Predictors of costs in dementia in a longitudinal perspective.
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 d...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2013-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC3715502?pdf=render |
| _version_ | 1811227000550981632 |
|---|---|
| author | Hanna Leicht Hans-Helmut König Nina Stuhldreher Cadja Bachmann Horst Bickel Angela Fuchs Kathrin Heser Frank Jessen Mirjam Köhler Melanie Luppa Edelgard Mösch Michael Pentzek Steffi Riedel-Heller Martin Scherer Jochen Werle Siegfried Weyerer Birgitt Wiese Wolfgang Maier AgeCoDe study group |
| author_facet | Hanna Leicht Hans-Helmut König Nina Stuhldreher Cadja Bachmann Horst Bickel Angela Fuchs Kathrin Heser Frank Jessen Mirjam Köhler Melanie Luppa Edelgard Mösch Michael Pentzek Steffi Riedel-Heller Martin Scherer Jochen Werle Siegfried Weyerer Birgitt Wiese Wolfgang Maier AgeCoDe study group |
| author_sort | Hanna Leicht |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T09:34:03Z |
| format | Article |
| id | doaj.art-ea2069bc4e2d4413b1434162964c2d0a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T09:34:03Z |
| publishDate | 2013-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-ea2069bc4e2d4413b1434162964c2d0a2022-12-22T03:38:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0187e7001810.1371/journal.pone.0070018Predictors of costs in dementia in a longitudinal perspective.Hanna LeichtHans-Helmut KönigNina StuhldreherCadja BachmannHorst BickelAngela FuchsKathrin HeserFrank JessenMirjam KöhlerMelanie LuppaEdelgard MöschMichael PentzekSteffi Riedel-HellerMartin SchererJochen WerleSiegfried WeyererBirgitt WieseWolfgang MaierAgeCoDe study groupOBJECTIVE: 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.http://europepmc.org/articles/PMC3715502?pdf=render |
| spellingShingle | Hanna Leicht Hans-Helmut König Nina Stuhldreher Cadja Bachmann Horst Bickel Angela Fuchs Kathrin Heser Frank Jessen Mirjam Köhler Melanie Luppa Edelgard Mösch Michael Pentzek Steffi Riedel-Heller Martin Scherer Jochen Werle Siegfried Weyerer Birgitt Wiese Wolfgang Maier AgeCoDe study group Predictors of costs in dementia in a longitudinal perspective. PLoS ONE |
| title | Predictors of costs in dementia in a longitudinal perspective. |
| title_full | Predictors of costs in dementia in a longitudinal perspective. |
| title_fullStr | Predictors of costs in dementia in a longitudinal perspective. |
| title_full_unstemmed | Predictors of costs in dementia in a longitudinal perspective. |
| title_short | Predictors of costs in dementia in a longitudinal perspective. |
| title_sort | predictors of costs in dementia in a longitudinal perspective |
| url | http://europepmc.org/articles/PMC3715502?pdf=render |
| work_keys_str_mv | AT hannaleicht predictorsofcostsindementiainalongitudinalperspective AT hanshelmutkonig predictorsofcostsindementiainalongitudinalperspective AT ninastuhldreher predictorsofcostsindementiainalongitudinalperspective AT cadjabachmann predictorsofcostsindementiainalongitudinalperspective AT horstbickel predictorsofcostsindementiainalongitudinalperspective AT angelafuchs predictorsofcostsindementiainalongitudinalperspective AT kathrinheser predictorsofcostsindementiainalongitudinalperspective AT frankjessen predictorsofcostsindementiainalongitudinalperspective AT mirjamkohler predictorsofcostsindementiainalongitudinalperspective AT melanieluppa predictorsofcostsindementiainalongitudinalperspective AT edelgardmosch predictorsofcostsindementiainalongitudinalperspective AT michaelpentzek predictorsofcostsindementiainalongitudinalperspective AT steffiriedelheller predictorsofcostsindementiainalongitudinalperspective AT martinscherer predictorsofcostsindementiainalongitudinalperspective AT jochenwerle predictorsofcostsindementiainalongitudinalperspective AT siegfriedweyerer predictorsofcostsindementiainalongitudinalperspective AT birgittwiese predictorsofcostsindementiainalongitudinalperspective AT wolfgangmaier predictorsofcostsindementiainalongitudinalperspective AT agecodestudygroup predictorsofcostsindementiainalongitudinalperspective |