Title | Costs and Resource Use Associated with Community-Dwelling Patients with Alzheimer's Disease in Japan: Baseline Results from the Prospective Observational GERAS-J Study. |
Publication Type | Journal Article |
Year of Publication | 2020 |
Authors | Nakanishi, M, Igarashi, A, Ueda, K, Brnabic, AJM, Treuer, T, Sato, M, Kahle-Wrobleski, K, Meguro, K, Yamada, M, Mimura, M, Arai, H |
Journal | J Alzheimers Dis |
Volume | 74 |
Issue | 1 |
Pagination | 127-138 |
Date Published | 2020 |
ISSN | 1875-8908 |
Abstract | BACKGROUND: As the Japanese population ages, caring for people with Alzheimer's disease (AD) dementia is becoming a major socioeconomic issue. OBJECTIVE: To determine the contribution of patient and caregiver costs to total societal costs associated with AD dementia. METHODS: Baseline data was used from the longitudinal, observational GERAS-J study. Using the Mini-Mental State Examination (MMSE) score, patients routinely visiting memory clinics were stratified into three groups based on AD severity. Health care resource utilizationwas recorded using the Resource Utilization in Dementia questionnaire. Total monthly societal costs were estimated using Japan-specific unit costs of services and products (patient direct health care use, patient social care use, and informal caregiving time). Uncertainty around mean costs was estimated using bootstrapping methods. RESULTS: Overall, 553 community-dwelling patients withADdementia (28.3% mild[MMSE21-26], 37.8% moderate[MMSE 15-20], and 34.0% moderately severe/severe [MMSE CONCLUSION: Baseline results of GERAS-J showed that total monthly societal costs associated with AD dementia increased with AD severity. Caregiver-related costs were the largest cost component. Interventions are needed to decrease informal costs and decrease caregiver burden. |
DOI | 10.3233/JAD-190811 |
Alternate Journal | J Alzheimers Dis |
PubMed ID | 31985460 |
PubMed Central ID | PMC7175940 |