title: Home or nursing home: does place of residence affect longevity in patients with Alzheimer's disease? The experience of CERAD patients.
abstract: There is concern that life is curtailed when patients with Alzheimer's disease (AD) are institutionalized. To determine whether placement in a nursing home reduces their remaining years of life, we examined the experience of White patients with AD (n=890) enrolled in the Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Proportional hazards survival analysis using the landmark approach (with the landmark set to 12 months after CERAD entry and reevaluated at succeeding 6-month time intervals through 5 years) indicated that longevity at home and in the nursing home was comparable. Thus, in these patients enrolled at tertiary care medical centers, living at home or in a nursing home did not affect time to death. These data suggest that when home care is no longer feasible, families and nurses counseling them should not feel that they are curtailing life by placing an AD patient in a nursing home.
authors.affiliation: Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, North Carolina 27710, USA.
authors.forename: Bercedis L
authors.initials: BL
authors.lastname: Peterson
authors.forename: Gerda G
authors.initials: GG
authors.lastname: Fillenbaum
authors.forename: Carl F
authors.initials: CF
authors.lastname: Pieper
authors.forename: Albert
authors.initials: A
authors.lastname: Heyman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D000544:Alzheimer Disease / Q000208:ethnology / Q000401:mortality* / Q000503:physiopathology; D005260:Female; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D007326:Institutionalization; D008136:Longevity; D008297:Male; D008606:Mental Processes / Q000502:physiology; D008875:Middle Aged; D009735:Nursing Homes / Q000706:statistics & numerical data*; D016016:Proportional Hazards Models; D016019:Survival Analysis; D013997:Time Factors; D014481:United States / Q000453:epidemiology; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data*