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Type 2 diabetes mellitus in Bangladesh: a prevalence based cost-of-illness study
Journal article   Open access   Peer reviewed

Type 2 diabetes mellitus in Bangladesh: a prevalence based cost-of-illness study

Atsana Afroz, Khurshid Alam, Liaquat Ali, Afsana Karim, Mohammed J. Alramadan, Samira Humaira Habib, Dianna J. Magliano and Baki Billah
BMC health services research, Vol.19(1), pp.601-601
2019
DOI: https://doi.org/10.1186/s12913-019-4440-3
PMCID: PMC6712789
PMID: 31455307
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Published (Version of Record)CC BY V4.0,  Open Access

Abstract

Burden of diabetes Cost-of-illness Direct cost Indirect cost Management plan Type 2 diabetes
Background The economic burden of type 2 diabetes has not been adequately investigated in many low- and lower middle-income countries, including Bangladesh. The aim of this study was to estimate the cost-of-illness of type 2 diabetes and to find its determinants in Bangladesh. Methods A cross-sectional study was conducted in 2017 to recruit 1253 participants with type 2 diabetes from six diabetes hospitals, providing primary to tertiary health care services, located in the northern and central regions of Bangladesh. A structured questionnaire was used for face-to-face interviewing to collect non-clinical data. Patients’ medical records were reviewed for clinical data and hospital records were reviewed for hospitalisation data. Cost was calculated from the patient’s perspective using a bottom-up methodology. The direct costs for each patient and indirect costs for each patient and their attendants were calculated. The micro-costing approach was used to calculate direct cost and the human capital approach was used to calculate indirect cost. Median regression analysis was performed to identify the determinants of average annual cost. Results Among the participants, 54% were male. The mean (±SD) age was 55.1 ± 12.5 years and duration of diabetes was 10.7 ± 7.7 years. The average annual cost was US$864.7 per patient. Medicine cost accounted for 60.7% of the direct cost followed by a hospitalisation cost of 27.7%. The average annual cost for patients with hospitalisation was 4.2 times higher compared to those without hospitalisation. Being females, use of insulin, longer duration of diabetes, and presence of diabetes complications were significantly related to the average annual cost per patient. Conclusions The cost of diabetes care is considerably high in Bangladesh, and it is primarily driven by the medicine and hospitalisation costs. Optimisation of diabetes management by positive lifestyle changes is urgently required for prevention of comorbidities and complications, which in turn will reduce the cost.

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Source: InCites

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.26 Diabetes
1.26.42 Diabetes Management
Web Of Science research areas
Health Care Sciences & Services
ESI research areas
Clinical Medicine
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