From: The high-cost, type 2 diabetes mellitus patient: an analysis of managed care administrative data
Cohort | ||||||||
---|---|---|---|---|---|---|---|---|
Top 10% of costs | Bottom 90% of costs | Top 20% of costs | Bottom 80% of costs | |||||
Diabetes-related inpatient stays | ||||||||
Had ≥ 1 hospital admission (n, %) | 30,310 | 17.62% | 27,729 | 1.79% | 41,220 | 11.98% | 16,819 | 1.22% |
Mean number of hospital admissions (SD) | 0.23 | (0.60) | 0.02 | (0.15) | 0.15 | (0.48) | 0.01 | (0.12) |
Mean (SD) inpatient daysa | 6.93 | (10.48) | 4.29 | (7.60) | 6.28 | (9.68) | 4.17 | (8.16) |
Mean costs (SD) | $677 | ($5,515) | $20 | ($331) | $387 | ($3,953) | $10 | ($194) |
Diabetes-related SNF stays (n, %) | ||||||||
Had ≥ 1 SNF admission | 1,802 | 1.05% | 1,405 | 0.09% | 2,468 | 0.72% | 739 | 0.05% |
Mean number of SNF admissions (SD) | 0.01 | (0.14) | 0.00 | (0.04) | 0.01 | (0.12) | 0.00 | (0.03) |
Mean (SD) SNF daysa | 12.96 | (31.56) | 22.29 | (139.07) | 17.53 | (105.76) | 15.41 | (43.85) |
Mean costs (SD) | $14 | ($424) | $1 | ($76) | $9 | ($332) | $0 | ($37) |
Diabetes-related ED visits | ||||||||
Had ≥ 1 ED visit (n, %) | 39,813 | 23.15% | 132,909 | 8.59% | 70,699 | 20.55% | 102,023 | 7.41% |
Mean number of ED visits (SD) | 1.36 | (5.88) | 0.38 | (2.37) | 1.14 | (5.03) | 0.31 | (2.07) |
Mean costs (SD) | $232 | ($1,003) | $42 | ($277) | $182 | ($825) | $31 | ($204) |
Diabetes-related office visits | ||||||||
Had ≥ 1 office visit (n, %) | 137,104 | 79.71% | 1,273,378 | 82.26% | 277,094 | 80.55% | 1,133,388 | 82.37% |
Mean number of office visits (SD) | 4.28 | (4.59) | 3.42 | (3.32) | 4.23 | (4.39) | 3.33 | (3.18) |
Mean costs (SD) | $469 | ($1,290) | $245 | ($357) | $424 | ($1,002) | $228 | ($314) |
Diabetes-related pharmacy | ||||||||
Had ≥ 1 prescription (n, %) | 107,729 | 62.63% | 818,451 | 52.87% | 219,248 | 63.73% | 706,932 | 51.38% |
Mean number of prescriptions (SD) | 6.98 | (8.57) | 5.49 | (7.72) | 7.29 | (8.78) | 5.22 | (7.51) |
Mean costs (SD) | $636 | ($1,660) | $356 | ($806) | $702 | ($1,511) | $304 | ($694) |
Diabetes-related outpatient hospital visits | ||||||||
Had ≥ 1outpatient visit (n, %) | 69,070 | 40.16% | 411,072 | 26.55% | 131,277 | 38.16% | 348,865 | 25.35% |
Mean number of outpatient visits (SD) | 6.18 | (18.89) | 2.46 | (7.63) | 5.23 | (16.47) | 2.23 | (6.49) |
Mean (SD) total costs | $1,204 | ($5,433) | $145 | ($652) | $849 | ($4,007) | $101 | ($408) |
Diabetes-related laboratory services | ||||||||
Had ≥ 1 laboratory service (n, %) | 51,096 | 29.71% | 439,858 | 28.41% | 101,715 | 29.57% | 389,239 | 28.29% |
Mean number of laboratory services (SD) | 3.52 | (9.92) | 2.76 | (6.48) | 3.35 | (8.82) | 2.71 | (6.32) |
Mean (SD) total costs | $48 | ($204) | $29 | ($90) | $43 | ($169) | $28 | ($85) |
Diabetes-related OOP services | ||||||||
Had ≥ 1 OOP service (n, %) | 80,576 | 46.85% | 414,844 | 26.80% | 147,877 | 42.99% | 347,543 | 25.26% |
Mean number of OOP services (SD) | 8.11 | (24.22) | 2.29 | (7.32) | 6.33 | (19.66) | 2.01 | (6.09) |
Mean costs (SD) | $1,842 | ($7,754) | $147 | ($659) | $1,182 | ($5,634) | $100 | ($398) |
Diabetes-related total health care utilization | ||||||||
Had ≥ 1 medical encounter (n, %) | 168,326 | 97.86% | 1,541,265 | 99.56% | 338,383 | 98.36% | 1,371,208 | 99.65% |
Mean number of encounters (SD) | 30.68 | (37.16) | 16.83 | (16.26) | 27.72 | (31.67) | 15.84 | (14.58) |
Mean costs (SD) | $5,121 | ($11,575) | $985 | ($1,469) | $3,780 | ($8,530) | $803 | ($1,065) |