Costs of DPN and its complications in the U.S.
| Health state . | Estimated cost ($) . | References . |
|---|---|---|
| Mean weekly cost | ||
| Painful symptomatic DPN | $5.90* | (12) |
| Foot ulcer | ||
| Not infected | $178.97† | (12) |
| With cellulitis | $472.73† | (12) |
| With osteomyelitis | $876.52† | (11, 12) |
| Total event cost | ||
| Amputation | ||
| Toe | $22,702.65 | (11) |
| Foot | $42,673.04 | (11) |
| Leg | $51,280.94‡ | (11) |
| Health state . | Estimated cost ($) . | References . |
|---|---|---|
| Mean weekly cost | ||
| Painful symptomatic DPN | $5.90* | (12) |
| Foot ulcer | ||
| Not infected | $178.97† | (12) |
| With cellulitis | $472.73† | (12) |
| With osteomyelitis | $876.52† | (11, 12) |
| Total event cost | ||
| Amputation | ||
| Toe | $22,702.65 | (11) |
| Foot | $42,673.04 | (11) |
| Leg | $51,280.94‡ | (11) |
Price year: 2001.
Typical weekly cost of a tricyclic antidepressant.
Gauze dressing two times a day. Mean numbers of weekly outpatient clinic attendances: 0.5 (no deep infection), one (with cellulitis), and 1.5 (with osteomyelitis). Proportions of patients receiving nurse home visits: 25% (no deep infection), 50% (with cellulitis), and 75% (with osteomyelitis). Mean numbers of weekly nurse home visits: three (no deep infection) and five (with cellulitis or osteomyelitis). Drugs received: cephalexin (500 mg four times a day; 50% of patients with no deep infection), clindamycin (300 mg three times a day; 50% of patients with no deep infection and all patients with a foot ulcer accompanied by cellulitis or osteomyelitis), and ciprofloxacin (500 mg two times a day; all patients with a foot ulcer accompanied by cellulitis, 400 mg two times a day; all patients with a foot ulcer accompanied by osteomyelitis).
Assumed cost of prosthetic leg: $15,000.