INCIDENCE AND PATTERN OF DIABETES AND PHARMACOECONOMIC ANALYSIS OF ANTIDIABETIC DRUG THERAPY AT A TERTIARY CARE HOSPITAL
Ijtaba Fazili, Masood Tanvir, Amreen Naqash and G.N.Bader
ABSTRACT
Diabetes is most common non-communicable disease worldwide. It is a chronic disorder and requires lifelong treatment. So the cost of antidiabetic drug is the major deciding factor for the patient‟s compliance. The present study was undertaken to assess the incidence and pattern of diabetes in patients in a tertiary care hospital in the heart of Kashmir valley. Main objectives of the study included documentation of various treatments being given to in- patients and outpatients for treating the disease, recording of all the expenses involved in the treatment,such as, cost of drug therapy, cost of various laboratory tests and hospital charges and evaluation of the adherence to treatment guidelines by diabetic patients. Overall objective of the study was to improve patient care by ensuring appropriate and cost-effective drug therapy. Suitable pharmacoeconomic evaluation method namely “Cost of Illness†analysis was applied to determine the total cost of illness for diabetic patients during the study. It was found that urban population was more affected by the disease than rural population, with urban females mostly affected. Hypertension and dyslipidemia were most comorbid conditions associated with the disease. Metformin and glimipride were most commonly prescribed drugs. Cost of illness was found to be in the range of INR100-400.
Keywords: Diabetes, antidiabetic drugs, pharmacoeconomic evaluation.
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