Cost-effectiveness of shared telemedicine appointments in young adults with T1D: CoYoT1 trial
File(s)
Supporting information
Accepted version
Author(s)
Type
Journal Article
Abstract
OBJECTIVE: Young adults(YAs)with type 1 diabetes (T1D) often struggle to achieve glycemic control and maintain routine clinic visits. We aimed to evaluate the societal cost-effectiveness of the Colorado YAswith T1D (CoYoT1) Clinic, an innovative caremodel ofshared medical appointments through home telehealth.RESEARCH DESIGN AND METHODS: Patients self-selected into the CoYoT1 (N=42) or usual care (N=39) groups. RESULTS: Within the trial, we foundno significant differences in 9-month quality-adjusted life; however,the control group had a larger decline from baseline inutility than the CoYoT1 group, indicating a quality of life(QoL) benefit of the intervention (difference in difference mean ± SD: +0.04 ± 0.09, P=0.03). There was no significant difference in total costs. The CoYoT1 group had more study-related visits but fewer non-study office visits and hospitalizations. CONCLUSIONS: The CoYoT1 care model may help YAs with T1D maintain a higher QoLwith no increase in costs.
Date Issued
2019-07-22
Date Acceptance
2019-05-02
Citation
Diabetes Care, 2019, 42 (8), pp.1589-1592
ISSN
0149-5992
Publisher
American Diabetes Association
Start Page
1589
End Page
1592
Journal / Book Title
Diabetes Care
Volume
42
Issue
8
Copyright Statement
© 2019 by the American Diabetes Association. http://www.diabetesjournals.org/content/license
Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.
Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.
Subjects
Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
RECOMMENDATIONS
HEALTH
CARE
11 Medical and Health Sciences
Endocrinology & Metabolism
Publication Status
Published
Date Publish Online
2019-06-12