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Erschienen in: Current Diabetes Reports 1/2019

01.01.2019 | Economics and Policy in Diabetes (AA Baig and N Laiteerapong, Section Editors)

Economic Impact of Diabetes in Japan

verfasst von: Tatsuhiko Urakami, Remi Kuwabara, Kei Yoshida

Erschienen in: Current Diabetes Reports | Ausgabe 1/2019

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Abstract

Purpose of review

The economic burden of diabetes in Japan is already serious and will become greater in the future. We review the economic impact of diabetes in Japan to examine viable options for mitigating its effects.

Recent findings

Medical costs for diabetes have been increasing by US $1 million annually, reaching US $11 million in 2009, of which US $7 million was accounted for by people aged 65 years or older. The quality of treatment of diabetes in Japan is higher than in other regions in the world. This can be more effective for achieving glycemic control, but is also more expensive compared with conventional treatment.

Summary

Because of the high cost of diabetes in Japan, a coordinated response is needed. Intervention trials for people with prediabetes aimed at preventing the occurrence of diabetes seem to be the most cost-effective method for lowering the medical costs of diabetes, rather than the use of new, expensive antidiabetic drugs in patients with established diabetes.
Literatur
1.
Zurück zum Zitat International Diabetes Federation, editor. Diabetes Atlas. 6th ed: International Diabetes Federation; 2013. International Diabetes Federation, editor. Diabetes Atlas. 6th ed: International Diabetes Federation; 2013.
2.
Zurück zum Zitat • Health and Welfare Statistics Association. Kokumin Eisei no Doko (Trends in Nation’s Health, Japan). Health and Welfare Statistics Association: Tokyo; 2015 (in Japanese). This study provides annual national health trends in Japan. • Health and Welfare Statistics Association. Kokumin Eisei no Doko (Trends in Nation’s Health, Japan). Health and Welfare Statistics Association: Tokyo; 2015 (in Japanese). This study provides annual national health trends in Japan.
3.
Zurück zum Zitat Bommer C, Heesemann E, Sagalova V, Manne-Goehler J, Atun R, Bärnighausen T, et al. The global economic burden of diabetes in adults aged 20-79 years: a cost-off-illness study. Lancet Diabetes Endocrinol. 2017;5:423–30.CrossRef Bommer C, Heesemann E, Sagalova V, Manne-Goehler J, Atun R, Bärnighausen T, et al. The global economic burden of diabetes in adults aged 20-79 years: a cost-off-illness study. Lancet Diabetes Endocrinol. 2017;5:423–30.CrossRef
4.
Zurück zum Zitat Sagel JE. Cost-off-illness studies-A primer, RTI-UNC Center of Excellence in Health Promotion Economics; 2006. Sagel JE. Cost-off-illness studies-A primer, RTI-UNC Center of Excellence in Health Promotion Economics; 2006.
5.
Zurück zum Zitat Bagust A, Hopkinson PK, Maslove L, Currie CI. The project health care burden of type 2 diabetes in the UK from 2000 to 2060. Diabet Med. 2002;19(Suppl. 4):1–5.CrossRef Bagust A, Hopkinson PK, Maslove L, Currie CI. The project health care burden of type 2 diabetes in the UK from 2000 to 2060. Diabet Med. 2002;19(Suppl. 4):1–5.CrossRef
6.
Zurück zum Zitat Huang ES, Basu A, O’Grady M, Capretta JC. Projecting the future diabetes population size and related costs for the U.S. Diabetes Care. 2009;32:2225–9.CrossRef Huang ES, Basu A, O’Grady M, Capretta JC. Projecting the future diabetes population size and related costs for the U.S. Diabetes Care. 2009;32:2225–9.CrossRef
7.
Zurück zum Zitat Vos T, Gross J, Begg S, Mann N. Projection of health care expenditure by disease: a case study from Australia. Brisbane, Australia: School of population Health, University of Queensland; 2007. Vos T, Gross J, Begg S, Mann N. Projection of health care expenditure by disease: a case study from Australia. Brisbane, Australia: School of population Health, University of Queensland; 2007.
8.
