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The Economic Costs of Type 2 Diabetes: A Global Systematic Review


  • Till Seuring


  • Olga Archangelidi
  • Marc Suhrcke


The reviewed studies indicate a large economic burden of diabetes, most directly affecting patients in LMICs. The magnitude of the cost estimates differs considerably between and within countries, calling for the contextualization of the study results. Scope remains large for adding to the evidence base on labour market effects of diabetes in LMICs. Further, there is a need for future COI studies to incorporate more advanced statistical methods in their analysis to account for possible biases in the estimated costs. Copyright The Author(s) 2015

Suggested Citation

  • Till Seuring & Olga Archangelidi & Marc Suhrcke, 2015. "The Economic Costs of Type 2 Diabetes: A Global Systematic Review," PharmacoEconomics, Springer, vol. 33(8), pages 811-831, August.
  • Handle: RePEc:spr:pharme:v:33:y:2015:i:8:p:811-831
    DOI: 10.1007/s40273-015-0268-9

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    References listed on IDEAS

    1. Simon Condliffe & Charles R. Link & Shreekant Parasuraman & Michael F. Pollack, 2013. "The effects of hypertension and obesity on total health-care expenditures of diabetes patients in the United States," Applied Economics Letters, Taylor & Francis Journals, vol. 20(7), pages 649-652, May.
    2. Elena Bastida & José A. Pagán, 2002. "The impact of diabetes on adult employment and earnings of Mexican Americans: Findings from a community based study," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 403-413, July.
    3. Zhang, Xiaohui & Zhao, Xueyan & Harris, Anthony, 2009. "Chronic diseases and labour force participation in Australia," Journal of Health Economics, Elsevier, vol. 28(1), pages 91-108, January.
    4. Ehsan Latif, 2009. "The impact of diabetes on employment in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 18(5), pages 577-589, May.
    5. Tim Dall & Plamen Nikolov & Paul Hogan, 2003. "Economic Costs of Diabetes in the U.S. in 2002," HEW 0306001, University Library of Munich, Germany.
    6. Anthony Harris, 2009. "Diabetes, Cardiovascular Disease and Labour Force Participation in Australia: An Endogenous Multivariate Probit Analysis of Clinical Prevalence Data," The Economic Record, The Economic Society of Australia, vol. 85(271), pages 472-484, December.
    7. Seuring, Till & Goryakin, Yevgeniy & Suhrcke, Marc, 2015. "The impact of diabetes on employment in Mexico," Economics & Human Biology, Elsevier, vol. 18(C), pages 85-100.
    8. Holmes, Jeremy & Gear, Elena & Bottomley, Julia & Gillam, Stephen & Murphy, Moira & Williams, Rhys, 2003. "Do people with type 2 diabetes and their carers lose income? (T2ARDIS-4)," Health Policy, Elsevier, vol. 64(3), pages 291-296, June.
    9. Gyldmark, Marlene & Morrison, Gwendolyn C., 2001. "Demand for health care in Denmark: results of a national sample survey using contingent valuation," Social Science & Medicine, Elsevier, vol. 53(8), pages 1023-1036, October.
    10. Monereo, Susana & Molina, Begoña & Oliva Moreno, Juan & Lobo Aleu, José Félix, 2003. "Direct healthcare costs of diabetes mellitus patients in Spain," UC3M Working papers. Economics we036827, Universidad Carlos III de Madrid. Departamento de Economía.
    11. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    12. H. Shelton Brown & José A. Pagán & Elena Bastida, 2005. "The impact of diabetes on employment: genetic IVs in a bivariate probit," Health Economics, John Wiley & Sons, Ltd., vol. 14(5), pages 537-544, May.
    13. Kahn, Matthew E, 1998. "Health and Labor Market Performance: The Case of Diabetes," Journal of Labor Economics, University of Chicago Press, vol. 16(4), pages 878-899, October.
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    Blog mentions

    As found by, the blog aggregator for Economics research:
    1. Thesis Thursday: Till Seuring
      by Chris Sampson in The Academic Health Economists' Blog on 2017-07-20 11:00:57


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    Cited by:

    1. Daniel Abasolo & Tricia Adjei & Manuel Varela & David Cuesta-Frau & Petra Kavalkova & Marek Benes & Borja Vargas & Martin Haluzik & Vacláv Burda & Daniel Novák & Milos Mraz, 2019. "Influence of Duodenal–Jejunal Implantation on Glucose Dynamics: A Pilot Study Using Different Nonlinear Methods," Complexity, Hindawi, vol. 2019, pages 1-10, February.
    2. Grégoire Lagasnerie & Anne-Sophie Aguadé & Pierre Denis & Anne Fagot-Campagna & Christelle Gastaldi-Menager, 2018. "The economic burden of diabetes to French national health insurance: a new cost-of-illness method based on a combined medicalized and incremental approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(2), pages 189-201, March.
    3. Clémence Bussière & Nicolas Sirven & Thomas Rapp & Christine Sevilla‐Dedieu, 2020. "Adherence to medical follow‐up recommendations reduces hospital admissions: Evidence from diabetic patients in France," Health Economics, John Wiley & Sons, Ltd., vol. 29(4), pages 508-522, April.
    4. Gourzoulidis, George & Kourlaba, Georgia & Stafylas, Panagiotis & Giamouzis, Gregory & Parissis, John & Maniadakis, Nikolaos, 2017. "Association between copayment, medication adherence and outcomes in the management of patients with diabetes and heart failure," Health Policy, Elsevier, vol. 121(4), pages 363-377.
    5. François-Olivier Baudot & Anne-Sophie Aguadé & Thomas Barnay & Christelle Gastaldi-Ménager & Anne Fagot-Campagna, 2019. "Impact of type 2 diabetes on health expenditure: estimation based on individual administrative data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(5), pages 657-668, July.
    6. Seuring, Till & Serneels, Pieter & Suhrcke, Marc & Bachmann, Max, 2018. "Diabetes, Employment and Behavioural Risk Factors in China: Marginal Structural Models versus Fixed Effects Models," IZA Discussion Papers 11817, Institute of Labor Economics (IZA).
    7. Tuulia Varanka-Ruuska & Nina Rautio & Heli Lehtiniemi & Jouko Miettunen & Sirkka Keinänen-Kiukaanniemi & Sylvain Sebert & Leena Ala-Mursula, 2018. "The association of unemployment with glucose metabolism: a systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 435-446, May.

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