Evidence map›Paper›PMID 37029362›Full record

ArticleBMC endocrine disorders2023

Healthcare expenditure and technology use in pediatric diabetes care.

Silvia A G de Vries, Jessica C G Bak, Carianne L Verheugt, Vincent A Stangenberger, Dick Mul, Michel W J M Wouters, Max Nieuwdorp, Theo C J Sas

Open access · goldAbstract read
In one paragraph

Article in BMC endocrine disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Silvia A G de VriesDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands. a.devries2@amsterdamumc.nl.
Jessica C G BakDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Carianne L VerheugtDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Vincent A StangenbergerHospital & Health Care, LOGEX, Amsterdam, The Netherlands.
Dick MulDiabeter, Center for Pediatric and Adult Diabetes Care and Research, Rotterdam, The Netherlands.
Michel W J M WoutersDutch Institute for Clinical Auditing, Leiden, The Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Theo C J SasDiabeter, Center for Pediatric and Adult Diabetes Care and Research, Rotterdam, The Netherlands.
Amsterdam University Medical Centers · NLErasmus MC · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus is one of the most common chronic diseases in childhood. With more advanced care options including ever-evolving technology, allocation of resources becomes increasingly important to guarantee equal care for all. Therefore, we investigated healthcare resource utilization, hospital costs, and its determinants in Dutch children with diabetes.

methodsWe conducted a retrospective, observational analysis with hospital claims data of 5,474 children with diabetes mellitus treated in 64 hospitals across the Netherlands between 2019-2020.

resultsTotal hospital costs were €33,002,652 per year, and most of these costs were diabetes-associated (€28,151,381; 85.3%). Mean annual diabetes costs were €5,143 per child, and treatment-related costs determined 61.8%. Diabetes technology significantly increased yearly diabetes costs compared to no technology: insulin pumps € 4,759 (28.7% of children), Real-Time Continuous Glucose Monitoring € 7,259 (2.1% of children), and the combination of these treatment modalities € 9,579 (27.3% of children). Technology use increased treatment costs significantly (5.9 - 15.3 times), but lower all-cause hospitalisation rates were observed. In all age groups, diabetes technology use influenced healthcare consumption, yet in adolescence usage decreased and consumption patterns changed.

conclusionsThese findings suggest that contemporary hospital costs of children with diabetes of all ages are driven primarily by the treatment of diabetes, with technology use as an important additive factor. The expected rise in technology use in the near future underlines the importance of insight into resource use and cost-effectiveness studies to evaluate if improved outcomes balance out these short-term costs of modern technology.

Indexed as

Diabetes MellitusHealth ExpendituresAdolescentBlood GlucoseBlood Glucose Self-MonitoringChildHealth Care CostsHumansRetrospective StudiesBlood GlucoseChildrenContinuous glucose monitorDiabetes mellitusHealthcare utilizationHospital costsTechnology

Identifiers

PMID37029362
PMCPMC10080182
OpenAlexW4362700712

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.