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BMC Health Services Research

, 15:13

Utilization, expenditure, economics and financing systems


BackgroundThe primary objective was to estimate the national burden of illness in Canada for diabetic foot ulcer DFU for 2011. Secondary objectives included estimating the national incidence and prevalence of DFU, and the 3-year average cost for DFU incident cases.

MethodsAnalyses were conducted using four national databases for the period April 1, 2006 to March 31, 2011, with cases being identified by ICD-10 CA codes. Resource utilization and costs, expressed in 2011 Canadian dollars, were estimated for DFU-related hospitalizations, emergency care ER, same day surgeries, home care, long term care, physician visits and caregiver time losses.

ResultsIn Canada in the year 2011, DFU was associated with 16,883 hospital admissions 327,140 days, 31,095 ER or clinic visits, 41,367 rehabilitation clinic visits, and 26,493 interventions, including 6,036 amputations and 5,796 surgical debridements. This acute institution care represented $320.5 M, and with an additional $125.4 M for home care and $63.1 M for long term care, the annual cost associated with DFU-related care was $547.0 M, or $21,371 annual cost per prevalent case. In 2011, the national prevalence of DFU was 25,597 cases 75.1 per 100,000 population, consisting of 16,161 men 63.1% and 9,436 women 36.9%, and an estimated 14,449 incident cases. For an incident case of DFU, the average 3-year cumulative cost was $52,360.

ConclusionThe annual burden for DFU cases that have at least one admission or ER-clinic visit over a 5 year period is higher than previously reported.

KeywordsDiabetes Foot ulcers Cost Cost of illness Incidence Prevalence Electronic supplementary materialThe online version of this article doi:10.1186-s12913-015-0687-5 contains supplementary material, which is available to authorized users.

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Autor: Robert B Hopkins - Natasha Burke - John Harlock - Jathishinie Jegathisawaran - Ron Goeree


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