scholarly journals The cost of type 2 diabetes in Brazil: evaluation of a diabetes care center in the city of São Paulo, Brazil

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Natalie Botelho Borges ◽  
Marcos Bosi Ferraz ◽  
Antonio Roberto Chacra
Keyword(s):  
Type 2 Diabetes ◽  
Diabetes Care ◽  
Care Center ◽  
Sao Paulo ◽  
São Paulo ◽  
The Cost ◽  
The City

scholarly journals New model of integrated care for uncontrolled type 2 diabetes in a retrospective, underserved adult population in the USA: a study protocol for an effectiveness and cost-effectiveness analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e038084
Author(s):  
Rita Bosetti ◽  
Laila Tabatabai ◽  
George Naufal ◽  
Rosbel Brito ◽  
Bita Kash
Keyword(s):  
Type 2 Diabetes ◽  
Cost Effectiveness ◽  
Patient Outcomes ◽  
Diabetes Care ◽  
Institutional Review Board ◽  
New Model ◽  
Institutional Review ◽  
The Usa ◽  
The Cost

IntroductionType 2 diabetes prevalence is increasing in the USA, especially in underserved populations. Patient outcomes can be improved by providing access to specialty care within Federally Qualified Health Centers, possibly improving the cost-effectiveness of diabetes care.Methods and analysisA new model of diabetes care based on multidisciplinary teams of clinical fellows, supported by an endocrinologist for underserved adult populations, is presented. The study uses a retrospective, non-randomised cohort of patients with diabetes who visited the community clinic between 1 January 2012 and 31 December 2018. A quasi-experimental method to analyse the causal evidence of the effect of the new model is presented. Discontinuity regression is used to compare two interventions, the intervention by a Clinical Fellow Endocrinology Programme and usual care by a primary care physician. Patients are referred to the Clinical Fellow Endocrinology Programme in case of uncontrolled diabetes (glycated haemoglobin (HbA1c)≥9%). The regression discontinuity design allows the construction of a treatment group for patients with an HbA1c equal or above the threshold in comparison with a control group for patients with an HbA1c below the threshold. The patient outcomes and cost-effectiveness of the new model are analysed. Regression models will be used to assess the differences between treatment and control groups.Ethics and disseminationQuantitative patient data are received by the study team in a de-identified format for analysis via an institutional review board-approved protocol. The quantitative study has been approved by the Houston Methodist Research Institute Institutional Review Board, Houston, Texas, USA. Anticipated results will not only provide evidence about the impact of patient outcomes in underserved diabetic populations, but also give an idea of the cost-effectiveness of the new model and whether or not cost savings can be attained for patients, third-party payers and society. The results will help set up evidence-based policy guidelines in diabetes care. Results will be disseminated through papers, conferences and public health/policy fora.

scholarly journals Comparative pharmacoepidemiological study of antihyperglycemic drugs utilization by patients with type 2 diabetes mellitus in Moscow

2016 ◽  
Vol 19 (3) ◽  
pp. 260-272
Author(s):  
Marina F. Kalashnikova ◽  
Dmitrii Y. Belousov ◽  
Maria A. Kantemirova ◽  
Mikhail B. Antsiferov
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Combination Therapy ◽  
Average Cost ◽  
Consumption Pattern ◽  
Using Data ◽  
The Cost ◽  
The City

Background. A pharmaco-epidemiological study comparing the dynamics of different anti-diabetic drugs in patients with type 2 diabetes mellitus (T2DM) in Russia was conducted using data from a diabetes registry.Objective. To assess and compare the frequency of the prescription of oral anti-diabetic medications (OAMs) and insulin and the average cost of anti-hyperglycaemic therapy with different OAMs in 2014 and 2011.Material and methods. A retrospective cohort study was conducted using national diabetic registry data from the city of Moscow. Data for 270,073 patients (≥18 years old) with T2DM registered by 31 December 2014 were analysed using international the ATC/DDD methodology. The average indicated and actual daily dosage ratio was calculated. The cost of anti-hyperglycaemic therapy for оne person/year was calculated.Results. There were no significant differences in prescribed OAMs between 2011 and 2014, despite the availability of new OAM classes (data for 2011 were published in «Diabetes mellitus», 2015, p. 32–46). The tendency to prescribe two groups of OAMs remained unchanged during the 4-year period (Metformin in 40% of patients and sulfonylurea derivatives, in combination or as a monotherapy, in 49.3%). The percentage of patients with T2DM who received insulin therapy increased from 10% in 2011 to 19.2% in 2014. The absence of a significant increase in the average cost of anti-diabetic therapy by 2014 can be explained by an increase in the prescription of different Russian generics for metformin, sulfonylurea derivatives and insulin, which were cheaper than foreign analogues by 30%–60%.Conclusions. The main trends in the treatment of patients with T2DM by 2014 included less frequent combination therapy with metformin and PSM and more frequent monotherapy or combination therapy with insulin. Despite the appearance of new OAM classes in the market, the overall consumption pattern in 2014 did not exceed 5%. The average cost of anti-diabetic therapy for one patient with T2DM in 2014 in Moscow was 7,727 rubles per year.

