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Healthcare costs of dementia diseases before, during and after diagnosis : Longitudinal analysis of 17 years of Swedish register data

Persson, Sofie LU ; Saha, Sanjib LU ; Gerdtham, Ulf-G. LU orcid ; Toresson, Håkan LU ; Trepel, Dominic and Jarl, Johan LU orcid (2022) In Alzheimer's & Dementia 18(12). p.2560-2569
Abstract

Introduction: This study examines health-care costs attributed to dementia diseases in the 10 years prior to, during, and 6 years after diagnosis. Methods: Using administrative register data for people diagnosed with dementia (2010–2016) in southern Sweden (n = 21,184), and a comparison group without dementia, health-care costs over 17 years were examined using longitudinal regression analysis. Results: Average annual health-care costs per person were consistently higher before diagnosis in the dementia group (10 years before: Swedish krona (SEK) 2063, P <.005 and 1 year before: SEK8166, P <.005). At diagnosis, health-care costs were more than twice as high (SEK44,410, P <.005). Four to 6 years after diagnosis, there was no... (More)

Introduction: This study examines health-care costs attributed to dementia diseases in the 10 years prior to, during, and 6 years after diagnosis. Methods: Using administrative register data for people diagnosed with dementia (2010–2016) in southern Sweden (n = 21,184), and a comparison group without dementia, health-care costs over 17 years were examined using longitudinal regression analysis. Results: Average annual health-care costs per person were consistently higher before diagnosis in the dementia group (10 years before: Swedish krona (SEK) 2063, P <.005 and 1 year before: SEK8166, P <.005). At diagnosis, health-care costs were more than twice as high (SEK44,410, P <.005). Four to 6 years after diagnosis, there was no significant different in costs compared to comparators. Discussion: Excess health-care cost arise as early as 10 years before a formal diagnosis of dementia, and while there is a spike in cost after diagnosis, health-care costs are no different 4 years after. These findings question currently accepted assumptions on costs of dementia.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alzheimer´s disease, dementia, diagnosis, health-care costs, Sweden
in
Alzheimer's & Dementia
volume
18
issue
12
pages
10 pages
publisher
Wiley
external identifiers
  • pmid:35189039
  • scopus:85124894227
ISSN
1552-5279
DOI
10.1002/alz.12619
language
English
LU publication?
yes
id
3ebcb2d5-0619-4b99-804b-fb178cf9cf2f
date added to LUP
2022-02-22 14:53:21
date last changed
2025-03-16 20:31:48
@article{3ebcb2d5-0619-4b99-804b-fb178cf9cf2f,
  abstract     = {{<p>Introduction: This study examines health-care costs attributed to dementia diseases in the 10 years prior to, during, and 6 years after diagnosis. Methods: Using administrative register data for people diagnosed with dementia (2010–2016) in southern Sweden (n = 21,184), and a comparison group without dementia, health-care costs over 17 years were examined using longitudinal regression analysis. Results: Average annual health-care costs per person were consistently higher before diagnosis in the dementia group (10 years before: Swedish krona (SEK) 2063, P &lt;.005 and 1 year before: SEK8166, P &lt;.005). At diagnosis, health-care costs were more than twice as high (SEK44,410, P &lt;.005). Four to 6 years after diagnosis, there was no significant different in costs compared to comparators. Discussion: Excess health-care cost arise as early as 10 years before a formal diagnosis of dementia, and while there is a spike in cost after diagnosis, health-care costs are no different 4 years after. These findings question currently accepted assumptions on costs of dementia.</p>}},
  author       = {{Persson, Sofie and Saha, Sanjib and Gerdtham, Ulf-G. and Toresson, Håkan and Trepel, Dominic and Jarl, Johan}},
  issn         = {{1552-5279}},
  keywords     = {{Alzheimer´s disease; dementia; diagnosis; health-care costs; Sweden}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{12}},
  pages        = {{2560--2569}},
  publisher    = {{Wiley}},
  series       = {{Alzheimer's & Dementia}},
  title        = {{Healthcare costs of dementia diseases before, during and after diagnosis : Longitudinal analysis of 17 years of Swedish register data}},
  url          = {{http://dx.doi.org/10.1002/alz.12619}},
  doi          = {{10.1002/alz.12619}},
  volume       = {{18}},
  year         = {{2022}},
}