<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0213-9111</journal-id>
<journal-title><![CDATA[Gaceta Sanitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Sanit]]></abbrev-journal-title>
<issn>0213-9111</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Salud Pública y Administración Sanitaria (SESPAS)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0213-91112018000300209</article-id>
<article-id pub-id-type="doi">10.1016/j.gaceta.2016.06.015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Costos directos de las hospitalizaciones por diabetes mellitus en el Instituto Mexicano del Seguro Social]]></article-title>
<article-title xml:lang="en"><![CDATA[Direct service costs of diabetes mellitus hospitalisations in the Mexican Institute of Social Security]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Zapata]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacio-Mejía]]></surname>
<given-names><![CDATA[Lina Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aracena-Genao]]></surname>
<given-names><![CDATA[Belkis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Ávila]]></surname>
<given-names><![CDATA[Juan Eugenio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nieto-López]]></surname>
<given-names><![CDATA[Emmanuel Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia Facultad Nacional de Salud Pública &#8220;Héctor Abad Gómez&#8221; ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Información para Decisiones de Salud Pública ]]></institution>
<addr-line><![CDATA[Cuernavaca ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Evaluación y Encuestas ]]></institution>
<addr-line><![CDATA[Cuernavaca ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Información para Decisiones de Salud Pública ]]></institution>
<addr-line><![CDATA[Cuernavaca ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>32</volume>
<numero>3</numero>
<fpage>209</fpage>
<lpage>215</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0213-91112018000300209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0213-91112018000300209&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0213-91112018000300209&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo Estimar para el Instituto los costos directos de las hospitalizaciones por diabetes mellitus y sus. complicaciones en el Instituto Mexicano del Seguro Social.  Método Se estimaron los costos hospitalarios de la atención a pacientes con diabetes mellitus utilizando los grupos relacionados por el diagnóstico en el Instituto Mexicano del Seguro Social (IMSS) entre 2008 y 2013, y los egresos hospitalarios de los códigos E10-E14 correspondientes a diabetes mellitus. Los costos se agruparon según características demográficas y afección principal, y se estimaron en dólares estadounidenses de 2013.  Resultados Se registraron 411.302 egresos hospitalarios por diabetes mellitus, con un costo de 1563. millones de dólares. El 52,44% correspondieron a hombres y el 77,26% fueron por diabetes mellitus tipo 2. El mayor costo es atribuible a las complicaciones circulatorias periféricas (34,84%) y a las personas con 45-64 años de edad (47,1%). En el periodo analizado, los egresos disminuyeron un 3,84% y los costos totales un 1,75%. Las complicaciones que provocaron mayor variación de los costos fueron la cetoacidosis (50,70%), las oftálmicas (22,6%) y las circulatorias (18,81%).  Conclusiones La atención hospitalaria de la diabetes mellitus representa un importante reto financiero para el IMSS, y más aún lo es el incremento en la frecuencia de las hospitalizaciones en población en edad productiva, que afecta a la sociedad en su conjunto, lo que sugiere la necesidad de fortalecer las. acciones de control de las personas diabéticas con miras a prevenir complicaciones que requieran atención. hospitalaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective To estimate the direct costs related to hospitalizations for diabetes mellitus and its complications in the Mexican Institute of Social Security.  Methods The hospital care costs of patients with diabetes mellitus using diagnosis-related groups in the IMSS (Mexican Institute of Social Security) and the hospital discharges from the corresponding E10- E14 codes for diabetes mellitus were estimated between 2008-2013. Costs were grouped according to demographic characteristics and main condition, and were estimated in US dollars in 2013.  Results 411,302 diabetes mellitus discharges were recorded, representing a cost of $1,563 million. 52.44% of hospital discharges were men and 77.26% were for type 2 diabetes mellitus. The biggest cost was attributed to peripheral circulatory complications (34.84%) and people from 45-64 years of age (47.1%). Discharges decreased by 3.84% and total costs by 1.75% in the period analysed. The complications that caused the biggest cost variations were ketoacidosis (50.7%), ophthalmic (22.6%) and circulatory (18.81%).  Conclusions Hospital care for diabetes mellitus represents an important financial challenge for the IMSS. The increase in the frequency of hospitalisations in the productive age group, which affects society as a whole, is an even bigger challenge, and suggests the need to strengthen monitoring of diabetics in order to prevent complications that require hospital care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Costos directos de servicios]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones de la diabetes]]></kwd>
<kwd lng="es"><![CDATA[Seguridad social]]></kwd>
<kwd lng="es"><![CDATA[Grupos relacionados por el diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[Hospitalización]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Direct service costs]]></kwd>
<kwd lng="en"><![CDATA[Diabetes complications]]></kwd>
<kwd lng="en"><![CDATA[Social security]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis-related groups]]></kwd>
<kwd lng="en"><![CDATA[Hospitalisation]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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