Initial impact and cost of a nationwide population screening campaign for diabetes in Brazil: A follow up study
2008

Impact and Cost of a Diabetes Screening Campaign in Brazil

Sample size: 90106 publication Evidence: moderate

Author Information

Author(s): Toscano Cristiana M, Duncan Bruce B, Mengue Sotero S, Polanczyk Carísi Anne, Nucci Luciana B, Costa e Forti Adriana, Fonseca Cláudio D, Schmidt Maria Inês

Primary Institution: Federal University of Rio Grande do Sul

Hypothesis

The study aims to evaluate the initial impact of a nationwide population screening program for diabetes in Brazil.

Conclusion

The screening program successfully diagnosed nearly 350,000 new diabetes cases and incorporated many previously untreated cases into healthcare.

Supporting Evidence

  • 3,417,106 positive tests were identified from 22,069,905 screenings.
  • 346,168 new diabetes cases were diagnosed, with 319,157 incorporated into healthcare.
  • The cost per new diabetes case diagnosed was US$ 76.
  • 64 screening tests were needed to detect one new case of diabetes.

Takeaway

In Brazil, a big screening test for diabetes found a lot of people with the disease, helping them get the care they need.

Methodology

The study used a stratified random sample of screening tests and followed up with a sub-sample of positive screenees through home interviews.

Potential Biases

Potential underestimation of diabetes cases due to exclusion of less privileged individuals.

Limitations

Missing data and difficulties in locating participants may have biased the findings.

Participant Demographics

56.9% women, 47.3% aged 60 and older, 81.2% had less than a complete primary school education.

Statistical Information

Confidence Interval

95% CI 290,454 – 401,852 for new cases diagnosed.

Digital Object Identifier (DOI)

10.1186/1472-6963-8-189

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