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Global Health Economics and
            Sustainability
                                                                     Hospitalizations due to obesity and deaths from diabetes



            Table 1. Descriptive statistics for diabetes‑related hospital costs by the municipality, hospitalizations by the municipality, and
            hospital costs by age group (2000 – 2021)
            Municipality          Cost by municipality  Hospitalization by municipality  Cost by age group
                                 Sum        Mean        Sum         Mean       Age group     Sum        Mean
            Acrelândia          12,625     573.87       91          4.14        <1 y      48,133.17    2,187.87
            Assis.Brasil        9,097      413.51       59          2.68        1 – 4 y   39,019.04    1,773.59
            Brasiléia           180,911    8,223.22     403         18.32       5 – 9 y   42,653.00    1,938.77
            Bujari              0          0.00         47          2.14        10 – 14 y  81,855.22   3,720.69
            Capixaba            0          0.00         72          3.27        15 – 19 y  113,254.95  5,147.95
            Cruzeiro.do.Sul     700,905 a  31,859.33 a  1,106 a     50.27       20 – 29 y  216,099.43  9,822.70
            Epitaciolândia      0          0.00         283         12.86       30 – 39 y  415,092.97  18,867.86
            Feijó               9,433      428.77       99          4.50        40 – 49 y  559,399.98  25,427.27
            Jordão              0          0.00         3           0.14        50 – 59 y  1,057,117.06 a  48,050.78
            Mâncio.Lima         40,025     1,819.33     200         9.09        60 – 69 y  1,105,697.40 a  50,258.97
            Manoel.Urbano       3,922      178.29       33          1.50        70 – 79 y  1,007,709.26 a  45,804.97
            Marechal.Thaumaturgo  1,677    76.21        60          2.73        >80 y     494,399.56   22,472.71
            Plácido.de.Castro   44,327     2,014.85     182         8.27
            Porto.Acre          0          0.00         95          4.32
            Porto.Walter        815        37.05        36          1.64
            Rio.Branco          3,742,669 a  170,121.32  4,668 a    212.18
            Rodrigues.Alves     10,519     478.15       110         5.00
            Santa.Rosa.do.Purus  2,245     102.04       6           0.27
            Sena.Madureira      242,026 a  11,001.16    760 a       34.55
            Senador.Guiomard    43,646     1,983.92     227         10.32
            Tarauacá            44,521     2,023.69     234         10.64
            Xapuri              86,959     3,952.70     285         12.95
            Notes:  refers to the trend of hospitalizations and hospital costs due to diabetes from 2000 to 2021. When categorized by age group and municipalities,
                 a
            an increase was observed starting from the 40 – 49 age group, intensifying in the 70 – 79 age group when compared to other age groups. The
            municipality leading the trend was Rio Branco, followed by Cruzeiro do Sul and Sena Madureira. The data provided by the SUS Department of
            Bioinformatics system refers to the amount (Brazilian real) associated with the Hospitalization Authorization (AIH) approved during the period. This
            amount does not necessarily reflect the amount transferred to the establishment, as units may receive budgetary resources or face withholdings and
            payments. In addition, incentive payments and other budgetary resources not presented here may apply. Therefore, this value should be considered as
            the approved production value.
            Abbreviation: y: Years.
            who also exhibited significant numbers compared to other   Figure  2 shows the trend in deaths from T2DM by
            groups. In the sex category, the difference between males   sex, confirming that there were no significant differences
            and females was minimal, with both sexes showing very   between males and females. This observation suggests that
            similar figures.                                   death rates for both sexes remained closely aligned over
              Figure 1 illustrates the trend in deaths from T2DM from   the years.
            2000 to 2021, categorized by age group. It is evident that   Table 3 correlates T2DM-related deaths with age group,
            the groups from 1 to 4 years up to 10 – 14 years remained   sex, and race/skin color variables. It shows that deaths in
            stable with no significant changes. From the 15 – 19 age   the 10 to 14 age group were predominantly among females,
            group onward, there was a slight increase, followed by a   indicating a higher prevalence of T2DM-related deaths in
            more pronounced rise in the 40 – 49 age group, reaching   women within this group. In addition, a correlation was
            a sharp increase in the 70 – 79 age group compared to the   found between deaths in the 20 – 29 and 80 and above
            other groups. A decrease in deaths was also observed in the   age groups with the Indigenous race/skin color category,
            80 and older age group.                            both occurring predominantly in females. Deaths in the



            Volume 3 Issue 2 (2025)                        106                       https://doi.org/10.36922/ghes.3027
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