Table 13: Summary of Diabetes Programs Based on ODEM*.
| Incremental Costs, QALY, CE, and Events per 1,000 (Program vs. No Program) | Multidisciplinary Diabetes Program (Per Patient) | Multidisciplinary Diabetes Program (All Eligible Patients = 744,677) |
|---|---|---|
| Δ HbA1c | –1.02% | –1.02% |
| Δ Costs | $7,551 (Cdn) | $5.6 billion (Cdn) |
| Δ QALYs | 0.390 | 290,424 |
| $/QALY gained | $19,869/QALY | $19,869/QALY |
| Δ IHD | 20.5 | 15,265 |
| Δ MI | 54.9 | 40,882 |
| Δ Heart failure | 11.5 | 8,563 |
| Δ Stroke | 18.9 | 14,074 |
| Δ Amputation | 17.7 | 13,180 |
| Δ Blindness | 8.3 | 6,180 |
| Δ Renal Failure | 1.1 | 819 |
*
Abbreviations: CE, cost-effectiveness; HbA1c, hemoglobin A1c; IHD, ischemic heart disease; MI, myocardial infarction; ODEM, Ontario Diabetes Economic Model; QALY, quality-adjusted life year.