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The cost of illness attributable to diabetic foot and cost-effectiveness of secondary prevention in Peru

Overview of attention for article published in BMC Health Services Research, October 2015
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Mentioned by

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2 tweeters

Citations

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7 Dimensions

Readers on

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72 Mendeley
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Title
The cost of illness attributable to diabetic foot and cost-effectiveness of secondary prevention in Peru
Published in
BMC Health Services Research, October 2015
DOI 10.1186/s12913-015-1141-4
Pubmed ID
Authors

María Kathia Cárdenas, Andrew J. Mirelman, Cooper J. Galvin, María Lazo-Porras, Miguel Pinto, J. Jaime Miranda, Robert H. Gilman

Abstract

Diabetes mellitus is a public health challenge worldwide, and roughly 25 % of patients with diabetes in developing countries will develop at least one foot ulcer during their lifetime. The gravest outcome of an ulcerated foot is amputation, leading to premature death and larger economic costs. This study aimed to estimate the economic costs of diabetic foot in high-risk patients in Peru in 2012 and to model the cost-effectiveness of a year-long preventive strategy for foot ulceration including: sub-optimal care (baseline), standard care as recommended by the International Diabetes Federation, and standard care plus daily self-monitoring of foot temperature. A decision tree model using a population prevalence-based approach was used to calculate the costs and the incremental cost-effectiveness ratio (ICER). Outcome measures were deaths and major amputations, uncertainty was tested with a one-way sensitivity analysis. The direct costs for prevention and management with sub-optimal care for high-risk diabetics is around US$74.5 million dollars in a single year, which decreases to US$71.8 million for standard care and increases to US$96.8 million for standard care plus temperature monitoring. The implementation of a standard care strategy would avert 791 deaths and is cost-saving in comparison to sub-optimal care. For standard care plus temperature monitoring compared to sub-optimal care the ICER rises to US$16,124 per death averted and averts 1,385 deaths. Diabetic foot complications are highly costly and largely preventable in Peru. The implementation of a standard care strategy would lead to net savings and avert deaths over a one-year period. More intensive prevention strategies such as incorporating temperature monitoring may also be cost-effective.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 72 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 72 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 19 26%
Student > Bachelor 13 18%
Researcher 7 10%
Student > Ph. D. Student 7 10%
Lecturer 4 6%
Other 15 21%
Unknown 7 10%
Readers by discipline Count As %
Medicine and Dentistry 31 43%
Nursing and Health Professions 11 15%
Pharmacology, Toxicology and Pharmaceutical Science 4 6%
Biochemistry, Genetics and Molecular Biology 4 6%
Social Sciences 4 6%
Other 9 13%
Unknown 9 13%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 October 2015.
All research outputs
#2,878,351
of 6,500,718 outputs
Outputs from BMC Health Services Research
#1,607
of 2,593 outputs
Outputs of similar age
#101,586
of 208,646 outputs
Outputs of similar age from BMC Health Services Research
#75
of 123 outputs
Altmetric has tracked 6,500,718 research outputs across all sources so far. This one has received more attention than most of these and is in the 53rd percentile.
So far Altmetric has tracked 2,593 research outputs from this source. They receive a mean Attention Score of 4.7. This one is in the 34th percentile – i.e., 34% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 208,646 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 123 others from the same source and published within six weeks on either side of this one. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.