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Cited by 11Diabetes, Cardiovascular Risks, and LipoproteinsHealth Promotion and Cardiovascular PreventionHealthcare Policy and Management

Favorable cardiovascular risk factor profile is associated with lower healthcare expenditure and resource utilization among adults with diabetes mellitus free of established cardiovascular disease: 2012 Medical Expenditure Panel Survey (MEPS)

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Feldman, David I., Valero-Elizondo, Javier, Salami, Joseph A., Rana, Jamal S., Ogunmoroti, Oluseye, Osondu, Chukwuemeka U., Spatz, Erica S., Virani, Salim S. +4 more·2017·Atherosclerosis
DOI 10.1016/j.atherosclerosis.2017.02.004
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Abstract

Background and aims Given the prevalence and economic burden of diabetes mellitus (DM), we studied the impact of a favorable cardiovascular risk factor (CRF) profile on healthcare expenditures and resource utilization among individuals without cardiovascular disease (CVD), by DM status. Methods 25,317 participants were categorized into 3 mutually-exclusive strata: "Poor", "Average" and "Optimal" CRF profiles (≥4, 2-3, 0-1 CRF, respectively). Two-part econometric models were utilized to study cost data. Results Mean age was 45 (48% male), with 54% having optimal, 39% average, and 7% poor CRF profiles. Individuals with DM were more likely to have poor CRF profile vs. those without DM (OR 7.7, 95% CI 6.4, 9.2). Individuals with DM/poor CRF profile had a mean annual expenditure of $9,006, compared to $6,461 among those with DM/optimal CRF profile (p Conclusions A favorable CRF profile is associated with significantly lower healthcare expenditures and utilization in CVD-free individuals across DM status, suggesting that these individuals require aggressive individualized prescriptions targeting lifestyle modifications and therapeutic treatments.

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  • Reducing cardiovascular risk may reduce healthcare expenditures, which may unburden both patients and the U.S. health care system at large.

    “Moreover, reducing cardiovascular risk may reduce healthcare expenditures, which may unburden both patients and the U.S. health care system at large [49], [50], [51].”

    From Income disparity and utilization of cardiovascular preventive care services among U.S. adults (2021) · cites this paper as [51]

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Authors
Feldman, D. I., Valero-Elizondo, J., Salami, J. A., Rana, J. S., Ogunmoroti, O., Osondu, C. U., Spatz, E. S., Virani, S. S., Blankstein, R., Blaha, M. J., Veledar, E., & Nasir, K.
Affiliations
  • Johns Hopkins University (US)
  • Kaiser Permanente (US)
  • Yale New Haven Hospital (US)
  • Michael E. DeBakey VA Medical Center (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Nasir, Khurram
ORCID
Venue
Atherosclerosis
Publisher
Elsevier BV
Published
2017-03
Volume
258
Pages
79-83
ISSN
0021-9150 (ISSN-L)
DOI
10.1016/j.atherosclerosis.2017.02.004
OpenAlex
W2586870865
Cited by
11
References
3
Citations by year
2023: 1 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2
FWCI
0.86
Type
journal article
Language
en
Open access
Licence
Locations
  • Atherosclerosis (publishedVersion)
  • PubMed (publishedVersion)
  • eCommons - AKU (Aga Khan University) (submittedVersion, cc-by-nc-nd)
  • FIU - Digital Commons (Florida International University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords
diabetes mellitus, cardiovascular risk factors, health care expenditure, healthcare resource utilization, cardiovascular disease, economic burden of diabetes, lifestyle modification, Medical Expenditure Panel Survey
MeSH terms
Adolescent, Adult, Aged, Cardiovascular Diseases, Diabetes Mellitus, Health Expenditures, Female, Health Resources, Humans, Male, Middle Aged, Risk Factors, Time Factors, United States, Logistic Models, Odds Ratio, Treatment Outcome, Cost Savings, Health Care Costs, Process Assessment, Health Care, Risk Assessment, Models, Economic, Health Care Surveys, Diabetes Complications, Young Adult

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