Persistent heterogeneity in diabetes technology reimbursement for children with type 1 diabetes: The SWEET perspective

被引:34
作者
Sumnik, Zdenek [1 ]
Szypowska, Agnieszka [2 ]
Iotova, Violeta [3 ]
Bratina, Natasa [4 ]
Cherubini, Valentino [5 ]
Forsander, Gun [6 ,7 ]
Jali, Sujata [8 ]
Raposo, Joao Felipe [9 ,10 ]
Stipancic, Gordana [11 ]
Vazeou, Andriani [12 ]
Veeze, Henk [13 ]
Lange, Karin [14 ]
Papo, N. [15 ]
Kownatka, D. [16 ]
Lion, Silvia
Gerhardsson, P. [17 ]
Kalina, T. [18 ]
Rami-Merhar, B.
Svensson, J.
Hanas, R.
Knip, M.
Witsch, M.
Verkauskiene, R.
Todorovic, S.
Toth-Heyn, P.
Ng, M.
Pelicand, J.
Podolakova, K.
Timar, B.
Casteels, K.
Cordona Hernandez, R.
Hoey, H.
机构
[1] Motol Univ Hosp, Dept Pediat, V Uvalu 84, Prague 15006, Czech Republic
[2] Med Univ Warsaw, Dept Pediat, Warsaw, Poland
[3] Med Univ Varna, Dept Pediat, UMHAT Sv Marina, Varna, Bulgaria
[4] Univ Childrens Hosp, Dept Endocrinol Diabet & Metab, UMC, Ljubljana, Slovenia
[5] G Salesi Hosp, Osped Riuniti Ancona, Azienda Osped Univ, Dept Womens & Childrens Hlth, Ancona, Italy
[6] Univ Gothenburg, Inst Clin Sci, Dept Ped, Gothenburg, Sweden
[7] Sahlgrens Univ Hosp, Queen Silvia Childrens Hosp, Gothenburg, Sweden
[8] KLE Univ Jawaharlal Nehru Med Coll Belgaum, Dept Pediat, Belgaum, India
[9] APDP Diabet Portugal, Lisbon, Portugal
[10] Nova Med Sch, Lisbon, Portugal
[11] Univ Zagreb, Sch Dent Med, Univ Hosp Ctr Sestre Milosrdnice, Dept Pediat, ', Zagreb, Croatia
[12] PA Kyriakou Childrens Hosp, Dept Pediat, Ctr Diabet, Athens, Greece
[13] Diabeter, Rotterdam, Netherlands
[14] Hannover Med Sch, Dept Med Psychol, Hannover, Germany
[15] Medtronic, Dublin, Ireland
[16] Roche, Basel, Switzerland
[17] DexCom, San Diego, CA USA
[18] Abbott, Chicago, IL USA
关键词
children; diabetes technology; reimbursement; type; 1; diabetes; INSULIN PUMP THERAPY; SEVERE HYPOGLYCEMIA; ADOLESCENTS; OUTCOMES; ADULTS; CARE;
D O I
10.1111/pedi.12833
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundFrequent use of modern diabetes technologies increases the chance for optimal type 1 diabetes (T1D) control. Limited reimbursement influences the access of patients with T1D to these modalities and could worsen their prognosis. We aimed to describe the situation of reimbursement for insulins, glucometers, insulin pumps (CSII) and continuous glucose monitoring (CGM) for children with T1D in European countries participating in the SWEET Project and to compare data from EU countries with data from our previous study in 2009. MethodsThe study was conducted between March 2017 and August 2017. First, we approached diabetes technology companies with a survey to map the reimbursement of insulins and diabetic devices. The data collected from these companies were then validated by members of the SWEET consortium. ResultsWe collected data from 29 European countries, whereas all types of insulins are mostly fully covered, heterogeneity was observed regarding the reimbursement of strips for glucometers (from 90 strips/month to no limit). CSII is readily available in 20 of 29 countries. Seven countries reported significant quota issues or obstacles for CSII prescription, and two countries had no CSII reimbursement. CGM is at least partially reimbursed in 17 of 29 countries. The comparison with the 2009 study showed an increasing availability of CSII and CGM across the EU. ConclusionsAlthough innovative diabetes technology is available, a large proportion of children with T1D still do not benefit from it due to its limited reimbursement.
