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An Economic Tsunami – The cost of diabetes in Canada.
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An Economic Tsunami – The cost of diabetes in Canada Presentation to the First Canadian Summit on Metabolic Surgery for Type 2 DiabetesThursday, May 6th, 2010Margaret Beatty, RN, MHSc, CHE Vice-President, Research, Professional Education & Government AffairsRobin SomervilleDirector, The Centre for Spatial Economics
•A member-driven charitable association•A presence across Canada• Supported by a volunteer network Who we are 1
What we do • Programs and services • Research • Education and information • Advocacy
Objectives of the Report • Define the cost/burden of diabetes • Create a forecasting model • Efficacy of interventions
Expert Advisory Committee • Dr. Jeff Johnson, University of Alberta • Dr. Paula Stewart, Public Health Agency of Canada • Glenn Robbins, Public Health Agency of Canada • Chris Cameron, Canadian Agency for Drugs and Technologies in Health • Denis Bélanger, Canadian Agency for Drugs and Technologies in Health • David Whiting, International Diabetes Federation • Ole Henrikson, Novo Nordisk • Nik Nikolav, Novo Nordisk • Tanya Wymer, Novo Nordisk • Robyn Tamblyn, McGill University • Michael Wolfson, Statistics Canada • Mike McCracken, Informetrica • Paul Jacobson, Informetrica • Robin Somerville, Centre for Spatial Economics
Key Findings Cost of Diabetes in Canada: • $12.2 billion today • $16.9 billion by 2020
Key Findings Prevalence of Diabetes in Canada: • 2.5 million have been diagnosed with diabetes (3 million have diabetes) • 1.2 million more will be diagnosed over next decade • Population with diabetes is 7.3% increasing to 9.9% by 2020 • 1 in 4 in four Canadians either has diabetes or prediabetes
An Ounce of Prevention • Interventions = reduce costs • 2% reduction = 9% (direct) & 7% (indirect) cost savings
Need for Action Key areas should include: • Canadian Diabetes Strategy/Aboriginal Diabetes Initiative • Tax strategies • Research
The Canadian Diabetes Cost Model The Model Can: • Project the costs, incidence and prevalence of diabetes • Determine the cost benefit of initiatives designed to delay or prevent the onset of type 2 diabetes • Be developed further to provide province-specific data
The Canadian Diabetes Cost Model Why it is unique? • It is independent • It uses Canadian data • It includes indirect costs
The Canadian Diabetes Cost Model Key Assumptions: • Population growth • Incidence rates • Mortality rates • Occurrence rates (hospitalization, doctor visits, medication, etc.) • Per unit costs (2005 dollars)
Key Drivers: Prevalence Main drivers: • Population increases • Aging population • Rising incidence rates • Demographics (changes in ethnic mix), obesity rates & sedentary lifestyles
Key Drivers: Costs Indirect: • Mortality costs • Long-term disability costs Direct: • Direct hospitalization • CVD-related costs • General practitioner visit costs • Specialist visit costs • Diabetes medication costs
Next Steps • Update the Model (April – October 2010) • Provincial Models (NB in May 2010, ON in June 2010) • Regional & Community Models (November 2010) • Impact Studies (2011) • Detailed Treatment of Co-morbidities (2011-2012)
Thank you Thank you for helping us lead the fight against diabetes by helping people with diabetes live healthy lives while we work to find a cure. Our report, An Economic Tsunami: the cost of diabetes in Canada, is available in English and French at diabetes.ca/economicreport