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Cost-effectiveness of care for patients with type 2 diabetes, an evaluation of an innovative shared diabetes care model.

Recruiting
Conditions
Diabetes Mellitus type 2
Registration Number
NL-OMON24530
Lead Sponsor
Institute of Research in Extramural Medicine, VU University Medical Center, Amsterdam
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
1200
Inclusion Criteria

1. Patients with type 2 diabetes;
2. Age 40-75 years;
3. Written informed consent;
4. Capable to fill in questionnaires;
5. Understanding of Dutch language.

Exclusion Criteria

Patients will be excluded for participation in this study if no beneficial effects can be expected in favour of the patient, according to the opinion of the GP.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. The risk of developing coronary heart disease (using the UKPDS risk engine at baseline, 2 yrs before and year 1 and 2 after baseline); <br>2. All direct and indirect costs (cost diary); 3. Costs per lifeyear gained.
Secondary Outcome Measures
NameTimeMethod
1. Absolute levels of fasting glucose; <br>2. HbA1c level; <br>3. Blood pressure; <br>4. Cholesterol; <br>5. Percentages adequately controlled patients (in accordance with the NHG standards); <br>6. Diabetes specific and generic quality of life; <br>7. Patient satisfaction; <br>8. Quality of life; <br>9. Quality of care as experienced by the patient; Percentage of patients that received all 3-monthly check-ups, a complete annual check-up, were hospitalized; <br>10. Total mortality measured by life expectancy; <br>11. Total morbidity measured by morbidity-free life expectancy and the net present value (NPV) of the number of life years gained; <br>12. QALY’s gained for the intervention scenario compared to the current practice scenario; <br>13.The NPV of total intervention costs; <br>14. The NPV of total costs of care for diabetes and its complications; 15. Incremental costs per QALY gained.
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