IAI SPECIAL EDITION: Cost of illness analysis of diabetes mellitus with complications in one hospital in Surabaya


  • Yohana Febriani Putri Peu Patty Universitas Airlangga, Surabaya, Indonesia
  • Yunita Nita Universitas Airlangga, Surabaya, Indonesia https://orcid.org/0000-0001-8918-2901
  • Libriansyah Dr Ramelan Navy Central Hospital, Surabaya, Indonesia




Complication, Cost of Illness, Diabetes mellitus


Introduction: The high prevalence and incidence of complications due to diabetes mellitus impose an economic burden on patients and society.    

Aim: To obtain an overview of the cost of diabetes mellitus with complications and identify the factors that affect it.    

Methods: This study was conducted based on the perspective of health care providers.     

Results: The cost of illness for diabetes mellitus with complications was IDR 2,654,047,597 and an average cost of IDR 15,688,528/patient. Diabetes mellitus type 2 with peripheral circulation complications (E11.5) had the highest average cost (IDR 34,135,284/patient). The factors that significantly influenced direct medical costs were the length of stay, class of hospitalisation, and type of complications (Charlson comorbidity index).    

Conclusion: The results of this study indicate that the presence of complications increases the cost of diabetes mellitus treatment.

Author Biographies

Yohana Febriani Putri Peu Patty, Universitas Airlangga, Surabaya, Indonesia

Faculty of Pharmacy

Yunita Nita, Universitas Airlangga, Surabaya, Indonesia

Faculty of Pharmacy

Libriansyah, Dr Ramelan Navy Central Hospital, Surabaya, Indonesia

Department of Internal Medicine


Adiga, U., & Adiga, S. (2018). A Cost of Illness Study of Type 2 Diabetes Mellitus in Mangalore, Karnataka, India. Asian Journal of Pharmaceutical and Clinical Research, 11(11), 139. https://doi.org/10.22159/ajpcr.2018.v11i11.27558

Andersson, E., Persson, S., Hallén, N., Ericsson, Å., Thielke, D., Lindgren, P., Steen Carlsson, K., & Jendle, J. (2020). Costs of Diabetes Complications: Hospital-Based Care and Absence From Work for 392,200 People with Type 2 Diabetes and Matched Control Participants in Sweden. Diabetologia, 63(12), 2582–2594. https://doi.org/10.1007/s00125-020-05277-3

Aulia, D., Ayu, S.F., & Nasution, N.H. (2017). Analysis of Hospital Efforts to Cover Deviation of INA-CBGs Claim using Activities Base Costing Method in Privat Hospital, Medan, 2017. Jurnal Ekonomi Kesehatan Indonesia, 1(4), 159–166. https://doi.org/10.7454/eki.v1i4.1783

Ganasegeran, K., Hor, C.P., Jamil, M.F.A., Loh, H.C., Noor, J. M., Hamid, N.A., Suppiah, P.D., Manaf, M.R.A., Ch’ng, A.S. H., & Looi, I. (2020). A Systematic Review of the Economic Burden of Type 2 Diabetes in Malaysia. Nt. J. Environ. Res. Public Health, 17(16), 1–23. https://doi.org/10.3390/ijerph17165723

International Diabetes Federation. (2019). IDF Diabetes Atlas: Ninth edition 2019. In The Lancet (Vol. 266, Issue 6881). https://doi.org/10.1016/S0140-6736(55)92135-8

Kementerian Kesehatan Republik Indonesia. (2018). Hasil Utama Riset Kesehatan Dasar Jawa Timur 2018. Badan Penelitian Dan Pengembangan Kesehatan, 1–82

Patty, Y.F.P.P., Mufarrihah, & Nita, Y. (2021). Cost of Illness of Diabetes Mellitus in Indonesia: a Systematic Review. Journal of Basic and Clinical Physiology and Pharmacology, 32(4), 285–295. https://doi.org/10.1515/jbcpp-2020-0502

Puspandari, D.A., Mukti, A.G., Kusnanto, H., Kebijakan, P., & Asuransi, M. (2015). Determinant Factors of Drug Cost for Breast Cancer Patient in Indonesia. Jurnal Kebijakan Kesehatan Indonesia, 04(03), 104–108

Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., Guariguata, L., Motala, A.A., Ogurtsova, K., Shaw, J.E., Bright, D., & Williams, R. (2019). Global and Regional Diabetes Prevalence Estimates for 2019 and Projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th Edition. Diabetes Research and Clinical Practice, 157, 1–10. https://doi.org/10.1016/j.diabres.2019.107843

Tuan Kiet Pham, H., Tuyet Mai Kieu, T., Duc Duong, T., Dieu Van Nguyen, K., Tran, N.Q., Hung Tran, T., & Yi Siu Ng, J. (2020). Direct Medical Costs of Diabetes and its Complications In Vietnam: A National Health Insurance Database Study. Diabetes Research and Clinical Practice, 162, 108051. https://doi.org/10.1016/j.diabres.2020.108051




How to Cite

Patty, Y. F. P. P., Nita, Y. ., & Libriansyah. (2022). IAI SPECIAL EDITION: Cost of illness analysis of diabetes mellitus with complications in one hospital in Surabaya. Pharmacy Education, 22(2), p. 254–258. https://doi.org/10.46542/pe.2022.222.254258



Special Edition