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Article: Systematic review on the cost-effectiveness of self-management education programme for Type 2 diabetes mellitus

TitleSystematic review on the cost-effectiveness of self-management education programme for Type 2 diabetes mellitus
Authors
KeywordsCost-effectiveness
Self-management education
Type 2 diabetes mellitus
Issue Date2017
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/diabres
Citation
Diabetes Research and Clinical Practice, 2017, v. 127, p. 21-34 How to Cite?
AbstractObjectives: A review of cost-effectiveness studies on self-management education programmes for Type 2 diabetes mellitus. Methods: Cochrane, PubMed and PsycINFO databases were searched for papers published from January 2003 through September 2015. Further hand searching using the reference lists of included papers was carried out. Results: In total, 777 papers were identified and 12 papers were finally included. We found eight programmes whose effectiveness analyses were based on randomised controlled trials and whose costs were comprehensively estimated from the stated perspective. Among these eight, four studies showed a cost per unit reduction in clinical risk factors (HbA1c or BMI) of US$491 to US$7,723 or cost per glycaemic symptom day avoided of US$39. In three studies the cost per QALY gained, as estimated from a life-time model, was less than US$50,000. However, one study found the programme was not cost-effective despite a gain in QALYs at the one-year follow up. Conclusion: A small number of cost-effectiveness studies were identified with only eight of sufficiently good quality. The cost of a self-management education programme achieving reduction in clinical risk factors seems to be modest and is likely to be cost-effective in the long-term.
Persistent Identifierhttp://hdl.handle.net/10722/239498
ISSN
2023 Impact Factor: 6.1
2023 SCImago Journal Rankings: 1.340
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLian, J-
dc.contributor.authorMcGhee, S-
dc.contributor.authorChau, J-
dc.contributor.authorWong, CKH-
dc.contributor.authorLam, CLK-
dc.contributor.authorWong, WCW-
dc.date.accessioned2017-03-21T09:14:56Z-
dc.date.available2017-03-21T09:14:56Z-
dc.date.issued2017-
dc.identifier.citationDiabetes Research and Clinical Practice, 2017, v. 127, p. 21-34-
dc.identifier.issn0168-8227-
dc.identifier.urihttp://hdl.handle.net/10722/239498-
dc.description.abstractObjectives: A review of cost-effectiveness studies on self-management education programmes for Type 2 diabetes mellitus. Methods: Cochrane, PubMed and PsycINFO databases were searched for papers published from January 2003 through September 2015. Further hand searching using the reference lists of included papers was carried out. Results: In total, 777 papers were identified and 12 papers were finally included. We found eight programmes whose effectiveness analyses were based on randomised controlled trials and whose costs were comprehensively estimated from the stated perspective. Among these eight, four studies showed a cost per unit reduction in clinical risk factors (HbA1c or BMI) of US$491 to US$7,723 or cost per glycaemic symptom day avoided of US$39. In three studies the cost per QALY gained, as estimated from a life-time model, was less than US$50,000. However, one study found the programme was not cost-effective despite a gain in QALYs at the one-year follow up. Conclusion: A small number of cost-effectiveness studies were identified with only eight of sufficiently good quality. The cost of a self-management education programme achieving reduction in clinical risk factors seems to be modest and is likely to be cost-effective in the long-term.-
dc.languageeng-
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/diabres-
dc.relation.ispartofDiabetes Research and Clinical Practice-
dc.rightsPosting accepted manuscript (postprint): © <year>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/-
dc.subjectCost-effectiveness-
dc.subjectSelf-management education-
dc.subjectType 2 diabetes mellitus-
dc.titleSystematic review on the cost-effectiveness of self-management education programme for Type 2 diabetes mellitus-
dc.typeArticle-
dc.identifier.emailLian, J: tinalian@hku.hk-
dc.identifier.emailMcGhee, S: smmcghee@hkucc.hku.hk-
dc.identifier.emailChau, J: jchau@hkucc.hku.hk-
dc.identifier.emailWong, CKH: carlosho@hku.hk-
dc.identifier.emailLam, CLK: clklam@hku.hk-
dc.identifier.emailWong, WCW: wongwcw@hku.hk-
dc.identifier.authorityMcGhee, S=rp00393-
dc.identifier.authorityWong, CKH=rp01931-
dc.identifier.authorityLam, CLK=rp00350-
dc.identifier.authorityWong, WCW=rp01457-
dc.identifier.doi10.1016/j.diabres.2017.02.021-
dc.identifier.scopuseid_2-s2.0-85015444218-
dc.identifier.hkuros271554-
dc.identifier.volume127-
dc.identifier.spage21-
dc.identifier.epage34-
dc.identifier.isiWOS:000402468500003-
dc.publisher.placeIreland-
dc.identifier.issnl0168-8227-

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