Predictors of costs in dementia in a longitudinal perspective
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Predictors of costs in dementia in a longitudinal perspective. / Leicht, Hanna; König, Hans-Helmut; Stuhldreher, Nina; Bachmann, Cadja; Bickel, Horst; Fuchs, Angela; Heser, Kathrin; Jessen, Frank; Köhler, Mirjam; Luppa, Melanie; Mösch, Edelgard; Pentzek, Michael; Riedel-Heller, Steffi; Scherer, Martin; Werle, Jochen; Weyerer, Siegfried; Wiese, Birgitt; Maier, Wolfgang; AgeCoDe Study Group.
in: PLOS ONE, Jahrgang 8, Nr. 7, 01.01.2013, S. e70018.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Predictors of costs in dementia in a longitudinal perspective
AU - Leicht, Hanna
AU - König, Hans-Helmut
AU - Stuhldreher, Nina
AU - Bachmann, Cadja
AU - Bickel, Horst
AU - Fuchs, Angela
AU - Heser, Kathrin
AU - Jessen, Frank
AU - Köhler, Mirjam
AU - Luppa, Melanie
AU - Mösch, Edelgard
AU - Pentzek, Michael
AU - Riedel-Heller, Steffi
AU - Scherer, Martin
AU - Werle, Jochen
AU - Weyerer, Siegfried
AU - Wiese, Birgitt
AU - Maier, Wolfgang
AU - AgeCoDe Study Group
PY - 2013/1/1
Y1 - 2013/1/1
N2 - OBJECTIVE: To analyse predictors of costs in dementia from a societal perspective in a longitudinal setting.METHOD: Healthcare resource use and costs were assessed retrospectively using a questionnaire in four waves at 6-month intervals in a sample of dementia patients (N = 175). Sociodemographic data, dementia severity and comorbidity at baseline, cognitive impairment and impairment in basic and instrumental activities of daily living were also recorded. Linear mixed regression models with random intercepts for individuals were used to analyse predictors of total and sector-specific costs.RESULTS: Impairment in activities of daily living significantly predicted total costs in dementia patients, with associations between basic activities of daily living and formal care costs on the one and instrumental activities of daily living and informal care costs on the other hand. Nursing home residence was associated with lower total costs than residence in the community. There was no effect of cognition on total or sector-specific costs.CONCLUSION: Cognitive deficits in dementia are associated with costs only via their effect on the patients' capacity for activities of daily living. Transition into a nursing home may reduce total costs from a societal perspective, owing to the fact that a high amount of informal care required by severely demented patients prior to transition into a nursing home may cause higher costs than inpatient nursing care.
AB - OBJECTIVE: To analyse predictors of costs in dementia from a societal perspective in a longitudinal setting.METHOD: Healthcare resource use and costs were assessed retrospectively using a questionnaire in four waves at 6-month intervals in a sample of dementia patients (N = 175). Sociodemographic data, dementia severity and comorbidity at baseline, cognitive impairment and impairment in basic and instrumental activities of daily living were also recorded. Linear mixed regression models with random intercepts for individuals were used to analyse predictors of total and sector-specific costs.RESULTS: Impairment in activities of daily living significantly predicted total costs in dementia patients, with associations between basic activities of daily living and formal care costs on the one and instrumental activities of daily living and informal care costs on the other hand. Nursing home residence was associated with lower total costs than residence in the community. There was no effect of cognition on total or sector-specific costs.CONCLUSION: Cognitive deficits in dementia are associated with costs only via their effect on the patients' capacity for activities of daily living. Transition into a nursing home may reduce total costs from a societal perspective, owing to the fact that a high amount of informal care required by severely demented patients prior to transition into a nursing home may cause higher costs than inpatient nursing care.
KW - Activities of Daily Living
KW - Cognition Disorders
KW - Comorbidity
KW - Dementia
KW - Germany
KW - Health Resources
KW - Humans
KW - Questionnaires
KW - Regression Analysis
KW - Retrospective Studies
U2 - 10.1371/journal.pone.0070018
DO - 10.1371/journal.pone.0070018
M3 - SCORING: Journal article
C2 - 23875017
VL - 8
SP - e70018
JO - PLOS ONE
JF - PLOS ONE
SN - 1932-6203
IS - 7
ER -