title: [Direct service costs of diabetes mellitus hospitalisations in the Mexican Institute of Social Security].
abstract: OBJECTIVE
  To estimate the direct costs related to hospitalizations for diabetes mellitus and its complications in the Mexican Institute of Social Security METHODS: The hospital care costs of patients with diabetes mellitus using diagnosis-related groups in the IMSS (Mexican Institute of Social Security) and the hospital discharges from the corresponding E10-E14 codes for diabetes mellitus were estimated between 2008-2013. Costs were grouped according to demographic characteristics and main condition, and were estimated in US dollars in 2013.
  
  
  RESULTS
  411,302 diabetes mellitus discharges were recorded, representing a cost of $1,563 million. 52.44% of hospital discharges were men and 77.26% were for type 2 diabetes mellitus. The biggest cost was attributed to peripheral circulatory complications (34.84%) and people from 45-64 years of age (47.1%). Discharges decreased by 3.84% and total costs by 1.75% in the period analysed. The complications that caused the biggest cost variations were ketoacidosis (50.7%), ophthalmic (22.6%) and circulatory (18.81%).
  
  
  CONCLUSIONS
  Hospital care for diabetes mellitus represents an important financial challenge for the IMSS. The increase in the frequency of hospitalisations in the productive age group, which affects society as a whole, is an even bigger challenge, and suggests the need to strengthen monitoring of diabetics in order to prevent complications that require hospital care.
authors: Facultad Nacional de Salud Pública "Héctor Abad Gómez", Universidad de Antioquia, Medellín, Colombia.
authors: Leonardo
authors: L
authors: Salas-Zapata
authors: Centro de Información para Decisiones de Salud Pública, CONACYT-Instituto Nacional de Salud Pública, Cuernavaca, México. Electronic address: lpalacio@insp.mx.
authors: Lina Sofía
authors: LS
authors: Palacio-Mejía
authors: Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, México.
authors: Belkis
authors: B
authors: Aracena-Genao
authors: Centro de Información para Decisiones de Salud Pública, Instituto Nacional de Salud Pública, Cuernavaca, México.
authors: Juan Eugenio
authors: JE
authors: Hernández-Ávila
authors: Facultad Nacional de Salud Pública "Héctor Abad Gómez", Universidad de Antioquia, Medellín, Colombia.
authors: Emmanuel Salvador
authors: ES
authors: Nieto-López
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D048909:Diabetes Complications / Q000191:economics* / Q000628:therapy; D003920:Diabetes Mellitus / Q000191:economics* / Q000628:therapy; D004180:Direct Service Costs; D005260:Female; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D007223:Infant; D008297:Male; D008800:Mexico; D008875:Middle Aged; D012189:Retrospective Studies; D012943:Social Security; D055815:Young Adult
keywords: Complicaciones de la diabetes; Costos directos de servicios; Diabetes complications; Diagnosis-related groups; Direct service costs; Grupos relacionados por el diagnóstico; Hospitalisation; Hospitalización; Mexico; México; Seguridad social; Social security