The obesity-driven rising costs of type 2 diabetes in Australia: projections from the Fremantle Diabetes Study.

Abstract:

BACKGROUND:The cost of diabetes is high for both the individual and society. Future health-care planning requires patient-level diabetes-attributable health-care cost data that have not previously been available for Australia. AIM:To determine Australian national direct diabetes-attributable health-care costs for known type 2 diabetes in 2000 and project these to 2051. METHODS:A total of 1294 patients with type 2 diabetes was recruited to the Fremantle Diabetes Study between 1993 and 1996. A bottom-up, prevalence-based approach using diabetes-attributable costs provided average annual per patient health-care costs (in year 2000 A$). Costs were extrapolated to 2051 using Australian type 2 diabetes prevalence figures and Australian Bureau of Statistics population projections, assuming that prevalence rates (i) remain at current levels and (ii) rise steadily. RESULTS:Total annual direct diabetes-attributable health-care costs in 2000 in Australia for people > or =25 years with known type 2 diabetes were estimated at A$636 million. As a result of ageing, the number of people with type 2 diabetes will double between 2000 and 2051 with a 2.5-fold increase in diabetes-attributable health-care costs. If obesity and inactivity prevalence rates continue to rise, prevalence rates of type 2 diabetes will further increase. The number of people with type 2 diabetes in 2051 may be 3.5 times higher than in 2000 with a 3.7-fold cost increase. CONCLUSIONS:The financial burden of treating type 2 diabetes could quadruple by 2051 unless more is done to prevent type 2 diabetes and its complications. A smaller proportion of the population will have the capacity to fund these rising health-care costs.

journal_name

Intern Med J

authors

Davis WA,Knuiman MW,Hendrie D,Davis TM

doi

10.1111/j.1445-5994.2006.01014.x

keywords:

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

155-61

issue

3

eissn

1444-0903

issn

1445-5994

pii

IMJ

journal_volume

36

pub_type

杂志文章
  • Clinical features of Fabry's disease in Australian patients.

    abstract:BACKGROUND:Anticipating the prospect of specific treatment, we studied a large group of Australians with Fabry's disease. AIMS:We aimed to: (i) document the clinical features of Fabry's disease in Australian patients, (ii) test the hypothesis that clinical features vary with specific mutation and blood group and (iii)...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1046/j.1445-5994.2002.00291.x

    authors: Galanos J,Nicholls K,Grigg L,Kiers L,Crawford A,Becker G

    更新日期:2002-12-01 00:00:00

  • Treatment with unfunded drugs in oncology: the impact of access programmes and clinical trials.

    abstract:BACKGROUND:Where proven cancer therapies remain unfunded, patients are faced with difficult decisions regarding personally covering some or all of the treatment cost. Clinical trials provide an alternative form of access to unfunded drugs. AIMS:To examine the patient population and utilisation of the colorectal cancer...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-5994.2012.02750.x

    authors: Tie J,Gibbs P

    更新日期:2013-01-01 00:00:00

  • Vitamin D deficiency in a multinational refugee population.

    abstract:BACKGROUND:Populations with increased skin pigmentation who have migrated to countries of high latitude are at increased risk of low vitamin D. This study aimed to determine the prevalence of low vitamin D among the refugee population arriving in New Zealand. METHODS:An audit of all refugees arriving at the national r...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2007.01385.x

    authors: Wishart HD,Reeve AM,Grant CC

    更新日期:2007-12-01 00:00:00

  • Smoking prevalence and perspectives on smoking on campus by employees in Australian teaching hospitals.

    abstract:BACKGROUND:Cigarette smoking prevalence has been declining over decades in Western countries especially in higher socioeconomic groups. Employees of Australian hospitals span the socioeconomic spectrum, but there are few data on smoking prevalence from these workplaces. Because smoking is a health hazard, some argue th...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2010.02221.x

    authors: Jones TE,Williams J

    更新日期:2012-03-01 00:00:00

  • Resurrecting New Zealand's public healthcare system or a charity hospital in every town?

    abstract::Radical market-oriented health reforms in New Zealand in the early 1990s failed to deliver key financial targets, resulted in unnecessary patient deaths, adversely affected public healthcare services, induced serious tensions between clinicians and managers and encouraged a predisposition to private healthcare. A more...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14903

    authors: Nicholls MG,Frampton CM,Bagshaw PF

    更新日期:2020-07-01 00:00:00

  • Effectiveness of biologics in Australian patients with rheumatoid arthritis: a large observational study: REAL.

