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ANALYSIS OF THE BURDEN OF TYPE 2 DIABETES MELLITUS IN VIETNAM: A MULTI-CENTER STUDY IN SELECTED DISTRICT-LEVEL HOSPITALS IN HO CHI MINH CITY
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Abstract
Objective: This study aimed to evaluate the burden of type 2 diabetes mellitus (T2DM) in district-level hospitals in Vietnam, based on the clinical characteristics of the patients. Methods: A descriptive retrospective cross-sectional study was performed using the medical records of T2DM patients from Le Van Thinh Hospital and District 8 Hospital in Ho Chi Minh City, Vietnam, in 2021. Clinical outcomes were evaluated using the Charlson Comorbidity Index (CCI), Diabetes Complication Severity Index Score (DCSI), and the prevalence of urinary tract infections (UTIs) among T2DM patients. The economical burden of disease was represented by the annual total direct medical cost. Data analyses were conducted using R Statistical Software V.4.2.2 and Power BI Software. Results: The sample comprised 9.792 patients; 93,4% of these had at least one comorbidity. UTIs accounted for 30,4% of all infectious conditions among T2DM patients, and complex conditions were present in 54,0% of the cases. The mean annual direct medical cost per patient was 2.338.662 (±2.434.657) VND. There were significant positive Spearman correlation coefficients for the CCI score, DCSI score, and the frequency of UTIs in T2DM patients. The mean (SD) CCI and DCSI scores for the population were 3,6 (±1,6) and 0,8 (±1,0), respectively. Conclusion: T2DM causes a significant burden in terms of health and economy for the whole society. These findings can contribute to reasonable budget allocation and the development of more effective treatment protocols.
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Keywords
Burden of Disease, Type 2 Diabetes Mellitus, CCI Score, DCSI Score, Urinary Tract Infections, Ho Chi Minh City, District Level Hospitals, Health Insurance.
References
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