Zurück zum Zitat Waldeyer R, Brinks R, Rathmann W, Glani G, Icks A. Projection of the burden of type 2 diabetes mellitus in Germany: a demographic modelling approach to estimate the direct medical excess costs from 2010 to 2040. Diabet Med. 2013;30:999–1008.CrossRef Waldeyer R, Brinks R, Rathmann W, Glani G, Icks A. Projection of the burden of type 2 diabetes mellitus in Germany: a demographic modelling approach to estimate the direct medical excess costs from 2010 to 2040. Diabet Med. 2013;30:999–1008.CrossRef
9.
Zurück zum Zitat Hex N, Bartlett C, Wright D, Taylor M, Varley D. Estimating the current and future costs of type 1 and type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabet Med. 2012;29:855–62.CrossRef Hex N, Bartlett C, Wright D, Taylor M, Varley D. Estimating the current and future costs of type 1 and type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabet Med. 2012;29:855–62.CrossRef
10.
Zurück zum Zitat Javanbakht M, Mashayekhi A, Baradaran HR, Haghdoost A, Afshin A. Projection of diabetes population size and associated economic burden through 2030 in Iran: evidence from micro-simulation Markov model and Bayesian meta-analysis. PLoS One. 2015;10:e0132505.CrossRef Javanbakht M, Mashayekhi A, Baradaran HR, Haghdoost A, Afshin A. Projection of diabetes population size and associated economic burden through 2030 in Iran: evidence from micro-simulation Markov model and Bayesian meta-analysis. PLoS One. 2015;10:e0132505.CrossRef
11.
Zurück zum Zitat Rowley WR, Bezold C. Creating public awareness: state 2025 diabetes forecasts. Popul Health Manag. 2012;15:194–200.CrossRef Rowley WR, Bezold C. Creating public awareness: state 2025 diabetes forecasts. Popul Health Manag. 2012;15:194–200.CrossRef
12.
Zurück zum Zitat • Seuring T, Archangelidi O, Suhrcke. The economic costs of type 2 diabetes: A global systemic review. Pharmacoeconomics. 2015;33:811–31 This study reviews the societal cost of type 2 diabetes worldwide, estimated using direct and indirect costs based on previously published literature.CrossRef • Seuring T, Archangelidi O, Suhrcke. The economic costs of type 2 diabetes: A global systemic review. Pharmacoeconomics. 2015;33:811–31 This study reviews the societal cost of type 2 diabetes worldwide, estimated using direct and indirect costs based on previously published literature.CrossRef
13.
Zurück zum Zitat •• Bommer C, Sagalova V, Heesemann E, Manne-Goehler J, Atun R, Bärnighausen T, et al. Global economic burden of diabetes in adults: projections from 2015 to 2030. Diabetes Care. 2018;41:963–70 This study reports the GDP-relative economic burden in individuals aged 20–79 years using epidemiological and demographic data in 184 countries, projected from 2015 for 2030.CrossRef •• Bommer C, Sagalova V, Heesemann E, Manne-Goehler J, Atun R, Bärnighausen T, et al. Global economic burden of diabetes in adults: projections from 2015 to 2030. Diabetes Care. 2018;41:963–70 This study reports the GDP-relative economic burden in individuals aged 20–79 years using epidemiological and demographic data in 184 countries, projected from 2015 for 2030.CrossRef
14.
Zurück zum Zitat Health and Welfare Statistics Association. Kokumin Eisei no Doko (Trends in Nation’s Health, Japan). Tokyo: Health and Welfare Statistics Association; 2001. (in Japanese) Health and Welfare Statistics Association. Kokumin Eisei no Doko (Trends in Nation’s Health, Japan). Tokyo: Health and Welfare Statistics Association; 2001. (in Japanese)
15.
Zurück zum Zitat Kuriyama S, Tsuji I, Ohkubo T, Anzai Y, Takahashi K, Watanaeb Y, et al. Medical care expenditure associated with body mass index in Japan: the Ohsaki Study. Int J Obes Relat Metab Disord. 2002;26:1069–74.CrossRef Kuriyama S, Tsuji I, Ohkubo T, Anzai Y, Takahashi K, Watanaeb Y, et al. Medical care expenditure associated with body mass index in Japan: the Ohsaki Study. Int J Obes Relat Metab Disord. 2002;26:1069–74.CrossRef
16.
Zurück zum Zitat Nakamura K, Okamura T, Kanda H, Hayakawa T, Okayama A, Ueshima H, et al. Medical costs of obese Japanese: a 10-year follow-up study of National Health Insurance in Shiga, Japan. Eur J Pub Health. 2007;17:424–9.CrossRef Nakamura K, Okamura T, Kanda H, Hayakawa T, Okayama A, Ueshima H, et al. Medical costs of obese Japanese: a 10-year follow-up study of National Health Insurance in Shiga, Japan. Eur J Pub Health. 2007;17:424–9.CrossRef
