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Medical Expenditures Associated With Diabetes in Myocardial Infarction and Ischemic Stroke Patients

Xilin Zhou1, Sundar S Shrestha1, Elizabeth Luman1

  • 1Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia.

American Journal of Preventive Medicine
|November 21, 2017
PubMed

Insights

Diabetes significantly increases medical costs for heart attack and stroke patients. Managing diabetes effectively could reduce these substantial financial burdens.

Area of Science:

  • Health Economics
  • Cardiovascular Disease
  • Endocrinology

Background:

  • Diabetes is common in patients with acute myocardial infarction (AMI) and acute ischemic stroke (AIS).
  • The financial impact of diabetes on these patient populations is not well understood.

Purpose of the Study:

  • To quantify the excess medical expenditures associated with diabetes in patients with AMI and AIS.

Main Methods:

  • Analysis of 2008-2014 Medical Expenditure Panel Survey data for 3,307 AMI and 2,460 AIS patients.
  • Estimation of per capita annual excess medical expenditures using generalized linear and two-part models.
  • Expenditures adjusted to 2014 U.S. dollars.

Main Results:

  • Annual excess expenditures were $5,117 for AMI patients and $5,734 for AIS patients.
  • Prescription drugs constituted 40-42% of excess costs.
  • Higher utilization, not higher unit costs, drove excess spending.

Conclusions:

  • Diabetes imposes substantial excess medical costs on AMI and AIS patients.
  • Improved diabetes prevention and management are crucial to reduce healthcare spending.
Abstract

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