TY - JOUR
T1 - Dementia severity and the longitudinal costs of informal care in the Cache County population
AU - Rattinger, Gail B.
AU - Schwartz, Sarah
AU - Mullins, C. Daniel
AU - Corcoran, Chris
AU - Zuckerman, Ilene H.
AU - Sanders, Chelsea
AU - Norton, Maria C.
AU - Fauth, Elizabeth B.
AU - Leoutsakos, Jeannie Marie S.
AU - Lyketsos, Constantine G.
AU - Tschanz, Jo Ann T.
N1 - Funding Information:
This study was supported by National Institutes of Health grants R01AG21136 and R01AG11380 . We are indebted to Ronald Munger, MPH, PhD, Kathleen Piercy, PhD, and the participants and caregivers of the Cache County Studies.
Publisher Copyright:
© 2015 The Alzheimer's Association.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - 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.
AB - 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.
KW - Alzheimer's disease costs
KW - Costs
KW - Dementia longitudinal costs
KW - Longitudinal caregiving costs
KW - Longitudinal informal dementia
UR - http://www.scopus.com/inward/record.url?scp=84939270342&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84939270342&partnerID=8YFLogxK
U2 - 10.1016/j.jalz.2014.11.004
DO - 10.1016/j.jalz.2014.11.004
M3 - Article
C2 - 25614127
AN - SCOPUS:84939270342
VL - 11
SP - 946
EP - 954
JO - Alzheimer's and Dementia
JF - Alzheimer's and Dementia
SN - 1552-5260
IS - 8
M1 - 1943
ER -