    abstract:BACKGROUND:The comparative effectiveness of biologic treatment regimens in a real world Australian population is unknown. AIM:To assess the effectiveness of biological disease-modifying anti-rheumatic drugs (bDMARD) as monotherapy or in combination with methotrexate and/or other conventional DMARD (cDMARD) for the tre...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,多中心研究

    doi:10.1111/imj.14028

    authors: Nicholls D,Barrett R,Button P,Truman M,Bird P,Roberts L,Tymms K,Littlejohn G,Griffiths H

    更新日期:2018-10-01 00:00:00

  • Clinical efficacy and plausibility of a smartphone-based integrated online real-time diabetes care system via glucose and diet data management: a pilot study.

    abstract:BACKGROUND:Smartphones have become novel healthcare tools for patients with diabetes. However, it is uncertain whether the smartphone application support system helps in glycaemic control in patients with type 2 diabetes. AIMS:To evaluate the efficacy and plausibility of smartphone-based integrated online real-time di...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14738

    authors: Ku EJ,Park JI,Jeon HJ,Oh T,Choi HJ

    更新日期:2020-12-01 00:00:00

  • Detection of bacteria and analyses of Chlamydia trachomatis viability in patients with postvenereal reactive arthritis.

    abstract::Postvenereal reactive arthritis is an inflammatory form of arthritis that commonly develops after urogenital infection, predominantly in human leucocyte antigen-B27-positive men in the third decade of life. In our hospital, patients underwent synovectomy before a 4-month course of antibiotics (ciprofloxacin, tetracycl...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.12580

    authors: Strelić N,Bojović J,Pavlica L,Cikota-Aleksić B,Miličić B,Magić Z

    更新日期:2014-12-01 00:00:00

  • Apixaban versus enoxaparin in the prevention of venous thromboembolism following total knee arthroplasty: a single-centre, single-surgeon, retrospective analysis.

    abstract:BACKGROUND:There is a high risk of developing venous thromboembolism (VTE) following total knee arthroplasty (TKA). Conventional thromboprophylactic agents have limitations, such as route of administration, the need for monitoring, narrow therapeutic windows and interactions. Apixaban is a new oral anticoagulant with t...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.13139

    authors: King DA,Pow RE,Dickison DM,Vale PR

    更新日期:2016-09-01 00:00:00

  • Diagnostic accuracy of multidetector computed tomography in the detection of left atrial/left atrial appendage thrombus: a meta-analysis.

    abstract:BACKGROUND AND OBJECTIVE:The current results on the diagnostic accuracy of multidetector computed tomography (MDCT) in the detection of left atrial/left atrial appendage (LA/LAA) thrombus are conflicting. AIM:The aim of the present study was to determine the diagnostic accuracy of MDCT in LA/LAA thrombus with meta-ana...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,meta分析

    doi:10.1111/j.1445-5994.2012.02932.x

    authors: Ning Z,Min ZG,Jiang HX,Hu BL

    更新日期:2013-05-01 00:00:00

  • Infliximab-related weight gain in inflammatory bowel disease: associations and financial impacts.

    abstract::Association between tumour necrosis alpha inhibitors and weight gain has been reported. We examined weight change in our cohort of inflammatory bowel disease patients treated with infliximab (IFX) for over 12 months, its associations and financial implications. Two-thirds of patients gained weight during the course of...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14987

    authors: Kaazan P,Tan Z,Bednarz J,Hughes J,Grafton R,Andrews JM

    更新日期:2020-09-01 00:00:00

  • Echocardiography for the clinician: a practical update.

    abstract::Echocardiography is the mainstay of cardiovascular diagnostics, and is the most performed test for the evaluation of cardiac function. Critical and costly management decisions are based on quantification of left ventricular volumes and ejection fraction. Recent advances in echocardiography, such as microsphere contras...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-5994.2010.02167.x

    authors: Hudaverdi M,Hamilton-Craig C,Platts D,Chan J,Burstow DJ

    更新日期:2010-07-01 00:00:00

  • Non-invasive ventilation in critical care.

    abstract::Non-invasive ventilation refers to a number of respiratory support strategies commonly used in critical care settings. This paper describes the principles of non-invasive ventilation, the practicalities of its use and the evidence for its use in a number of common acute conditions. ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-5994.2012.02895.x

    authors: Cross AM

    更新日期:2012-10-01 00:00:00

  • Comparison of the Quick Sepsis-Related Organ Failure Assessment (qSOFA) and Adult Sepsis Pathway in Predicting Adverse Outcomes among Adult Patients on General Wards: A Retrospective Observational Cohort Study.

