Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , |
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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Dementia & Neuropsychologia |
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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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1754212931029958656 |