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- W3028977296 abstract "ObjectiveTo evaluate the long-term economic and clinical outcomes of type 2 diabetes patient education in China.MethodsA validated computer simulation model of type 2 diabetes (the CORE Diabetes Model) was used to make projections of long-term economic and clinical outcomes for people with type 2 diabetes in China who received or did not receive diabetes related education. The simulation compared two cohorts of people with diabetes - one cohort received education (intervention group, n=568) and another cohort did not (control group, n=620). The two groups were match controlled. The base case cohort characteristics were based on the subgroup of type 2 diabetes patients from the 1998-2006 Diabcare-China surveys. Projections were made over a 50-year time horizon to capture the costs of long-term complications. The mean HbA1c was 7.6%±1.6%, duration of diabetes was (3.2±5.6) years, mean age was (55±11) years, 591 males and 597 females.ResultsPatients who received diabetes education(intervention group) reduced their relative lifetime risk of many serious complications, including end-stage renal disease (45.5%), late stage eye disease (30.9%) and myocardial infarction (9.2%). Furthermore, undiscounted life expectancy was increased by 1.1 years, quality adjusted life year (QALY) was increased by 0.76 years and total lifetime costs increased by RMB 5183 yuan per person. The incremental cost-effectiveness ratio (ICER) was RMB 6784 yuan per QALY gained for patients in intervention group versus those in control group.ConclusionPatient education for type 2 diabetes patients increases life expectancy and reduces the incidence of major and minor complications, and it is a very cost-effective intervention.Key words: Diabetes mellitus, type 2; Patient education; Cost and cost analysis" @default.
- W3028977296 created "2020-06-05" @default.
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- W3028977296 date "2015-02-27" @default.
- W3028977296 modified "2023-09-26" @default.
- W3028977296 title "Patient education for type 2 diabetics is cost-effective in China" @default.
- W3028977296 doi "https://doi.org/10.3760/cma.j.issn.1674-5809.2012.02.005" @default.
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