Kuşcu Burak, Gürbüz Kaan
Special Bandırma Royal Hospital, Balıkesir 10200, Türkiye.
Kayseri Kızılay Hospital, Kayseri 38000, Türkiye.
Healthcare (Basel). 2025 Jul 26;13(15):1826. doi: 10.3390/healthcare13151826.
: Diabetes mellitus is a chronic metabolic disorder that increases mortality and morbidity rates. Infections of the hand can easily cause long-term morbidity and dysfunction, but despite their associated high morbidity, diabetic hand infections are more neglected than diabetic foot infections. : This study was conducted over a one-year follow-up period, considering the total costs of treatment over one year post discharge for patients with diabetic hand infections that required surgery. A Monte Carlo Simulation was used in this study as a sensitivity analysis of all the cost calculations. : A total of 62 out of 75 patients were diagnosed with Type 2 diabetes; 11 were female, and 64 were male. Out of all the patients, 15 visited outpatient clinics 30 times or more, and due to their recurrent visits, the outpatient treatment costs reached USD 5162.41 ± 3838.55. The total cost incurred over the period from the patients' first hospitalization to the completion of all treatments and the end of the one-year follow-up was USD 24,602.22 ± 5257.15. : The cost of hospitalization was the most important factor affecting the total expenses. Therefore, taking precautions before a diabetic hand infection occurs, or when one does occur, performing treatment without delay is expected to reduce the economic burden.
糖尿病是一种慢性代谢紊乱疾病，会增加死亡率和发病率。手部感染很容易导致长期发病和功能障碍，但尽管糖尿病手部感染相关发病率很高，却比糖尿病足部感染更易被忽视。本研究在一年的随访期内进行，考虑了需要手术治疗的糖尿病手部感染患者出院后一年的治疗总成本。本研究使用蒙特卡洛模拟对所有成本计算进行敏感性分析。75名患者中共有62名被诊断为2型糖尿病；11名女性，64名男性。在所有患者中，15名患者门诊就诊30次或更多次，由于他们反复就诊，门诊治疗费用达到5162.41美元±3838.55美元。从患者首次住院到所有治疗结束及一年随访期结束期间产生的总成本为24602.22美元±5257.15美元。住院费用是影响总费用的最重要因素。因此，在糖尿病手部感染发生前采取预防措施，或者感染发生时及时进行治疗，有望减轻经济负担。
