Breeze, PR;
Thomas, C;
Squires, H;
Brennan, A;
Greaves, C;
Diggle, P;
Brunner, E;
... Chilcott, J; + view all
(2017)
Cost-effectiveness of population-based, community, workplace and individual policies for diabetes prevention in the UK.
Diabetic Medicine
, 34
(8)
pp. 1136-1144.
10.1111/dme.13349.
Preview |
Text
Brunner_Breeze_et_al-2017-Diabetic_Medicine.pdf Download (156kB) | Preview |
Abstract
Aim: To analyse the cost-effectiveness of different interventions for Type 2 diabetes prevention within a common framework. Methods: A micro-simulation model was developed to evaluate the cost-effectiveness of a range of diabetes prevention interventions including: (1) soft drinks taxation; (2) retail policy in socially deprived areas; (3) workplace intervention; (4) community-based intervention; and (5) screening and intensive lifestyle intervention in individuals with high diabetes risk. Within the model, individuals follow metabolic trajectories (for BMI, cholesterol, systolic blood pressure and glycaemia); individuals may develop diabetes, and some may exhibit complications of diabetes and related disorders, including cardiovascular disease, and eventually die. Lifetime healthcare costs, employment costs and quality-adjusted life-years are collected for each person. Results: All interventions generate more life-years and lifetime quality-adjusted life-years and reduce healthcare spending compared with doing nothing. Screening and intensive lifestyle intervention generates greatest lifetime net benefit (£37) but is costly to implement. In comparison, soft drinks taxation or retail policy generate lower net benefit (£11 and £11) but are cost-saving in a shorter time period, preferentially benefit individuals from deprived backgrounds and reduce employer costs. Conclusion: The model enables a wide range of diabetes prevention interventions to be evaluated according to cost-effectiveness, employment and equity impacts over the short and long term, allowing decision-makers to prioritize policies that maximize the expected benefits, as well as fulfilling other policy targets, such as addressing social inequalities.
| Type: | Article |
|---|---|
| Title: | Cost-effectiveness of population-based, community, workplace and individual policies for diabetes prevention in the UK |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/dme.13349 |
| Publisher version: | http://doi.org/10.1111/dme.13349 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 (CC BY-NC 4.0) International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/1549809 |
Archive Staff Only
 |
View Item |
