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Total cost of care increases significantly from early to mild Alzheimer’s disease: 5-year ALSOVA follow-up
- Source :
- Age and Ageing
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- Introduction We studied the costs of formal and informal care in relation to Alzheimer’s disease (AD) progression. Methods 231 persons with AD with a family caregiver were followed up for 5 years. The Clinical Dementia Rating Scale—Sum of Boxes (CDR-SB) was used to measure AD progression. Health and social care unit costs were used for formal care costs. An opportunity cost method for lost leisure time was applied to analyse the cost of informal care. Results Total cost of care in early stage AD (CDR-SB ≤ 4) was 16,448€ (95% CI 13,722–19,716) annually. In mild (CDR-SB 4.5–9), moderate (CDR-SB 9.5–15.5) and severe (CDR-SB ≥ 16) AD, the total costs were 2.3, 3.4 and 4.4 times higher, respectively. A one-unit increase in CDR-SB increased the total, formal and informal costs by 15, 11 and 18%, respectively. Conclusions Compared to early AD, the costs of total, formal and informal care are remarkably higher already in mild AD. This finding emphasises early diagnosis, interventions and family support for persons with AD and their caregivers.
- Subjects :
- Gerontology
Aging
IMPACT
Total cost
Family support
Leisure time
Psychological intervention
PROGRESSION
Disease
ageing/5
ageing/7
3124 Neurology and psychiatry
older people
AcademicSubjects/MED00280
0302 clinical medicine
cost of care
030212 general & internal medicine
PREDICTORS
The Clinical Dementia Rating Scale—Sum of Boxes (CDR-SB)
health care economics and organizations
POPULATION
follow-up study
General Medicine
Alzheimer's disease
Mental Status and Dementia Tests
informal care
Caregivers
Disease Progression
formal care
Alzheimer’s disease
Research Paper
Opportunity cost
Clinical Dementia Rating
BOXES
DEMENTIA RATING-SUM
03 medical and health sciences
Alzheimer Disease
mental disorders
medicine
Humans
Dementia
The Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB)
ALSOVA
business.industry
3112 Neurosciences
SERVICES
medicine.disease
SEVERITY
3121 General medicine, internal medicine and other clinical medicine
Geriatrics and Gerontology
business
030217 neurology & neurosurgery
dementia
Follow-Up Studies
Subjects
Details
- ISSN :
- 14682834 and 00020729
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Age and Ageing
- Accession number :
- edsair.doi.dedup.....2375e676f8b4cf30bdad50b099377870