Cost-Utility Analysis of Self-Management Education for Type 2 Diabetes
Study Overview
This study evaluates the cost-effectiveness of a program that helps people with type 2 diabetes (T2DM) access structured self-management education (SSME) compared to standard care in England.
Key Details
- Objective: Analyze the costs and benefits of embedding SSME into routine care.
- Design: A model-based analysis using data from a cluster randomized control trial.
- Setting: Conducted within the English National Health Service.
- Participants: Patients with T2DM from 64 GP practices.
Outcomes Measured
- Primary Measure: Incremental cost-effectiveness ratio.
- Secondary Measures: Cost-effectiveness probability and value of information.
Results Summary
- The total cost of the intervention was £40,316, averaging £0.521 per patient.
- The estimated lifetime cost per patient was £48.19, with an incremental quality-adjusted life-year (QALY) of 0.006.
- This results in a cost-effectiveness ratio of £8,311 per QALY gained.
- There is a 73.1% chance that this intervention is cost-effective at a threshold of £20,000 per QALY.
Conclusions
The COVID-19 pandemic affected the effectiveness of the program. However, the analysis suggests that embedding SSME could be cost-effective for T2DM patients, though more evidence is needed for broader implementation.
Trial Registration
Registered under ISRCTN23474120 on 05/04/2018.
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