RT Journal Article
T1 Epidemiology and resource use in Spanish type 2 diabetes patients without previous cardiorenal disease: CaReMe Spain study summary.
A1 Sicras-Mainar, Antoni
A1 Sicras-Navarro, Aram
A1 Palacios, Beatriz
A1 Sequera, Miren
A1 Blanco, Julia
A1 Hormigo, Antonio
A1 Manito, Nicolas
A1 Alcázar-Arroyo, Roberto
A1 Botana-Lopez, Manuel Antonio
K1 Cardiovascular disease
K1 Costes sanitarios
K1 Enfermedad cardiovascular
K1 Health costs
K1 Heart failure
K1 Insuficiencia cardíaca
K1 Insuficiencia renal
K1 Kidney failure
K1 Resource use
K1 Uso de recursos
AB To determine the first manifestation of cardiovascular or kidney disease (CVKD) and associated resource use in type 2 diabetes mellitus (T2DM) patients during seven years of follow-up. Observational-retrospective secondary data study using medical records of patients aged ≥18 years with T2DM and without prior CVKD between 2013 and 2019. The index date was 01/01/2013 (fixed date). The manifestation of CVKD was defined by the first diagnosis of heart-failure (HF), chronic-kidney disease (CKD), myocardial-infarction (MI), stroke or peripheral-artery disease (PAD). The main variables were baseline characteristics, manifestation of CVKD, mortality, resource use and costs. Descriptive analyses and Cox model were applied to the data. 26,542 patients were selected (mean age: 66.6 years, women: 47.8%, mean duration of T2DM: 17.1 years). 18.7% (N=4974) developed a first CVKD manifestation during the seven years [distribution: HF (22.4%), CKD (36.6%), MI (14.5%), stroke (15.3%) and PAD (11.3%)]. Overall mortality was 8.3% (N=2214). The mortality risk of the group that developed HF or CKD as the first manifestation compared to the CVKD-free cohort was higher [HR: 2.5 (95% CI: 1.8-3.4) and 1.8 (95% CI: 1.4-2.3)], respectively. The cumulative costs per patient of HF (€50,942.80) and CKD (€48,979.20) were higher than MI (€47,343.20) and stroke (€47,070.30) and similar to PAD (€51,240.00) vs. €13,098.90 in patients who did not develop CVKD, p In T2DM patients, HF and CKD were the first most common manifestations and had higher mortality and re-hospitalisation rates. HF and CKD were associated with the highest resource use and costs for the Spanish National-Health-System.
YR 2022
FD 2022
LK http://hdl.handle.net/10668/22198
UL http://hdl.handle.net/10668/22198
LA en
DS RISalud
RD Apr 5, 2025