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Economic Burden of Hypoglycemia in Patients with Type 2 Diabetes Mellitus from Korea

DC Field Value Language
dc.contributor.author강은석-
dc.contributor.author김규리-
dc.contributor.author이용호-
dc.date.accessioned2017-02-24T08:10:34Z-
dc.date.available2017-02-24T08:10:34Z-
dc.date.issued2016-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146573-
dc.description.abstractBACKGROUND: Hypoglycemia is a very serious complication in patients with type 2 diabetes mellitus (T2DM) and affects the economic burden of treatment. This study aims to create models of the cost of treating hypoglycemia in patients with T2DM based upon physician estimates of medical resource usage. METHODS: Using a literature review and personal advice from endocrinologists and emergency physicians, we developed several models for managing patients with hypoglycemia. The final model was approved by the consulting experts. We also developed 3 unique surveys to allow endocrinologists, emergency room (ER) physicians, and primary care physicians to evaluate the resource usage of patients with hypoglycemia. Medical costs were calculated by multiplying the estimated medical resource usage by the corresponding health insurance medical care costs reported in 2014. RESULTS: In total, 40 endocrinologists, 20 ER physicians, and 30 primary care physicians completed the survey. We identified 12 types of standard medical models for secondary or tertiary hospitals and 4 for primary care clinics based on the use of ER, general ward, or intensive care unit (ICU) and patients' status of consciousness and self-respiration. Estimated medical costs per person per hypoglycemic event ranged from $17.28 to $1,857.09 for secondary and tertiary hospitals. These costs were higher for patients who were unconscious and for those requiring ICU admission. CONCLUSION: Hypoglycemia has a substantial impact on the medical costs and its prevention will result in economic benefits for T2DM patients and society.-
dc.description.statementOfResponsibilityopen-
dc.format.extente0151282-
dc.languageEnglish-
dc.publisherPublic Library of Science-
dc.relation.isPartOfPLOS ONE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCost of Illness*-
dc.subject.MESHDiabetes Mellitus, Type 2/complications*-
dc.subject.MESHDiabetes Mellitus, Type 2/economics*-
dc.subject.MESHDiabetes Mellitus, Type 2/therapy-
dc.subject.MESHHealth Care Costs-
dc.subject.MESHHumans-
dc.subject.MESHHypoglycemia/complications*-
dc.subject.MESHHypoglycemia/economics*-
dc.subject.MESHHypoglycemia/therapy-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPrimary Health Care/economics-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHSecondary Care Centers-
dc.subject.MESHTertiary Care Centers/economics-
dc.titleEconomic Burden of Hypoglycemia in Patients with Type 2 Diabetes Mellitus from Korea-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorGyuri Kim-
dc.contributor.googleauthorYong-ho Lee-
dc.contributor.googleauthorMi Hye Han-
dc.contributor.googleauthorEui-Kyung Lee-
dc.contributor.googleauthorChong Hwa Kim-
dc.contributor.googleauthorHyuk Sang Kwon-
dc.contributor.googleauthorIn Kyung Jeong-
dc.contributor.googleauthorEun Seok Kang-
dc.contributor.googleauthorDae Jung Kim-
dc.identifier.doi10.1371/journal.pone.0151282-
dc.contributor.localIdA00068-
dc.contributor.localIdA00322-
dc.contributor.localIdA02989-
dc.relation.journalcodeJ02540-
dc.identifier.eissn1932-6203-
dc.identifier.pmid26975054-
dc.contributor.alternativeNameKang, Eun Seok-
dc.contributor.alternativeNameKim, Gyuri-
dc.contributor.alternativeNameLee, Yong Ho-
dc.contributor.affiliatedAuthorKang, Eun Seok-
dc.contributor.affiliatedAuthorKim, Gyuri-
dc.contributor.affiliatedAuthorLee, Yong Ho-
dc.citation.volume11-
dc.citation.number3-
dc.citation.startPagee0151282-
dc.identifier.bibliographicCitationPLOS ONE, Vol.11(3) : e0151282, 2016-
dc.date.modified2017-02-24-
dc.identifier.rimsid46382-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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