Improving quality of care in people with Type 2 diabetes through the Associazione Medici Diabetologi‐annals initiative: a long‐term cost‐effectiveness analysis
Abstract
Aims The Associazione Medici Diabetologi-annals initiative is a physician-led quality-of-care improvement scheme that has been shown to improve HbA1c concentration, blood pressure, lipid profiles and BMI in enrolled people with Type 2 diabetes. The present analysis investigated the long-term cost-effectiveness of enrolling people with Type 2 diabetes in the Associazione Medici Diabetologi-annals initiative compared with conventional management. Methods Long-term projections of clinical outcomes and direct costs (in 2010 Euros) were made using a published and validated model of Type 2 diabetes in people with Type 2 diabetes who were either enrolled in the Associazione Medici Diabetologi-annals initiative or who were receiving conventional management. Treatment effects were based on mean changes from baseline seen at 5 years after enrolment in the scheme. Costs and clinical outcomes were discounted at 3% per annum. Results The Associazione Medici Diabetologi-annals initiative was associated with improvements in mean discounted life expectancy and quality-adjusted life expectancy of 0.55 years (95% CI 0.54-0.57) years and 0.48 quality-adjusted life years (95% CI 0.46-0.49), respectively, compared with conventional management. Whilst treatment costs were higher in the Associazione Medici Diabetologi-annals arm, this was offset by savings as a result of the reduced incidence and treatment of diabetes-related complications. The Associazione Medici Diabetologi-annals initiative was…
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In Italy, the Associazione Medici Diabetologi-annals initiative is a cost-saving method of improving clinical outcomes in type 2 diabetes mellitus patients because it improves HbA1c, blood pressure, lipid profiles, and BMI compared to conventional management methods.
“In Italy, the long-term projections of the Associazione Medici Diabetologi-annals initiative (a physician-led quality-of-care improvement program for T2DM patients) indicate that this initiative is a cost-saving method of improving clinical outcomes in T2DM patients because it improves HbA1c, blood pressure, lipid profiles, and BMI in enrolled patients compared to conventional management methods [”
From Clinical Inertia in the Management of Type 2 Diabetes Mellitus: A Systematic Review (2023) · cites this paper as [47]
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- Authors
- Giorda, C. B., Nicolucci, A., Pellegrini, F., Kristiansen, C. K., Hunt, B., Valentine, W. J., & Vespasiani, G.
- Affiliations
- ASL TO5 Chieri Turin Italy
- Mario Negri Sud Foundation (IT)
- Novo Nordisk (Denmark) (DK)
- Ossian Health Economics and Communications Basel Switzerland
- Madonna del Soccorso Hospital San Benedetto del Tronto Italy
- Corresponding author
- Kristiansen, C. K.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2013-12-24
- Volume
- 31
- Issue
- 5
- Pages
- 615-623
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2015147331
- Cited by
- 17
- References
- 23
- Citations by year
- 2023: 3 · 2022: 1 · 2020: 3 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 1
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Novo Nordisk
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- type 2 diabetes, healthcare quality improvement, cost-effectiveness, quality-adjusted life years, life expectancy, diabetes complications, HbA1c, Italy
- MeSH terms
- Aged, Cost-Benefit Analysis, Diabetes Mellitus, Type 2, Female, Humans, Italy, Male, Middle Aged, Quality of Health Care, Time Factors, Incidence, Health Care Costs, Outcome Assessment, Health Care, Quality-Adjusted Life Years, Disease Management, Diabetes Complications
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