Comparison of healthcare utilization and direct costs in three degenerative dementias.
The authors conducted a survey of healthcare utilization in three dementia syndromes to determine whether type of dementia influenced utilization or resulting direct costs. Patients with Alzheimer disease (n=131), dementia with parkinsonism (n=85), and Huntington disease (n=51) were identified from a registry and enrolled. Caregivers completed the mailed survey, and direct costs were estimated. The presence of dementia with parkinsonism resulted in significantly greater utilization of long-term care services and higher total direct costs. In all three groups, long-term care costs accounted for the majority of direct costs. Unique patterns of utilization and costs are seen in specific neurodegenerative dementias.
Murman
Daniel L
DL
Department of Neurology and Ophthalmology, Michigan State University, E. Lansing, Michigan 48824, USA. murman@pilot.msu.edu
Chen
Qin
Q
Colucci
Philomena M
PM
Colenda
Christopher C
CC
Gelb
Douglas J
DJ
Liang
Jersey
J
D000368:Aged; D000704:Analysis of Variance; D003430:Cross-Sectional Studies; D003704:Dementia / Q000191:economics* / Q000628:therapy*; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data; D006296:Health Services / Q000191:economics* / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors