Cost-utility and sensitivity analysis of an online education platform and diabetes personal health record: Analysis over ten years

S. G. Cunningham, A. Stoddart, S. H. Wild, N. J. Conway, A. M. Gray, D. J. Wake

Research output: Contribution to journalArticlepeer-review


Background and Aims: My Diabetes My Way (MDMW) is Scotland’s interactive website and mobile app for people with diabetes and carers (currently ~55,000 registrants). It contains multimedia resources for diabetes education and offers access to electronic personal health records. This study aims to assess the cost- utility of MDMW compared to routine diabetes care in people with type 2 diabetes who do not use insulin.

Analysis used the United Kingdom Prospective Diabetes Study (UKPDS) Outcomes Model 2. Clinical parameters of MDMW users (n = 2,576) were compared with a matched cohort of individuals receiving routine care alone (n = 11,628). Matching criteria: age, diabetes duration, sex and socio- economic status. Impact on life expectancy, quality- adjusted life years (QALY) and costs of treatment and complications were simulated over ten years, alongside a 10% sensitivity analysis.

MDMW cohort: 1670 (64.8%) men; average age 64.3 years; duration of diabetes 5.5 years. Females: average age 61.6; duration 4.7 years. The cumulative mean QALY (95% CI) gain: 0.054 (0.044; 0.062) years. Mean difference in cost: - £118.72 (- £150.16; - £54.16) over ten years. Increasing MDMW costs (10%): - £50.49 (- £82.24; £14.14). Decreasing MDMW costs (10%): - £186.95 (- £218.53; - £122.51).

MDMW is ‘dominant’ over usual care (cost- saving and life improving) in supporting self- management in people with type 2 diabetes not treated with insulin. Wider use may result in significant cost savings through delay or reduction of long- term complications and increased life expectancy in Scotland and other countries. MDMW may be among the most cost- effective interventions currently avail-able to support diabetes.
Original languageEnglish
Article numberP151
Pages (from-to)55
Number of pages1
JournalDiabetic Medicine
Issue numberS1
Publication statusPublished - 1 Apr 2021
EventDiabetes UK Professional Conference 2021 - Online
Duration: 19 Apr 202130 Apr 2021


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