Effectiveness of Sitagliptin in Asian Indian Patients with Type 2 Diabetes—An Indian Tertiary Diabetes Care Center Experience

2011 ◽  
Vol 13 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Chidambarann Sudhakaran ◽  
Utkal Kishore ◽  
Ranjit Mohan Anjana ◽  
Ranjit Unnikrishnan ◽  
Viswanathan Mohan
Keyword(s):  
Type 2 Diabetes ◽  
Asian Indian ◽  
Diabetes Care ◽  
Care Center ◽  
Indian Patients

scholarly journals URBAN SPRAWL AND CONSEQUENCES OF POORLY MANAGED EXPANSION: THE CASE OF SÃO PAULO IN BRAZIL

2018 ◽  
Vol 9 (2) ◽  
pp. 55
Author(s):  
João Almeida Santos ◽  
Maria Cristina Sanches Amorim ◽  
Arnoldo Jose de Hoyos Guevara
Keyword(s):  
Population Growth ◽  
Urban Sprawl ◽  
Socioeconomic Development ◽  
Sao Paulo ◽  
São Paulo ◽  
Land Value ◽  
Big City ◽  
The Cost ◽  
The City

Urban sprawl is a natural process of the cities‘ growth as consequence population growth. The population need a food, water and housing for survival and for its species to continue populating the land. The literature existing about urban sprawl considers a population growth causes impacts on people’s quality of life because they consume more food, water, electricity, transport for their locomotion, and other products and services. The fact is the urban sprawl and population growth are directly linked and can not be separated in any study on the subject. Sprawl is the process in which the spread of development across the landscape far outpaces population growth. This is article show the process Urban sprawl and consequences of poorly managed expansion the city São Paulo – Brazil. The phenomenon of sprawl there are several common characteristics pervading time in history from development the city of São Paulo. The phenomenon of sprawl the city of São Paulo is a common the any big city, the result of a complex set of interrelated socioeconomic and cultural forces. For example, land value is often considered the main driver of socioeconomic development patterns. However, at any time in the current or ancient history, land value is lower on the periphery and very expensive in urban centers. Other factors contribute to the occupation of land on the outskirts of large cities: existence of water and the quality of land for agriculture, the cost of keeping the dwelling lower when compared to the cost of the city center, the size of the land is larger at the beginning of the occupation.

Seasonal Variation of Suicide in the City of São Paulo, Brazil, 1996–2010

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Daniel Hideki Bando ◽  
Fernando Madalena Volpe
Keyword(s):  
Seasonal Pattern ◽  
Total Sample ◽  
Sao Paulo ◽  
Seasonal Patterns ◽  
São Paulo ◽  
Health Statistics ◽  
Males And Females ◽  
June July ◽  
The City ◽  
Over Time

Background: In light of the few reports from intertropical latitudes and their conflicting results, we aimed to replicate and update the investigation of seasonal patterns of suicide occurrences in the city of São Paulo, Brazil. Methods: Data relating to male and female suicides were extracted from the Mortality Information Enhancement Program (PRO-AIM), the official health statistics of the municipality of São Paulo. Seasonality was assessed by studying distribution of suicides over time using cosinor analyses. Results: There were 6,916 registered suicides (76.7% men), with an average of 39.0 ± 7.0 observed suicides per month. For the total sample and for both sexes, cosinor analysis estimated a significant seasonal pattern. For the total sample and for males suicide peaked in November (late spring) with a trough in May–June (late autumn). For females, the estimated peak occurred in January, and the trough in June–July. Conclusions: A seasonal pattern of suicides was found for both males and females, peaking in spring/summer and dipping in fall/winter. The scarcity of reports from intertropical latitudes warrants promoting more studies in this area.

Sign in / Sign up

Export Citation Format

Share Document