Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru

Detalhes bibliográficos
Autor(a) principal: Custodio,Nilton
Data de Publicação: 2015
Outros Autores: Lira,David, Herrera-Perez,Eder, Prado,Liza Nuñez del, Parodi,José, Guevara-Silva,Erik, Castro-Suarez,Sheila, Montesinos,Rosa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Dementia & Neuropsychologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642015000100032
Resumo: Dementia is a major cause of dependency and disability among older persons, and imposes huge economic burdens. Only a few cost-of-illness studies for dementia have been carried out in middle and low-income countries. OBJECTIVE: The aim of this study was to analyze costs of dementia in demented patients of a private clinic in Lima, Peru. Methods. We performed a retrospective, cohort, 3-month study by extracting information from medical records of demented patients to assess the use of both healthcare and non-healthcare resources. The total costs of the disease were broken down into direct (medical and social care costs) and indirect costs (informal care costs). Results. In 136 outpatients, we observed that while half of non-demented patients had total care costs of less than US$ 23 over three months, demented patients had costs of US$ 1500 or over (and more than US$ 1860 for frontotemporal dementia). In our study, the monthly cost of a demented patient (US$ 570) was 2.5 times higher than the minimum wage (legal minimum monthly wage in Peru for 2011: US$ 222.22). Conclusion. Dementia constitutes a socioeconomic problem even in developing countries, since patients involve high healthcare and non-healthcare costs, with the costs being especially high for the patient's family.
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spelling Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Perudementiacosts and cost analysiscost of illnesshealth care costshealth expendituresDementia is a major cause of dependency and disability among older persons, and imposes huge economic burdens. Only a few cost-of-illness studies for dementia have been carried out in middle and low-income countries. OBJECTIVE: The aim of this study was to analyze costs of dementia in demented patients of a private clinic in Lima, Peru. Methods. We performed a retrospective, cohort, 3-month study by extracting information from medical records of demented patients to assess the use of both healthcare and non-healthcare resources. The total costs of the disease were broken down into direct (medical and social care costs) and indirect costs (informal care costs). Results. In 136 outpatients, we observed that while half of non-demented patients had total care costs of less than US$ 23 over three months, demented patients had costs of US$ 1500 or over (and more than US$ 1860 for frontotemporal dementia). In our study, the monthly cost of a demented patient (US$ 570) was 2.5 times higher than the minimum wage (legal minimum monthly wage in Peru for 2011: US$ 222.22). Conclusion. Dementia constitutes a socioeconomic problem even in developing countries, since patients involve high healthcare and non-healthcare costs, with the costs being especially high for the patient's family. Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento2015-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642015000100032Dementia & Neuropsychologia v.9 n.1 2015reponame:Dementia & Neuropsychologiainstname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)instacron:ANCC10.1590/S1980-57642015DN91000006info:eu-repo/semantics/openAccessCustodio,NiltonLira,DavidHerrera-Perez,EderPrado,Liza Nuñez delParodi,JoséGuevara-Silva,ErikCastro-Suarez,SheilaMontesinos,Rosaeng2015-05-26T00:00:00Zoai:scielo:S1980-57642015000100032Revistahttp://www.demneuropsy.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||demneuropsy@uol.com.br1980-57641980-5764opendoar:2015-05-26T00:00Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)false
dc.title.none.fl_str_mv Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
title Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
spellingShingle Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
Custodio,Nilton
dementia
costs and cost analysis
cost of illness
health care costs
health expenditures
title_short Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
title_full Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
title_fullStr Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
title_full_unstemmed Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
title_sort Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
author Custodio,Nilton
author_facet Custodio,Nilton
Lira,David
Herrera-Perez,Eder
Prado,Liza Nuñez del
Parodi,José
Guevara-Silva,Erik
Castro-Suarez,Sheila
Montesinos,Rosa
author_role author
author2 Lira,David
Herrera-Perez,Eder
Prado,Liza Nuñez del
Parodi,José
Guevara-Silva,Erik
Castro-Suarez,Sheila
Montesinos,Rosa
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Custodio,Nilton
Lira,David
Herrera-Perez,Eder
Prado,Liza Nuñez del
Parodi,José
Guevara-Silva,Erik
Castro-Suarez,Sheila
Montesinos,Rosa
dc.subject.por.fl_str_mv dementia
costs and cost analysis
cost of illness
health care costs
health expenditures
topic dementia
costs and cost analysis
cost of illness
health care costs
health expenditures
description Dementia is a major cause of dependency and disability among older persons, and imposes huge economic burdens. Only a few cost-of-illness studies for dementia have been carried out in middle and low-income countries. OBJECTIVE: The aim of this study was to analyze costs of dementia in demented patients of a private clinic in Lima, Peru. Methods. We performed a retrospective, cohort, 3-month study by extracting information from medical records of demented patients to assess the use of both healthcare and non-healthcare resources. The total costs of the disease were broken down into direct (medical and social care costs) and indirect costs (informal care costs). Results. In 136 outpatients, we observed that while half of non-demented patients had total care costs of less than US$ 23 over three months, demented patients had costs of US$ 1500 or over (and more than US$ 1860 for frontotemporal dementia). In our study, the monthly cost of a demented patient (US$ 570) was 2.5 times higher than the minimum wage (legal minimum monthly wage in Peru for 2011: US$ 222.22). Conclusion. Dementia constitutes a socioeconomic problem even in developing countries, since patients involve high healthcare and non-healthcare costs, with the costs being especially high for the patient's family.
publishDate 2015
dc.date.none.fl_str_mv 2015-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642015000100032
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642015000100032
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1980-57642015DN91000006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento
publisher.none.fl_str_mv Academia Brasileira de Neurologia, Departamento de Neurologia Cognitiva e Envelhecimento
dc.source.none.fl_str_mv Dementia & Neuropsychologia v.9 n.1 2015
reponame:Dementia & Neuropsychologia
instname:Associação de Neurologia Cognitiva e do Comportamento (ANCC)
instacron:ANCC
instname_str Associação de Neurologia Cognitiva e do Comportamento (ANCC)
instacron_str ANCC
institution ANCC
reponame_str Dementia & Neuropsychologia
collection Dementia & Neuropsychologia
repository.name.fl_str_mv Dementia & Neuropsychologia - Associação de Neurologia Cognitiva e do Comportamento (ANCC)
repository.mail.fl_str_mv ||demneuropsy@uol.com.br
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