 65 hospitals

Main finding

As reported in the abstract

Hospital costs · per year
Total hospital costs for all patients with diabetes per year
€1 352 690 257 (1.35 billion)
Share associated with treatment of diabetes
15.9% (€214 963 703)
Mean yearly costs per patient
€6978
Mean diabetes care costs per patient
€1109
Mean hospital costs vs Dutch population
three- to sixfold

Observational data: associations, not effects.

Further findings

Costs by age

Diabetes expenditure, 18-40 years
€1575
Diabetes expenditure, >70 years
€932
Total hospital costs increased with age, diabetes expenditure decreased with age

Cardiovascular complications

Received care related to cardiovascular complications
51.3% (n = 99 457)

Vascular complications and hospital costs

Micro- and macrovascular complications, or a combination, increased hospital costs
1.4-5.3 times higher

Original publication

Use of hospital care among Dutch diabetes patients. Diabetes Obes Metab. Published 8 May 2023. doi:10.1111/dom.15105

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

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