Cost-effectiveness of the interventions to avoid complications and management in diabetes mellitus: a narrative review from South-East Asian perspective
Background and Aims: Asians accounts 60% of the world’s diabetic population with a different burden on young and middle-aged. The objective is to critically evaluate the published literature relevant to cost-effectiveness analysis of interventions to avoid complications followed by the management...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English English |
| Published: |
Walter de Gruyter
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/64954/ http://irep.iium.edu.my/64954/ http://irep.iium.edu.my/64954/ http://irep.iium.edu.my/64954/1/64954_Cost-Effectiveness%20of%20the%20Interventions.pdf http://irep.iium.edu.my/64954/7/64954_Cost-effectiveness%20of%20the%20interventions%20to%20avoid%20complications%20and%20management_scopus%20review.pdf |
| Summary: | Background and Aims: Asians accounts 60% of the world’s diabetic population with a
different burden on young and middle-aged. The objective is to critically evaluate the
published literature relevant to cost-effectiveness analysis of interventions to avoid
complications followed by the management of diabetes mellitus in South-east Asia.
Methods: PubMed, ScienceDirect International Pharmaceutical Abstracts (IPA),
Proquest and Google Scholar thoroughly searched within the period of NovemberDecember
2015. Only research and reviews published in the English language within the
period of January 2000-November 2015 considered. The extracted details and particulars
from the included studies account for interventions, outcomes, and modeling methods.
Results: A total of seven studies from Japan, Singapore, Cambodia and two each from
India and Thailand were included. Incremental cost-effectiveness ratios (ICERs) per
quality-adjusted-life-year (QALY) accounted as an outcome in more than half of the
reviewed studies. Most of the economic evaluations of DM management and preventive
interventions in each country focused on different interventions and alternatives for
comparison. However, type 1 DM patients showed better outcome when using specific
insulin regimens utilized in the southeastern Asian countries followed by the
implementation of Thai DM-self management support program (DM-SMS) via healthcare
professionals. Conclusion: Alternatives to pharmacologic approaches such as insulin
regimen and oral anti-diabetic agents showed a significant difference |
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