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Actual expense associated with patients with Alzheimer's disease in Colombia

  • Sergio I. Prada (a1), Yuri Takeuchi (a2), Angela M. Merchán-Galvis (a3) and Yoseth Ariza-Araújo (a2)

Abstract

Background:

There is paucity in the level of knowledge on the actual insurer expenses associated with patients suffering with dementia in the developing world. Less is known about direct costs by severity and how costs vary because of the presence of other comorbidities.

Methods:

Using claims data from an insurer for three years, we identified patients with AD with an algorithm that takes advantage of information on age, primary diagnosis, and services and drugs provided.

Results:

Distribution by dementia stage was as follows: mild 21%, moderate 53%, severe 17%, and undetermined 9%. Expenses paid for all causes by the insurer were at least double than estimated in the literature and were increasing annually at rates higher than 30%. Also, 92% of patients have at least another chronic condition.

Conclusions:

Worldwide costs of dementia estimates maybe underestimating the actual costs to health systems in the developing world.

Copyright

Corresponding author

Correspondence should be addressed to: Sergio I. Prada, Director, Universidad Icesi, Centro PROESA, Calle 18 No, 122–135, Cali, Colombia. Phone: 57+1+3212092; Fax: 57+1+3212091. Email: siprada@icesi.edu.co.

References

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Budson, A. E. and Solomon, P. R. (2016). Memory Loss, Alzheimer's Disease, and Dementia: A Practical Guide for Clinicians, 2nd edn. Edinburgh: Elsevier.
Jacobzone, S., Cambois, E., Chaplain, E. and Robine, J. (1998). Long term care services to older people, a perspective on future trends: the impact of an improved health of older persons. OECD Report No AWP 4.2. Paris.
Wimo, A. et al. (2016). The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimer's & Dementia, 13, 17. https://doi.org/10.1016/j.jalz.2016.07.150.
Wimo, A., Jonsson, L. and Winblad, B. (2006). An estimate of the worldwide prevalence and direct costs of dementia in 2003. Dementia and Geriatric Cognitive Disorders, 21, 175181. https://doi.org/10.1159/000090733.
Wimo, A., Jönsson, L., Bond, J., Prince, M. and Winblad, B. (2013). The worldwide economic impact of dementia 2010. Alzheimer's and Dementia, 9, 111. https://doi.org/10.1016/j.jalz.2012.11.006.
Wimo, A., Winblad, B. and Jönsson, L. (2010). The worldwide societal costs of dementia: estimates for 2009. Alzheimer's and Dementia, 6, 98103. https://doi.org/10.1016/j.jalz.2010.01.010.

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