Cost-effectiveness analysis on continuous subcutaneous insulin infusion and multi-point daily insulin injections in the treatment program of type 2 diabetes
10.3760/cma.j.issn.0254-6450.2009.07.024
- VernacularTitle:持续皮下胰岛素输注和胰岛素每日多点注射治疗2型糖尿病的成本效果分析
- Author:
Jiong SHU
1
;
Long-Yi ZENG
;
MUPanwei
;
Man-Man WANG
;
Guo-Chao ZHANG
;
Yan-Ming CHEN
Author Information
1. 中山大学附属第三医院
- Keywords:
Type 2 diabetes;
Continuous subcutaneous insulin infusion;
Multi-point daily insulin injections;
Cost-effectiveness analysis
- From:
Chinese Journal of Epidemiology
2009;30(7):737-739
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the cost-effectiveness of using continuous subcutaneous insulin infusion (CS Ⅱ) and multi-point daily insulin injections (MDI) in controlling blood sugar in the newly hospitalized type 2 diabetes patients. Methods Retrospective analysis on 86 cases taking CS Ⅱ and 103 cases using MDI on a 'blood sugar control program' among the newly hospitalized patients with type 2 diabetes. The period for observation was 2 weeks, using cost-effectiveness analysis methods to evaluate the two treatment programs. Results After two weeks of treatment, the effectiveness in the control of blood sugar in CS Ⅱ group was similar to the MDI group, with no significant difference(P<0.05) and the adverse reactions were similar. Costs in the CS Ⅱ program (Yuan/person) was less than in the MDI program (1478.34 vs. 1620.46), with significant differences (P< 0.05). The cost-effectiveness ratios (C/E) were 15.07 in the CS Ⅱ group, and 16.34 in the MDI group, with no significant difference (P>0.05). In order to further reduce the cost of CS Ⅱ group as a reference, the incremental cost-effectiveness ratio (△C/ △E)ofthe MDI group was 129.20. Conclusion Costs-effective of the CS Ⅱ program was better than the MDI one in treating the newly hospitalized patients with type 2 diabetes, suggesting that CS Ⅱ program might be a better choice for hospitals to carry on an intensive insulin therapy program.
