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Net costs of dementia by disease stage.

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Title: Net costs of dementia by disease stage.
Authors: Leicht, H. (AUTHOR), Heinrich, S. (AUTHOR), Heider, D. (AUTHOR), Bachmann, C. (AUTHOR), Bickel, H. (AUTHOR), van den Bussche, H. (AUTHOR), Fuchs, A. (AUTHOR), Luppa, M. (AUTHOR), Maier, W. (AUTHOR), Mösch, E. (AUTHOR), Pentzek, M. (AUTHOR), Rieder‐Heller, S. G. (AUTHOR), Tebarth, F. (AUTHOR), Werle, J. (AUTHOR), Weyerer, S. (AUTHOR), Wiese, B. (AUTHOR), Zimmermann, T. (AUTHOR), König, H.‐H. (AUTHOR)
Source: Acta Psychiatrica Scandinavica. Nov2011, Vol. 124 Issue 5, p384-395. 12p. 6 Charts.
Subjects: Care of dementia patients, Medical care costs, Profit, Disease progression, Regression analysis
Abstract: Leicht H, Heinrich S, Heider D, Bachmann C, Bickel H, van den Bussche H, Fuchs A, Luppa M, Maier W, Mösch E, Pentzek M, Rieder-Heller SG, Tebarth F, Werle J, Weyerer S, Wiese B, Zimmermann T, König H-H, for the AgeCoDe study group. Net costs of dementia by disease stage. Objective: To estimate net costs of dementia by degree of severity from a societal perspective, including a detailed assessment of costs of formal and informal nursing care. Method: In a cross-sectional study, costs of illness were analysed in 176 dementia patients and 173 matched non-demented control subjects. Healthcare resource use and costs were assessed retrospectively by means of a questionnaire. Dementia patients were classified into three disease stages, and linear regression models were applied to estimate net costs of dementia by degree of severity. Results: Annual net costs of dementia by stage were approximately €15 000 (mild), €32 000 (moderate) and €42 000 (severe), corresponding to US-$21 450, 45 760 and 60 060 respectively. Across disease stages, nursing care accounted for approximately three-quarters of total costs, of which half resulted from informal care. In sensitivity analyses using different valuation methods for nursing care, total costs decreased or increased by more than 20%. Conclusion: Net costs more than double across stages of dementia. Informal care accounts for a considerable share of nursing care costs, and the approach to valuation of informal care has a large impact on cost-of-illness estimates. [ABSTRACT FROM AUTHOR]
Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Net costs of dementia by disease stage.
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  Data: <searchLink fieldCode="AR" term="%22Leicht%2C+H%2E%22">Leicht, H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heinrich%2C+S%2E%22">Heinrich, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heider%2C+D%2E%22">Heider, D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bachmann%2C+C%2E%22">Bachmann, C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bickel%2C+H%2E%22">Bickel, H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+den+Bussche%2C+H%2E%22">van den Bussche, H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fuchs%2C+A%2E%22">Fuchs, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Luppa%2C+M%2E%22">Luppa, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maier%2C+W%2E%22">Maier, W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mösch%2C+E%2E%22">Mösch, E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pentzek%2C+M%2E%22">Pentzek, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rieder‐Heller%2C+S%2E+G%2E%22">Rieder‐Heller, S. G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tebarth%2C+F%2E%22">Tebarth, F.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Werle%2C+J%2E%22">Werle, J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Weyerer%2C+S%2E%22">Weyerer, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wiese%2C+B%2E%22">Wiese, B.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zimmermann%2C+T%2E%22">Zimmermann, T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22König%2C+H%2E‐H%2E%22">König, H.‐H.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Acta+Psychiatrica+Scandinavica%22">Acta Psychiatrica Scandinavica</searchLink>. Nov2011, Vol. 124 Issue 5, p384-395. 12p. 6 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Care+of+dementia+patients%22">Care of dementia patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Profit%22">Profit</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+progression%22">Disease progression</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink>
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  Data: Leicht H, Heinrich S, Heider D, Bachmann C, Bickel H, van den Bussche H, Fuchs A, Luppa M, Maier W, Mösch E, Pentzek M, Rieder-Heller SG, Tebarth F, Werle J, Weyerer S, Wiese B, Zimmermann T, König H-H, for the AgeCoDe study group. Net costs of dementia by disease stage. Objective: To estimate net costs of dementia by degree of severity from a societal perspective, including a detailed assessment of costs of formal and informal nursing care. Method: In a cross-sectional study, costs of illness were analysed in 176 dementia patients and 173 matched non-demented control subjects. Healthcare resource use and costs were assessed retrospectively by means of a questionnaire. Dementia patients were classified into three disease stages, and linear regression models were applied to estimate net costs of dementia by degree of severity. Results: Annual net costs of dementia by stage were approximately €15 000 (mild), €32 000 (moderate) and €42 000 (severe), corresponding to US-$21 450, 45 760 and 60 060 respectively. Across disease stages, nursing care accounted for approximately three-quarters of total costs, of which half resulted from informal care. In sensitivity analyses using different valuation methods for nursing care, total costs decreased or increased by more than 20%. Conclusion: Net costs more than double across stages of dementia. Informal care accounts for a considerable share of nursing care costs, and the approach to valuation of informal care has a large impact on cost-of-illness estimates. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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