Cost-effectiveness of telemonitoring screening for diabetic foot ulcer: a mathematical model.

ABSTRACT:

Background

One of the most common (and costly) complications of diabetes are diabetic foot ulcers, which often result in lower-extremity amputation. Regular foot care can reduce complications; however, roughly half of Canadians with diabetes do not participate in screening. We sought to evaluate the economic effects of using telemonitoring for diabetic foot ulcer prevention using mathematical modelling.

Methods

We used Markov modelling to compare current screening standards (standard care) to population-wide and targeted (high-risk) telemonitoring programs in a hypothetical cohort of Canadian patients aged 60 years. We varied the effectiveness (or outcome), defined as the proportion of diabetic foot ulcers prevented, to explore cost-effectiveness using model parameters from

SUBMITTER: Boodoo C 

PROVIDER: S-EPMC6201712 | biostudies-literature | 2018 Oct-Dec

REPOSITORIES: biostudies-literature