Costs of dementia with lewy bodies: A Chinese multicenter cross‐sectional study

路易氏体型失智症 间接成本 痴呆 医疗费用 人均 医学 横断面研究 经济成本 老年学 环境卫生 人口学 业务 疾病 经济增长 经济 医疗保健 会计 病理 人口 新古典经济学 社会学
作者
Xia Guo,Qingbo Meng,Meimei Zuo,Su Zhou,Jinghuan Gan,Xu‐Dong Li,Hongcan Zhu,Baozhi Gang,Jinping Niu,Shuai Liu,Yong Ji
出处
期刊:International Journal of Geriatric Psychiatry [Wiley]
卷期号:38 (1) 被引量:1
标识
DOI:10.1002/gps.5848
摘要

Abstract Introduction Dementia with Lewy bodies (DLB) significantly increases the economic burden on caregivers and society, but few studies have focused on the costs. This study aims to evaluate the current economic costs of DLB and its related factors. Methods A total of 193 patients diagnosed with probable DLB were consecutively enrolled from 6 memory clinics between August 2017 to July 2021. Data were collected from August to December of 2021, patients' per capita annual economic costs related to DLB in the year preceding the interview were evaluated, and factors related to the costs were assessed using regression analysis. Results Patients with DLB led to per capita annual total costs of US $21,378.3 in 2021, with direct medical costs, direct non‐medical costs and indirect costs of US $3471.4, US $3946.4 and US $13,960.5, respectively, accounting for 16.2%, 18.5% and 65.3%, of total costs. Factors related to the costs of DLB showed that impairments in activities of daily living (ADL) and caregivers' subjective burden had a greater impact on the total, direct medical and indirect costs. Conclusion The economic burden of DLB in China is huge, and indirect costs account for the largest proportion, serious impairment of the ADL and the subjective burden of caregivers, which possibly has a greater effect on costs. The substantial contributions made by family members and other unpaid caregivers of DLB should be fully recognized in strategic policy discussions and in case‐level planning and assessments.

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