Favorable cardiovascular risk factor profile is associated with lower healthcare expenditure and resource utilization among adults with diabetes mellitus free of established cardiovascular disease: 2012 Medical Expenditure Panel Survey (MEPS)

David I. Feldman, Javier Valero-Elizondo, Joseph A. Salami, Jamal S. Rana, Oluseye Ogunmoroti, Chukwuemeka U. Osondu, Erica S. Spatz, Salim S. Virani, Ron Blankstein, Michael J. Blaha, Emir Veledar, Khurram Nasir

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background and aims Given the prevalence and economic burden of diabetes mellitus (DM), we studied the impact of a favorable cardiovascular risk factor (CRF) profile on healthcare expenditures and resource utilization among individuals without cardiovascular disease (CVD), by DM status. Methods 25,317 participants were categorized into 3 mutually-exclusive strata: “Poor”, “Average” and “Optimal” CRF profiles (≥4, 2–3, 0–1 CRF, respectively). Two-part econometric models were utilized to study cost data. Results Mean age was 45 (48% male), with 54% having optimal, 39% average, and 7% poor CRF profiles. Individuals with DM were more likely to have poor CRF profile vs. those without DM (OR 7.7, 95% CI 6.4, 9.2). Individuals with DM/poor CRF profile had a mean annual expenditure of $9,006, compared to $6,461 among those with DM/optimal CRF profile (p < 0.001). Conclusions A favorable CRF profile is associated with significantly lower healthcare expenditures and utilization in CVD-free individuals across DM status, suggesting that these individuals require aggressive individualized prescriptions targeting lifestyle modifications and therapeutic treatments.

Original languageEnglish (US)
Pages (from-to)79-83
Number of pages5
JournalAtherosclerosis
Volume258
DOIs
StatePublished - Mar 1 2017

Keywords

  • Cardiovascular disease
  • Cardiovascular risk factor profile
  • Diabetes mellitus
  • Healthcare expenditures
  • Resource utilization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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