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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, Vol. 8, No. 7, 01.01.2013, p. e70018.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Leicht, H, König, H-H, Stuhldreher, N, Bachmann, C, Bickel, H, Fuchs, A, Heser, K, Jessen, F, Köhler, M, Luppa, M, Mösch, E, Pentzek, M, Riedel-Heller, S, Scherer, M, Werle, J, Weyerer, S, Wiese, B, Maier, W & AgeCoDe Study Group 2013, 'Predictors of costs in dementia in a longitudinal perspective', PLOS ONE, vol. 8, no. 7, pp. e70018. https://doi.org/10.1371/journal.pone.0070018

APA

Leicht, H., König, H-H., Stuhldreher, N., Bachmann, C., Bickel, H., Fuchs, A., Heser, K., Jessen, F., Köhler, M., Luppa, M., Mösch, E., Pentzek, M., Riedel-Heller, S., Scherer, M., Werle, J., Weyerer, S., Wiese, B., Maier, W., & AgeCoDe Study Group (2013). Predictors of costs in dementia in a longitudinal perspective. PLOS ONE, 8(7), e70018. https://doi.org/10.1371/journal.pone.0070018

Vancouver

Leicht H, König H-H, Stuhldreher N, Bachmann C, Bickel H, Fuchs A et al. Predictors of costs in dementia in a longitudinal perspective. PLOS ONE. 2013 Jan 1;8(7):e70018. https://doi.org/10.1371/journal.pone.0070018

Bibtex

@article{b7f21b9eff2e4e4a8b5830675dbc31d8,
title = "Predictors of costs in dementia in a longitudinal perspective",
abstract = "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.",
keywords = "Activities of Daily Living, Cognition Disorders, Comorbidity, Dementia, Germany, Health Resources, Humans, Questionnaires, Regression Analysis, Retrospective Studies",
author = "Hanna Leicht and Hans-Helmut K{\"o}nig and Nina Stuhldreher and Cadja Bachmann and Horst Bickel and Angela Fuchs and Kathrin Heser and Frank Jessen and Mirjam K{\"o}hler and Melanie Luppa and Edelgard M{\"o}sch and Michael Pentzek and Steffi Riedel-Heller and Martin Scherer and Jochen Werle and Siegfried Weyerer and Birgitt Wiese and Wolfgang Maier and {AgeCoDe Study Group}",
year = "2013",
month = jan,
day = "1",
doi = "10.1371/journal.pone.0070018",
language = "English",
volume = "8",
pages = "e70018",
journal = "PLOS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "7",

}

RIS

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 -