    abstract:BACKGROUND:Quick Sepsis-related Organ Failure Assessment (qSOFA) is recommended for use by the most recent international sepsis definition taskforce to identify suspected sepsis in patients outside the Intensive Care Unit (ICU) at risk of adverse outcomes. Evidence of its comparative effectiveness with existing sepsis ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14746

    authors: Li L,Rathnayake K,Green M,Shetty A,Fullick M,Walter S,Middleton-Rennie C,Meller M,Braithwaite J,Lander H,Westbrook JI

    更新日期:2020-01-06 00:00:00

  • Management of high risk chronic lymphocytic leukaemia (CLL) patients in Australia.

    abstract:BACKGROUND:Chronic lymphocytic leukaemia (CLL) frequently responds to chemoimmunotherapy combining cytotoxic chemotherapy and monoclonal antibodies. However, CLL is associated with significant genetic heterogeneity, and some high-risk forms are known to be chemo-resistant and associated with early relapse. AIMS:To rev...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/imj.13680

    authors: Kuss BJ,Tam CS

    更新日期:2017-12-01 00:00:00

  • Changing prevalence of aetiological factors and comorbidities among Australians hospitalised for cirrhosis.

    abstract:BACKGROUND:The rate of hospital admissions for cirrhosis increased 1.3-fold during 2008-2016 in Queensland. Alcohol misuse was a contributing factor for cirrhosis in 55% of admissions and 40% of patients had at least one comorbidity. AIM:This paper examines the temporal change in aetiology of liver disease and presenc...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14809

    authors: Valery PC,McPhail S,Stuart KA,Hartel G,Clark PJ,O'Beirne J,Skoien R,Rahman T,Moser C,Powell EE

    更新日期:2020-02-25 00:00:00

  • Mortality and airflow obstruction in asthma: a 17-year follow-up study.

    abstract:BACKGROUND:Asthma is associated with fixed airflow obstruction and an increased risk of death. The aim of this study was to relate asthma mortality and airflow obstruction to severity of asthma in a cohort of patients with chronic asthma studied over a 17-year period. METHODS:In 1980, asthma severity based on symptoms...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2006.01214.x

    authors: Panizza JA,James AL,Ryan G,de Klerk N,Finucane KE

    更新日期:2006-12-01 00:00:00

  • Predictive value of symptoms, signs and biomarkers on computed tomography pulmonary angiogram results.

    abstract:BACKGROUND:Pulmonary embolism (PE) is associated with significant morbidity and mortality. PE is a heterogeneous entity that causes a wide variety of clinical presentations, making it imperative to establish which clinical symptoms, signs and biomarkers can influence the pretest probability of PE to aid clinicians and ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.13596

    authors: Sethwala A,Wang X,Sturm EE,Collins KL,O'Donnabhain R,Friedman ND

    更新日期:2018-01-01 00:00:00

  • Decreasing mortality from non-Hodgkin lymphoma in Australia.

    abstract::Based on the number of new cases (incidence), non-Hodgkin lymphoma is an increasingly common cancer in Australia and many developed countries. Until recently, mortality trends have been stable or slightly increasing. However, since the year 2000, mortality has decreased every year by an average of 5.1% per year (95% c...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2008.01809.x

    authors: Coory M,Gill D

    更新日期:2008-12-01 00:00:00

  • Radiation dose difference between state of the art myocardial perfusion scintigraphy and computed tomography coronary angiography in patients undergoing evaluation for suspected coronary artery disease.

    abstract::Minimisation of radiation exposure with cardiac imaging reduces the potential of secondary side effects. Radiation exposure from myocardial perfusion scintigraphy and computed tomography coronary angiography (CTCA) was compared. Overall doses were low with both modalities. Doses were lower in the CTCA group, but by on...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.12969

    authors: Tsay IM,Subiakto I,Asrar Ul Haq M,Castles AV,Allman K,Hayat U,Rudd N,Barlis P,van Gaal W

    更新日期:2016-02-01 00:00:00

  • Evaluating the role of magnetic resonance imaging post-neoadjuvant therapy for breast cancer in the NEONAB trial.

    abstract:BACKGROUND:Magnetic resonance imaging (MRI) accuracy after neoadjuvant systemic therapy (NST) for breast cancer varies according to hormone receptor (HR), human epidermal growth factor receptor type-2 (HER2) subtype and Ki-67 proliferation index. Whether MRI accuracy varies by genomic signatures is unknown. We examined...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,多中心研究

    doi:10.1111/imj.13617

    authors: Murphy C,Mukaro V,Tobler R,Asher R,Gibbs E,West L,Giuffre B,Baron-Hay S,Khasraw M

    更新日期:2018-06-01 00:00:00

  • Conditions associated with extreme hyperferritinaemia (>3000 μg/L) in adults.