17.
Zurück zum Zitat Shimoda M, Kaku K. Medical economy in the treatment of diabetes and its problems. Nippon Rinsho. 2012;70(Suppl. 5):663–6 (in Japanese).PubMed Shimoda M, Kaku K. Medical economy in the treatment of diabetes and its problems. Nippon Rinsho. 2012;70(Suppl. 5):663–6 (in Japanese).PubMed
18.
Zurück zum Zitat Inada O. Medical costs in type 2 diabetes. Himan to Tounyobyo. 2009;8:672–5 (in Japanese). Inada O. Medical costs in type 2 diabetes. Himan to Tounyobyo. 2009;8:672–5 (in Japanese).
19.
Zurück zum Zitat DCCT Research Group. Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. Diabetes Control and Complications Trial Research Group. J Pediatr. 1994;125:177–88.CrossRef DCCT Research Group. Effect of intensive diabetes treatment on the development and progression of long-term complications in adolescents with insulin-dependent diabetes mellitus: Diabetes Control and Complications Trial. Diabetes Control and Complications Trial Research Group. J Pediatr. 1994;125:177–88.CrossRef
20.
Zurück zum Zitat The Diabetes Control and Complications Trial Research Group. The relationship of glycemic exposure (HbA1c) to the risk of development and progression of retinopathy in the diabetes control and complications trial. Diabetes. 1995;44:968–83.CrossRef The Diabetes Control and Complications Trial Research Group. The relationship of glycemic exposure (HbA1c) to the risk of development and progression of retinopathy in the diabetes control and complications trial. Diabetes. 1995;44:968–83.CrossRef
21.
Zurück zum Zitat Maruyama T. Medical costs in type 1 diabetes. Himan to Tounyobyo. 2009;8:670–1 (in Japanese). Maruyama T. Medical costs in type 1 diabetes. Himan to Tounyobyo. 2009;8:670–1 (in Japanese).
22.
Zurück zum Zitat • Kikuchi N, Tajima N, Ueki K, Yokoyama T, Ikegami H, Urakami T. Definition of complete insulin -dependent type 1 diabetes. Report of research grant from Ministry of Health, Labor and Welfare (H28-Junkanki-Ippan-006), 2018 (in Japanese). This report discusses the current economic status of diabetes treatment and management in 2018. • Kikuchi N, Tajima N, Ueki K, Yokoyama T, Ikegami H, Urakami T. Definition of complete insulin -dependent type 1 diabetes. Report of research grant from Ministry of Health, Labor and Welfare (H28-Junkanki-Ippan-006), 2018 (in Japanese). This report discusses the current economic status of diabetes treatment and management in 2018.
23.
Zurück zum Zitat Aono S, Matsuura N, Ameiya S, Igrashi Y, Uchigata Y, Urakami T, et al. Epidemiological survey of social adjustment and living condition in patients with childhood onset insulin-dependent diabetes mellitus aged over 18 years. Tounyobyo. 1997;40:547–55 (in Japanese). Aono S, Matsuura N, Ameiya S, Igrashi Y, Uchigata Y, Urakami T, et al. Epidemiological survey of social adjustment and living condition in patients with childhood onset insulin-dependent diabetes mellitus aged over 18 years. Tounyobyo. 1997;40:547–55 (in Japanese).
24.
Zurück zum Zitat Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393–403.CrossRef Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393–403.CrossRef
25.
Zurück zum Zitat Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes Care. 1997;20:537–44.CrossRef Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes Care. 1997;20:537–44.CrossRef
26.
Zurück zum Zitat Hisashige A. Prevention of diabetes and economic efficacy. Prog Med. 2005;25:80–5 (in Japanese). Hisashige A. Prevention of diabetes and economic efficacy. Prog Med. 2005;25:80–5 (in Japanese).
Metadaten
Titel
Economic Impact of Diabetes in Japan
verfasst von
Tatsuhiko Urakami
Remi Kuwabara
Kei Yoshida
Publikationsdatum
01.01.2019
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 1/2019
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-019-1122-9

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