TY - JOUR
T1 - Favorable cardiovascular risk factor profile is associated with lower healthcare expenditure and resource utilization among adults with diabetes mellitus free of established cardiovascular disease
T2 - 2012 Medical Expenditure Panel Survey (MEPS)
AU - Feldman, David I.
AU - Valero-Elizondo, Javier
AU - Salami, Joseph A.
AU - Rana, Jamal S.
AU - Ogunmoroti, Oluseye
AU - Osondu, Chukwuemeka U.
AU - Spatz, Erica S.
AU - Virani, Salim S.
AU - Blankstein, Ron
AU - Blaha, Michael J.
AU - Veledar, Emir
AU - Nasir, Khurram
N1 - Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Background and aims Given the prevalence and economic burden of diabetes mellitus (DM), we studied the impact of a favorable cardiovascular risk factor (CRF) profile on healthcare expenditures and resource utilization among individuals without cardiovascular disease (CVD), by DM status. Methods 25,317 participants were categorized into 3 mutually-exclusive strata: “Poor”, “Average” and “Optimal” CRF profiles (≥4, 2–3, 0–1 CRF, respectively). Two-part econometric models were utilized to study cost data. Results Mean age was 45 (48% male), with 54% having optimal, 39% average, and 7% poor CRF profiles. Individuals with DM were more likely to have poor CRF profile vs. those without DM (OR 7.7, 95% CI 6.4, 9.2). Individuals with DM/poor CRF profile had a mean annual expenditure of $9,006, compared to $6,461 among those with DM/optimal CRF profile (p < 0.001). Conclusions A favorable CRF profile is associated with significantly lower healthcare expenditures and utilization in CVD-free individuals across DM status, suggesting that these individuals require aggressive individualized prescriptions targeting lifestyle modifications and therapeutic treatments.
AB - Background and aims Given the prevalence and economic burden of diabetes mellitus (DM), we studied the impact of a favorable cardiovascular risk factor (CRF) profile on healthcare expenditures and resource utilization among individuals without cardiovascular disease (CVD), by DM status. Methods 25,317 participants were categorized into 3 mutually-exclusive strata: “Poor”, “Average” and “Optimal” CRF profiles (≥4, 2–3, 0–1 CRF, respectively). Two-part econometric models were utilized to study cost data. Results Mean age was 45 (48% male), with 54% having optimal, 39% average, and 7% poor CRF profiles. Individuals with DM were more likely to have poor CRF profile vs. those without DM (OR 7.7, 95% CI 6.4, 9.2). Individuals with DM/poor CRF profile had a mean annual expenditure of $9,006, compared to $6,461 among those with DM/optimal CRF profile (p < 0.001). Conclusions A favorable CRF profile is associated with significantly lower healthcare expenditures and utilization in CVD-free individuals across DM status, suggesting that these individuals require aggressive individualized prescriptions targeting lifestyle modifications and therapeutic treatments.
KW - Cardiovascular disease
KW - Cardiovascular risk factor profile
KW - Diabetes mellitus
KW - Healthcare expenditures
KW - Resource utilization
UR - http://www.scopus.com/inward/record.url?scp=85013149220&partnerID=8YFLogxK
U2 - 10.1016/j.atherosclerosis.2017.02.004
DO - 10.1016/j.atherosclerosis.2017.02.004
M3 - Article
C2 - 28214425
AN - SCOPUS:85013149220
SN - 0021-9150
VL - 258
SP - 79
EP - 83
JO - Atherosclerosis
JF - Atherosclerosis
ER -