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Fig. 2 | BMC Health Services Research

Fig. 2

From: Costs and its drivers for diabetes mellitus type 2 patients in France and Germany: a systematic review of economic studies

Fig. 2

Box and Whisker plot representations of direct type 2 diabetes costs in Germany. Yellow plot, overall direct healthcare costs; green plot, diabetes-specific direct costs; blue plot, diabetes-associated direct costs. T€, thousands of Euro per patient and year, as reported in [36, 60,61,62,63,64,65,66, 69, 70, 72, 73] and indicated in Tables 5–8, 10–14, 16–18 and 20, Additional materials. Outliers and values larger or equal to the upper limit of the third / less or equal to the lower limit of the first quartile. 1, end-stage renal disease (first year) [61]; 2, end-stage renal disease (second year) [61]; 3, last year of life for patients in a type 2 diabetes disease management program [60]; 4, fatal ischemic heart disease [61]; 5, last year of life for patients not in a type 2 diabetes disease management program [60]; 6, nonfatal stroke [61]; 7, fatal stroke [61]; 8, foot complications [61]; 9, enrolled in a type 2 diabetes disease management program [60]; 10, overall healthcare direct costs [64]; 11, retinopathy [61]; 12, no complication [61]; 13, 1 year after insulin initiation [65]; 14, 6 months prior and after insulin initiation [65]; 15, prior insulin glargine initiation [66]; 16, prior NPH insulin initiation [66]; 17, myocardial infarction [36]; 18, on insulin only, excess costs [64]; 19, myocardial infarctions (follow-up, first year) [36]; 20, at least one urinary tract infection, excess costs [73]; 21, disease duration ≥20 years, excess costs [64]; 22, 6.5 ≤ HbA1c < 7.5%, excess costs [64]; 23, disease duration 3–10 years, excess costs [64]; 24, without pharmacological treatment, excess costs [64]; 25, severe hypoglycaemic events (~ 0,1 severe hypoglycaemic events per patient per year) [72]

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