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This article and any supplementary material should be cited as follows: Franklin H, Rajan M, Tseng C, Pogach L, Sinha A. Cost of lower-limb amputation.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Franklin H, Rajan M, Tseng C, Pogach L, Sinha A. Cost of lower-limb amputation."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Franklin H, Rajan M, Tseng C, Pogach L, Sinha A. Cost of lower-limb amputation in U.S. veterans with diabetes using health services data in fiscal years 2004 and 2010. J Rehabil Res Dev. 2014;51(8):1325–30. http://dx.doi.org/10.1682/JRRD.2013.11.0249 Slideshow Project DOI:10.1682/JRRD.2013.11.0249JSP Cost of lower-limb amputation in U.S. veterans with diabetes using health services data in fiscal years 2004 and 2010 Heather Franklin, MPH; Mangala Rajan, MBA; Chin-Lin Tseng, DrPH; Len Pogach, MD, MBA; Anushua Sinja, MD, MPH

2 This article and any supplementary material should be cited as follows: Franklin H, Rajan M, Tseng C, Pogach L, Sinha A. Cost of lower-limb amputation in U.S. veterans with diabetes using health services data in fiscal years 2004 and 2010. J Rehabil Res Dev. 2014;51(8):1325–30. http://dx.doi.org/10.1682/JRRD.2013.11.0249 Slideshow Project DOI:10.1682/JRRD.2013.11.0249JSP Aim – Estimate healthcare costs associated with diabetes- related lower-limb amputations (LLAs) within Veterans Health Administration (VHA). Relevance – Diabetes mellitus type 2 currently affects ~1 in 4 veterans, resulting in 10- to 20-fold increase in LLAs among those with diabetes.

3 This article and any supplementary material should be cited as follows: Franklin H, Rajan M, Tseng C, Pogach L, Sinha A. Cost of lower-limb amputation in U.S. veterans with diabetes using health services data in fiscal years 2004 and 2010. J Rehabil Res Dev. 2014;51(8):1325–30. http://dx.doi.org/10.1682/JRRD.2013.11.0249 Slideshow Project DOI:10.1682/JRRD.2013.11.0249JSP Method Performed cross-sectional comparative analysis of VHA clinic users with type 2 diabetes mellitus and nontraumatic LLA. – 3,381 in fiscal year (FY) 2004. – 3,403 in FY2010. Using VHA Health Economics Resource Center average cost files, estimated LLA expenditures for: – Inpatient medical, inpatient surgical, and outpatient care. Obtained LLA-related pharmaceutical costs from VHA Decision Support Systems national extract files.

4 This article and any supplementary material should be cited as follows: Franklin H, Rajan M, Tseng C, Pogach L, Sinha A. Cost of lower-limb amputation in U.S. veterans with diabetes using health services data in fiscal years 2004 and 2010. J Rehabil Res Dev. 2014;51(8):1325–30. http://dx.doi.org/10.1682/JRRD.2013.11.0249 Slideshow Project DOI:10.1682/JRRD.2013.11.0249JSP Results Costs (in 2012 US$) associated with care for diabetes-related LLA in VHA healthcare system: – FY2004 Mean cost/patient = $50,351. Total cost (3,381 patients) = $170,236,037. – FY2010 Mean cost/patient = $60,647. Total cost (3,403 patients) = $206,380,331.

5 This article and any supplementary material should be cited as follows: Franklin H, Rajan M, Tseng C, Pogach L, Sinha A. Cost of lower-limb amputation in U.S. veterans with diabetes using health services data in fiscal years 2004 and 2010. J Rehabil Res Dev. 2014;51(8):1325–30. http://dx.doi.org/10.1682/JRRD.2013.11.0249 Slideshow Project DOI:10.1682/JRRD.2013.11.0249JSP Conclusion In VHA healthcare system, economic burden associated with LLAs in patients with diabetes exceeded $200 million in FY2010. – This suggests that further improvements in care of patients with diabetes could be associated with significant cost savings.

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