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Diabetes screening seen to be worth the cost in US


Diabetes screening seen to be worth the cost in US -- Posted by Gumbo on 03-06-05 06:58


Diabetes screening seen to be worth the cost in US

Feb 24 (Reuters Health) - The cost of routinely screening older Americans
for type 2 diabetes every three years would be acceptable, researchers
report.


"Screening people 45 years of age or older every three years with a blood
glucose test is appropriate and affordable," Dr. Susan L. Johnson told
Reuters Health. "Ideally, such screening should occur as a part of ongoing
medical care."


Johnson, at the University of Michigan Health System, Ann Arbor, and
colleagues note in the journal Diabetes Care that the direct and indirect
cost of diabetes in the US was estimated to be $132 billion in 2002.


Because of this enormous cost and the relative ease with which type 2
diabetes can be detected before symptoms become obvious, the American
Diabetes Association has recommended screening in asymptomatic people of 45
years and older.


"Approximately 5.2 million Americans have undiagnosed diabetes," Johnson
added.


To estimate the cost of certain screening strategies for monitoring the US
population, the researchers simulated screening subjects from 45 to 74 years
of age using random blood glucose measurements at intervals of 1, 2 or 3
years.


The estimated cost of screening depended on the cut-off glucose level used
and how often the test was done, the team found. The best compromise, the
researchers calculated, was 3-yearly testing, at a cost of about $10 billion
over 15 years.


While this may seem like a lot, the cost of detecting one undiagnosed case
of diabetes when screening is performed every three years during a regular
check-up is only $275, the team says.


SOURCE: Diabetes Care, February 2005.




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