title: [Costs of temporary disability in Spain related to diabetes mellitus and its complications].
abstract: OBJECTIVE
  To ascertain the socioeconomic impact of diabetes, it is essential to estimate overall costs, including both direct and indirect costs (premature retirements, working hours lost, or sick leaves). This study analyzed indirect costs for temporary disability (TD) due to diabetes and its complications in Spain in 2011 by assessing the related ICD-9 MC codes.
  
  
  METHODS
  For this purpose, the number of TD processes and their mean duration were recorded. The indirect costs associated to loss of working days were also estimated.
  
  
  RESULTS
  In 2011, diabetes and its complications were related to 2.567 TD processes, which resulted in the loss of 154.214 days. In terms of costs, this disease represented for Spanish public health administrations an expense of 3,297.095.3 €, with an estimated cost per patient and year of 141 €.
  
  
  CONCLUSIONS
  These data suggest an urgent need to devise plans for prevention and early diagnosis of diabetes and its complications, as well as programs to optimize the available health care resources by creating multidisciplinary teams where occupational medical services assume an important role. A decrease in absenteeism would result in benefits for diabetic patients, society overall, and companies or public institutions.
authors.affiliation: Grupo Correos-Valencia, España; Grupo Investigación Medicina del Trabajo. Electronic address: grupo.gimt@gmail.com.
authors.forename: M Teófila
authors.initials: MT
authors.lastname: Vicente-Herrero
authors.forename: M Jesús
authors.initials: MJ
authors.lastname: Terradillos García
authors.forename: Luisa M
authors.initials: LM
authors.lastname: Capdevila García
authors.forename: M Victoria
authors.initials: MV
authors.lastname: Ramírez Iñiguez de la Torre
authors.forename: Angel Arturo
authors.initials: AA
authors.lastname: López-González
mesh_terms: D000041:Absenteeism; D017281:Cost of Illness; D003365:Costs and Cost Analysis / Q000706:statistics & numerical data*; D048909:Diabetes Complications / Q000191:economics / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000191:economics* / Q000453:epidemiology; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data; D005102:Health Expenditures / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D009313:National Health Programs / Q000191:economics; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000191:economics / Q000453:epidemiology; D015995:Prevalence; D013030:Spain / Q000453:epidemiology
keywords: Coste económico; Diabetes mellitus; Economic burden; Incapacidad temporal; Medicina del trabajo; Occupational health; Occupational medicine; Salud laboral; Temporary disability