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Cost-effectiveness of the interventions to avoid complications and management in diabetes mellitus: a narrative review from South-East Asian perspective

Jamshed, Shazia Qasim and Bhagavathula, Akshaya Srikanth and Al-Shami, Abdul Kareem (2018) Cost-effectiveness of the interventions to avoid complications and management in diabetes mellitus: a narrative review from South-East Asian perspective. Romanian Journal of Diabetes Nutrition and Metabolic Diseases, 25 (2). pp. 197-208. ISSN 1583-8609

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Abstract

Background and Aims: Asians accounts 60% of the world’s diabetic population with a different burden on young and middle-aged. The objective is to critically evaluate the published literature relevant to cost-effectiveness analysis of interventions to avoid complications followed by the management of diabetes mellitus in South-east Asia. Methods: PubMed, ScienceDirect International Pharmaceutical Abstracts (IPA), Proquest and Google Scholar thoroughly searched within the period of NovemberDecember 2015. Only research and reviews published in the English language within the period of January 2000-November 2015 considered. The extracted details and particulars from the included studies account for interventions, outcomes, and modeling methods. Results: A total of seven studies from Japan, Singapore, Cambodia and two each from India and Thailand were included. Incremental cost-effectiveness ratios (ICERs) per quality-adjusted-life-year (QALY) accounted as an outcome in more than half of the reviewed studies. Most of the economic evaluations of DM management and preventive interventions in each country focused on different interventions and alternatives for comparison. However, type 1 DM patients showed better outcome when using specific insulin regimens utilized in the southeastern Asian countries followed by the implementation of Thai DM-self management support program (DM-SMS) via healthcare professionals. Conclusion: Alternatives to pharmacologic approaches such as insulin regimen and oral anti-diabetic agents showed a significant difference

Item Type: Article (Journal)
Additional Information: 6803/64954
Uncontrolled Keywords: cost-effectiveness analysis, interventions, quality-adjusted-life-years, diabetes mellitus
Subjects: R Medicine > RS Pharmacy and materia medica
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Pharmacy
Kulliyyah of Pharmacy > Department of Pharmacy Practice
Depositing User: Dr Shazia Jamshed
Date Deposited: 03 Aug 2018 14:21
Last Modified: 02 Oct 2018 15:37
URI: http://irep.iium.edu.my/id/eprint/64954

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