Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose Tolerance
Aims. To investigate the costs and cost-effectiveness of a short message service (SMS) intervention to prevent the onset of type 2 diabetes mellitus (T2DM) in subjects with impaired glucose tolerance (IGT). Methods. A Markov model was developed to simulate the cost and effectiveness outcomes of the...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2016/1219581 |
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| author | Carlos K. H. Wong Fang-Fang Jiao Shing-Chung Siu Colman S. C. Fung Daniel Y. T. Fong Ka-Wai Wong Esther Y. T. Yu Yvonne Y. C. Lo Cindy L. K. Lam |
| author_facet | Carlos K. H. Wong Fang-Fang Jiao Shing-Chung Siu Colman S. C. Fung Daniel Y. T. Fong Ka-Wai Wong Esther Y. T. Yu Yvonne Y. C. Lo Cindy L. K. Lam |
| author_sort | Carlos K. H. Wong |
| collection | DOAJ |
| description | Aims. To investigate the costs and cost-effectiveness of a short message service (SMS) intervention to prevent the onset of type 2 diabetes mellitus (T2DM) in subjects with impaired glucose tolerance (IGT). Methods. A Markov model was developed to simulate the cost and effectiveness outcomes of the SMS intervention and usual clinical practice from the health provider’s perspective. The direct programme costs and the two-year SMS intervention costs were evaluated in subjects with IGT. All costs were expressed in 2011 US dollars. The incremental cost-effectiveness ratio was calculated as cost per T2DM onset prevented, cost per life year gained, and cost per quality adjusted life year (QALY) gained. Results. Within the two-year trial period, the net intervention cost of the SMS group was $42.03 per subject. The SMS intervention managed to reduce 5.05% onset of diabetes, resulting in saving $118.39 per subject over two years. In the lifetime model, the SMS intervention dominated the control by gaining an additional 0.071 QALY and saving $1020.35 per person. The SMS intervention remained dominant in all sensitivity analyses. Conclusions. The SMS intervention for IGT subjects had the superiority of lower monetary cost and a considerable improvement in preventing or delaying the T2DM onset. This trial is registered with ClinicalTrials.gov NCT01556880. |
| format | Article |
| id | doaj-art-2b9914fd71f44d03a391eb6d02d1ea47 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-2b9914fd71f44d03a391eb6d02d1ea472025-08-20T03:54:56ZengWileyJournal of Diabetes Research2314-67452314-67532016-01-01201610.1155/2016/12195811219581Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose ToleranceCarlos K. H. Wong0Fang-Fang Jiao1Shing-Chung Siu2Colman S. C. Fung3Daniel Y. T. Fong4Ka-Wai Wong5Esther Y. T. Yu6Yvonne Y. C. Lo7Cindy L. K. Lam8Department of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong KongDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong KongDepartment of Medicine and Rehabilitation, Tung Wah Eastern Hospital, Causeway Bay, Hong KongDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong KongSchool of Nursing, The University of Hong Kong, Pokfulam, Hong KongDepartment of Medicine and Rehabilitation, Tung Wah Eastern Hospital, Causeway Bay, Hong KongDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong KongDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong KongDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong KongAims. To investigate the costs and cost-effectiveness of a short message service (SMS) intervention to prevent the onset of type 2 diabetes mellitus (T2DM) in subjects with impaired glucose tolerance (IGT). Methods. A Markov model was developed to simulate the cost and effectiveness outcomes of the SMS intervention and usual clinical practice from the health provider’s perspective. The direct programme costs and the two-year SMS intervention costs were evaluated in subjects with IGT. All costs were expressed in 2011 US dollars. The incremental cost-effectiveness ratio was calculated as cost per T2DM onset prevented, cost per life year gained, and cost per quality adjusted life year (QALY) gained. Results. Within the two-year trial period, the net intervention cost of the SMS group was $42.03 per subject. The SMS intervention managed to reduce 5.05% onset of diabetes, resulting in saving $118.39 per subject over two years. In the lifetime model, the SMS intervention dominated the control by gaining an additional 0.071 QALY and saving $1020.35 per person. The SMS intervention remained dominant in all sensitivity analyses. Conclusions. The SMS intervention for IGT subjects had the superiority of lower monetary cost and a considerable improvement in preventing or delaying the T2DM onset. This trial is registered with ClinicalTrials.gov NCT01556880.http://dx.doi.org/10.1155/2016/1219581 |
| spellingShingle | Carlos K. H. Wong Fang-Fang Jiao Shing-Chung Siu Colman S. C. Fung Daniel Y. T. Fong Ka-Wai Wong Esther Y. T. Yu Yvonne Y. C. Lo Cindy L. K. Lam Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose Tolerance Journal of Diabetes Research |
| title | Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose Tolerance |
| title_full | Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose Tolerance |
| title_fullStr | Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose Tolerance |
| title_full_unstemmed | Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose Tolerance |
| title_short | Cost-Effectiveness of a Short Message Service Intervention to Prevent Type 2 Diabetes from Impaired Glucose Tolerance |
| title_sort | cost effectiveness of a short message service intervention to prevent type 2 diabetes from impaired glucose tolerance |
| url | http://dx.doi.org/10.1155/2016/1219581 |
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