Parameter | Value | Lower estimate | Upper estimate | Reference |
---|---|---|---|---|
Epidemiology | ||||
a. Total population with Type 2 diabetes mellitus | 942,000 | [11] | ||
b. % diabetics at high risk for ulcer | 21.90 % | |||
c. Prevalence of ulcer in those at high-risk | 22.18 % | 15.53 % | 28.84 % | [9, 14, 15] Own assumption: values for lower and upper estimate +/−30 % |
c1. Effectiveness (reduced prevalence) with standard care | 45.00 % | 30.00 % | 60.00 % | [9, 14, 15] Own assumption: assumed values for lower and upper estimate. |
c2. Effectiveness (reduced prevalence) with standard care plus temperature monitoring | 78.81 % | 65.00 % | 85.00 % | [9, 14, 15] Own assumption: assumed values for lower and upper estimate. |
d. % with ulcer receiving hospital care | 30.00 % | 21.00 % | 39.00 % | [16] Own assumption: values for lower and upper estimate +/−30 % |
e. % with ulcer receiving outpatient wound management | 70.00 % | 61.00 % | 79.00 % | [16] Own assumption: values for lower and upper estimate. |
f. % at hospital with amputation and heal | 47.75 % | 33.43 % | 62.08 % | [16] Own assumption: values for lower and upper estimate +/−30 % |
f1. % with major amputation | 55.80 % | [16] | ||
f2. % with minor amputation | 44.20 % | [16] | ||
g. % at hospital with debridement and heal | 39.45 % | 25.12 % | 53.77 % | [16] Own assumption: values for lower and upper estimate +/−30 % |
h. % at hospital that die of diabetic foot after an amputation | 12.80 % | [16] | ||
Direct costs (in 2012 US dollars) | ||||
Prevention | ||||
Sub-optimal care | 65 | 45 | 84 | [17, 18] Other local prices. Own assumption: values for lower and upper estimate +/−30 % |
Standard care | 185 | 129 | 240 | [17, 18] Other local prices. Own assumption: values for lower and upper estimate +/−30 % |
Standard care plus temperature monitoring | 406 | 285 | 528 | [17, 18] Other local prices. Own assumption: values for lower and upper estimate +/−30 % |
Treatment | ||||
Wound management without hospitalization | 79 | |||
Debridement | 1,022 | |||
Minor amputation | 5,153 | |||
Major amputation | 7,360 | 5,152 | 9,568 | [17, 18] Other local prices. Own assumption: values for lower and upper estimate +/−30 % |
Indirect costs (in 2012 US dollars) | ||||
Productivity loss from premature death | 6,719 | Peru's basic salary in year 2012; 3 % discount rate. |