Table 1.
Costs relating to resource use
Home management (n=98), mean (95% CI) (£) | Hospital management (n=95), mean (95% CI) (£) | Difference between home and hospital, mean (95% CI) (£) | P value for difference between home and hospital | ||
Direct healthcare costs | |||||
Days 0–3 | Contact with diabetes team | 974 (889 to 1059) | 720 (658 to 782) | 254 (147 to 361) | <0.001 |
Other health professionals | 0 (−0. to 0) | 1 (−1 to 4) | −1 (−4 to 1) | 0.223 | |
Tests and investigations | 55 (49 to 61) | 62 (56 to 67) | −7 (−15 to 1) | 0.100 | |
Hospital stay | 0 | 2583 (2464 to 2702) | −2583 (−2702 to −2463) | <0.001 | |
Nurse travel | 133 (107 to 159) | 18 (8 to 28) | 115 (86 to 143) | <0.001 | |
Dietician travel | 3 (1 to 5) | 1 (−1 to 2) | 2 (0 to 5) | 0.039 | |
Total cost days 0–3 | 1163 (1079 to 1248) | 3386 (3261 to 3511) | −2223 (−2373 to −2072) | <0.001 | |
Follow-up (24 months) | Contact with the diabetes team | 1984 (1876 to 2092) | 2017 (1915 to 2119) | −33 (−182 to 116) | 0.664 |
|
1400 (1344 to 1455) | 1392 (1341 to 1443) | 8 (−67 to 83) | 0.837 | |
|
584 (502 to 667) | 625 (541 to 709) | −41 (−160 to 79) | 0.502 | |
Hospital contacts | 897 (569 to 1225) | 860 (553 to 1167) | 37 (−413 to 487) | 0.874 | |
Tests and investigations | 8 (5 to 11) | 8 (6 to 11) | −1 (−4 to 4) | 0.968 | |
Total insulin | 457 (402 to 512) | 446 (397 to 495) | 11 (−63 to 85) | 0.773 | |
Equipment | 1745 (1567 to 1924) | 1714 (1544 to 1883) | 31 (−218 to 281) | 0.803 | |
Other health professional visits | 195 (149 to 240) | 236 (177 to 295) | −41 (−115 to 33) | 0.278 | |
Total follow-up cost | 5287 (4864 to 5709) | 5282 (4883 to 5680) | 5 (−584 to 594) | 0.986 | |
Total cost at 24 months | 6450 (6004 to 6897) | 8668 (8255 to 9080) | −2217 (−2825 to −1609) | <0.001 | |
Patient/carer costs | |||||
Days 0–3 | Days off school | 66 (56 to 75) | 57 (47 to 67) | 8 (−5 to 22) | 0.235 |
Days off work | 250 (203 to 297) | 256 (201 to 310) | −5 (−77 to 66) | 0.886 | |
Travel | 11 (9 to 12) | 18 (15 to 21) | −8 (−11 to −4) | <0.001 | |
Out of pocket expenses | 8 (7 to 10) | 22 (17 to 27) | −14 (−19 to −8) | <0.001 | |
Total cost days 0–3 | 331 (280 to 383) | 352 (292 to 412) | −21 (−101 to 59) | 0.601 | |
Follow-up (24 months) | Days off school | 443 (363 to 523) | 454 (349 to 559) | −11 (−143 to 122) | 0.871 |
Days off work | 869 (609 to 1128) | 1180 (679 to 1681) | −312 (−871 to 247) | 0.275 | |
Travel | 63 (56 to 71) | 61 (49 to 72) | 3 (−11 to 17) | 0.687 | |
Out of pocket expenses | 44 (32 to 56) | 42 (30 to 54) | 2 (−15 to 20) | 0.779 | |
Total follow-up cost | 1420 (1134 to 1705) | 1737 (1207 to 2267) | −317 (−916 to 281) | 0.297 | |
Total cost at 24 months | 1751 (1448 to 2054) | 2089 (1547 to 2631) | −338 (−963 to 286) | 0.290 | |
Total cost | 8201 (7585 to 8817) | 10 757 (10 050 to 11463) | −2556 (−3494 to −1618) | <0.001 |