引用
收藏
页码:434 / 443
页数:10
相关论文
共 26 条
[11]   Reimbursement for Continuous Glucose Monitoring [J].
Heinemann, Lutz ;
DeVries, J. Hans .
DIABETES TECHNOLOGY & THERAPEUTICS, 2016, 18 :48-52
[12]   Association of Insulin Pump Therapy vs Insulin Injection Therapy With Severe Hypoglycemia, Ketoacidosis, and Glycemic Control Among Children, Adolescents, and Young Adults With Type 1 Diabetes [J].
Karges, Beate ;
Schwandt, Anke ;
Heidtmann, Bettina ;
Kordonouri, Olga ;
Binder, Elisabeth ;
Schierloh, Ulrike ;
Boettcher, Claudia ;
Kapellen, Thomas ;
Rosenbauer, Joachim ;
Holl, Reinhard W. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 318 (14) :1358-1366
[13]   Hemoglobin A1c Levels and Risk of Severe Hypoglycemia in Children and Young Adults with Type 1 Diabetes from Germany and Austria: A Trend Analysis in a Cohort of 37,539 Patients between 1995 and 2012 [J].
Karges, Beate ;
Rosenbauer, Joachim ;
Kapellen, Thomas ;
Wagner, Verena M. ;
Schober, Edith ;
Karges, Wolfram ;
Holl, Reinhard W. .
PLOS MEDICINE, 2014, 11 (10)
[14]  
Marchand Lucien, 2017, J Diabetes Sci Technol, V11, P924, DOI 10.1177/1932296817700161
[15]   Evaluation of the FreeStyle® Libre Flash Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes [J].
Massa, Guy G. ;
Gys, Inge ;
Op't Eyndt, Anniek ;
Bevilacqua, Esmiralda ;
Wijnands, Anne ;
Declercq, Peter ;
Zeevaert, Renate .
HORMONE RESEARCH IN PAEDIATRICS, 2018, 89 (03) :189-199
[16]   Efficacy and Safety of Rapid-Acting Insulin Analogs in Special Populations with Type 1 Diabetes or Gestational Diabetes: Systematic Review and Meta-Analysis [J].
Norgaard, Kirsten ;
Sukumar, Nithya ;
Rafnsson, Snorri B. ;
Saravanan, Ponnusamy .
DIABETES THERAPY, 2018, 9 (03) :891-917
[17]   Insulin pump therapy in children and adolescents: Changes in dietary habits, composition and quality of life [J].
Peters, Jessica E. ;
Mount, Elizabeth ;
Huggins, Catherine E. ;
Rodda, Christine ;
Silvers, Mary Anne .
JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2013, 49 (04) :E300-E305
[18]   Effectiveness of SmartGuard Technology in the Prevention of Nocturnal Hypoglycemia After Prolonged Physical Activity [J].
Petruzelkova, Lenka ;
Pickova, Klara ;
Sumnik, Zdenek ;
Soupal, Jan ;
Obermannova, Barbora .
DIABETES TECHNOLOGY & THERAPEUTICS, 2017, 19 (05) :299-304
[19]   Glycaemic control in type 1 diabetes during real time continuous glucose monitoring compared with self monitoring of blood glucose: meta-analysis of randomised controlled trials using individual patient data [J].
Pickup, John C. ;
Freeman, Suzanne C. ;
Sutton, Alex J. .
BMJ-BRITISH MEDICAL JOURNAL, 2011, 343
[20]   ISPAD Clinical Practice Consensus Guidelines 2018: Diabetes technologies [J].
Sherr, Jennifer L. ;
Tauschmann, Martin ;
Battelino, Tadej ;
de Bock, Martin ;
Forlenza, Gregory ;
Roman, Rossana ;
Hood, Korey K. ;
Maahs, David M. .
PEDIATRIC DIABETES, 2018, 19 :302-325