Karagun Baris, Akkus Gamze, Sengoz Sinem, Evran Mehtap, Sert Murat, Tetiker Tamer
Ann Ital Chir. 2021;92:87-91.
Diabetic foot ulceration (DFU) is a common problem throughout the world and results in major economic consequences for the patients and country. We aim to describe the estimated cost of illness in patients with DFU in southern Turkey.
A total of 148 (F=55, M=93) patients with DFU were included in this retrospective study. Patients characteristics, duration time of hospitalisations, biochemical parameters and the presence of diabetic retinopathy, nephropathy, neuropathy, coronary artery disease and peripheral artery disease were recorded from our database. The cost of each patient was recorded from financial affairs and the billing department unit of our hospital.
The average unit cost of each patient was £ 730.90±664.9. The major component in the total cost were medication (£ 258.8±360.9) and hospitalisation fees (£ 76.58±56.3). One hundred and fifteen (77.7%) of the patients had peripheral arterial diseases. While we could not determine significant correlations between the patients' demographical features (age, gender, p>0.05), biochemical parameters (plasma glucose, hemoglobin A1c % (HbA1c %)) and year of diagnoses with diabetes mellitus , the length of hospitalisation, presence of peripheral artery diseases and whether amputation (minor or major) was performed were significantly correlated with the total expenses.
The study revealed that the cost of DFU could show variability in relation to countries' level of development. We highlighted similar studies in other countries; the major factors of total expenses were length of hospitalisation, medication prescription and use of surgery.
Costs, Diabetic foot, Multidisciplinary team.
糖尿病足溃疡（DFU）是一个全球性的常见问题，给患者和国家带来重大经济后果。我们旨在描述土耳其南部DFU患者的疾病估计成本。
本回顾性研究共纳入148例（女性55例，男性93例）DFU患者。从我们的数据库中记录患者的特征、住院时间、生化参数以及糖尿病视网膜病变、肾病、神经病变、冠状动脉疾病和外周动脉疾病的情况。每位患者的费用从我院财务和计费部门记录。
每位患者的平均单位成本为730.90英镑±664.9英镑。总成本的主要组成部分是药物费用（258.8英镑±360.9英镑）和住院费用（76.58英镑±56.3英镑）。115例（77.7%）患者患有外周动脉疾病。虽然我们无法确定患者的人口统计学特征（年龄、性别，p>0.05）、生化参数（血糖、糖化血红蛋白百分比（HbA1c%））与糖尿病诊断年份之间的显著相关性，但住院时间、外周动脉疾病的存在以及是否进行截肢（小截肢或大截肢）与总费用显著相关。
该研究表明，DFU的成本可能因国家发展水平而异。我们强调了其他国家的类似研究；总费用的主要因素是住院时间、药物处方和手术的使用。
成本；糖尿病足；多学科团队
