What are the direct medical costs of managing Type 2 Diabetes Mellitus in Malaysia?
- Author:
Feisul Idzwan Mustapha
;
Soraya Azmi
;
Mohd Rizal Abdul Manaf
;
Zanariah Hussein
;
Nik Jasmin Nik Mahir
;
Fatanah Ismail
;
Azimatun Noor Aizuddin
;
Adrian Goh
- Publication Type:Original article
- Keywords:
Cost;
diabetes;
diabetic complication;
expenditure;
Malaysia
- MeSH:
Diabetes Mellitus;
Health Care Costs;
Health Expenditures
- From:
The Medical Journal of Malaysia
2017;72(5):271-277
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: An economic analysis was performed to
estimate the annual cost of diabetes mellitus to Malaysia.
Methods: We combined published data and clinical
pathways to estimate cost of follow-up and complications,
then calculated the overall national cost. Costs consisted of
diabetes follow-up and complications costs.
Results: Patient follow-up was estimated at RM459 per year.
Complications cost were RM42,362 per patient per year for
nephropathy, RM4,817 for myocardial infarction, RM5,345 for
stroke, RM3,880 for heart failure, RM5,519 for foot
amputation, RM479 for retinopathy and RM4,812 for cataract
extraction.
Conclusion: Overall, we estimated the total cost of diabetes
as RM2.04 billion per year for year 2011 (both public and
private sector). Of this, RM1.40 billion per year was incurred
by the government. Despite some limitations, we believe our
study provides insight to the actual cost of diabetes to the
country. The high cost to the nation highlights the
importance of primary and secondary prevention.
