Original Research Article
Year: 2020 | Month: April | Volume: 10 | Issue: 4 | Pages: 13-28
A Study on Cost Analysis in Diabetic Patients with Cardiovascular Complications in a Tertiary Care Teaching Hospital
Safiya Banu1, Abith Baburaj1, Nolin Johncy1, Viresh K Chandur2, S.Siva3
1PharmD, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, India
2Assisstant Professor, Department of Pharmaceutics, Srinivas College of Pharmacy, Mangalore, India
3Assisstant Professor, Department of Pharmacy Practice, Srinivas College of Pharmacy, Mangalore, India
Corresponding Author: Nolin Johncy
ABSTRACT
Diabetes Mellitus (DM) is a chronic disease and is termed as pandemic in 21st century as its prevalence is rising across the countries. The objectives of this study include assessing the economic burden in Diabetic patients with cardiovascular complications to evaluate the average investigation and medication cost for T2DM with cardiovascular complications to evaluate the average total cost (direct and indirect cost) for T2DM and T2DM with cardiovascular complications and to assess the impact of non-pharmacological approaches in the reduction of economic burden. The data was collected from case files of patients with T2DM and cardiovascular complications which consisted of laboratory investigation reports, treatment charts and interviewing patients or care takers. The commonly occurring cardiovascular complication was found to be Hypertension which constitutes about 46.6% of total patients. The impact of non-pharmacological approach was assessed by comparing the total drug cost. It was found out that patient who followed exercise, diet and DASH had least cost of medication per person i.e. ₹ 1938.6. Laboratory cost is the major contributing factor towards the diagnosis cost of a Hypertensive patient. The direct medical cost for patients with Diabetes Mellitus is ₹ 11957.2. The direct medical cost is the highest in patients with Stroke as complication i.e. ₹ 73827. The contributory factor is surgical cost. Productivity loss was calculated to check the indirect cost. The average productivity loss was found to be ₹ 91692.7881. From the current data it was found that cardiovascular complications increase the economic burden among patients with T2DM.
Key words: Direct cost, Indirect cost, Productivity loss, Diabetes Mellitus, Cardio vascular complications, Economic burden.