    abstract:BACKGROUND:The clinical significance of extreme hyperferritinaemia has come under scrutiny with the increasing recognition of haemophagocytic lymphohistiocytosis (HLH) in adults. Most studies of hyperferritinaemia have focused on serum ferritin greater than 1000 μg/L, often in ambulatory patients. The conditions associ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.12768

    authors: Wormsbecker AJ,Sweet DD,Mann SL,Wang SY,Pudek MR,Chen LY

    更新日期:2015-08-01 00:00:00

  • Managing depression across the life cycle: new strategies for clinicians and their patients.

    abstract::Depression is the leading cause of non-fatal disease burden in Australia. Recently, increasing public recognition, together with the development of more integrated medical and psychological healthcare services has resulted in significant improvements. New pathophysiological models incorporate structural brain changes ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-5994.2009.02016.x

    authors: Hickie IB,Naismith SL,Norrie LM,Scott EM

    更新日期:2009-11-01 00:00:00

  • Effects of care pathways on stroke care practices at regional hospitals.

    abstract:BACKGROUND:Our previous work identified deficiencies in stroke care practices at regional hospitals in comparison to standards suggested by published stroke care guidelines. These deficiencies might be improved by the implementation of clinical pathways. The aim of this study was to assess changes in acute stroke care ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2006.01147.x

    authors: Read SJ,Levy J

    更新日期:2006-10-01 00:00:00

  • Preventing healthcare-associated infection: risks, healthcare systems and behaviour.

    abstract::More than 177 000 potentially preventable healthcare-associated infections (HAIs) occur per annum in Australia with sizable attributable mortality. Organizational systems to protect against HAI in hospitals in Australia are relatively poorly developed. Awareness and practice of infection control by medical and other h...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-5994.2009.02004.x

    authors: Ferguson JK

    更新日期:2009-09-01 00:00:00

  • Practical guidelines for the acute emergency sedation of the severely agitated older patient.

    abstract::The vulnerability of older people to serious underlying medical illness and adverse effects of psychotropics means that the safe and effective treatment of severe agitation can be lifesaving, the primary management goals being to create a safe environment for the patient and others, and to facilitate assessment and tr...

    journal_title:Internal medicine journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-5994.2011.02560.x

    authors: Peisah C,Chan DK,McKay R,Kurrle SE,Reutens SG

    更新日期:2011-09-01 00:00:00

  • Clinical features associated with improvement of fatty liver disease.

    abstract:BACKGROUND:We presumed that identification of the factors associated with improvement of fatty livers disease (FLD) would support the therapeutic options for FLD. The goal of this study was to clarify what clinical characteristics are associated with biochemical and sonographic improvements in the non-alcoholic populat...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2005.00887.x

    authors: Park SH,Kim BI,Kim HJ,Kim H,Kim SH,Park DI,Cho YK,Sung IK,Sohn CI,Jeon WK,Keum DK

    更新日期:2005-08-01 00:00:00

  • Reduction of in hospital Cardiac arrest rates in Intensive care equipped NSW hospitals in association with Implementation of Between the Flags Rapid Response System.

    abstract:BACKGROUND:The NSW Clinical Excellence commission introduced the "Between the Flags" program in response to the death of a young patient as a system wide approach for early detection and management of the deteriorating patient in all 242 NSW hospitals. The impact of BTF implementation on the 35 larger hospitals with IC...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14812

    authors: Bhonagiri D,Lander H,Green M,Straney L,Jones D,Pilcher D

    更新日期:2020-03-04 00:00:00

  • Urgent liver transplantation for acute liver failure due to parvovirus B19 infection complicated by primary Epstein-Barr virus and cytomegalovirus infections and aplastic anaemia.

    abstract::An 11-year-old boy presented with hepatic failure secondary to parvovirus B19 infection, requiring urgent liver transplantation. His recovery was complicated by primary Epstein-Barr virus and cytomegalovirus infections. He subsequently developed aplastic anaemia that has been refractory to antithymocyte globulin and c...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/j.1445-5994.2006.01293.x

    authors: So K,Macquillan G,Garas G,Delriviere L,Mitchell A,Speers D,Mews C,Augustson B,de Boer WB,Baker D,Jeffrey GP

    更新日期:2007-03-01 00:00:00

  • Unique approach to continuing medical education in clinical pharmacology across Australia and New Zealand.

    abstract:BACKGROUND:Advanced physician training in clinical pharmacology lacks a continuing education programme. There is a need for continuing medical education but how to introduce and develop education remains unclear. AIMS:The primary aim was to develop and implement a peer-led, web-based multiple choice question approach ...

    journal_title:Internal medicine journal

    pub_type: 杂志文章

    doi:10.1111/imj.14663

    authors: Athavale A,Murnion B

    更新日期:2019-12-01 00:00:00