Dementia severity and the longitudinal costs of informal care in the Cache County population.
Alzheimers Dement
; 11(8): 946-54, 2015 Aug.
Article
em En
| MEDLINE
| ID: mdl-25614127
ABSTRACT
BACKGROUND:
Dementia costs are critical for influencing healthcare policy, but limited longitudinal information exists. We examined longitudinal informal care costs of dementia in a population-based sample.METHODS:
Data from the Cache County Study included dementia onset, duration, and severity assessed by the Mini-Mental State Examination (MMSE), Clinical Dementia Rating Scale (CDR), and Neuropsychiatric Inventory (NPI). Informal costs of daily care (COC) was estimated based on median Utah wages. Mixed models estimated the relationship between severity and longitudinal COC in separate models for MMSE and CDR.RESULTS:
Two hundred and eighty-seven subjects (53% female, mean (standard deviation) age was 82.3 (5.9) years) participated. Overall COC increased by 18% per year. COC was 6% lower per MMSE-point increase and compared with very mild dementia, COC increased over twofold for mild, fivefold for moderate, and sixfold for severe dementia on the CDR.CONCLUSIONS:
Greater dementia severity predicted higher costs. Disease management strategies addressing dementia progression may curb costs.Palavras-chave
Texto completo:
1
Temas:
ECOS
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Aspectos_gerais
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Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
Cuidadores
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Demência
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Assistência ao Paciente
Tipo de estudo:
Diagnostic_studies
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Health_economic_evaluation
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Alzheimers Dement
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Estados Unidos