The economic cost of dementia: A systematic review

Abstract

The purpose of this article is to analyse the available literature describing the economic burden of dementia and to compare costs between studies examining cost drivers. To shed light on this field, a systematic review is performed using PubMed, the Cochrane Library and Web of Science. An eight-year retrospective horizon was considered until 25 May 2018. Several papers were obtained from the database search (n = 23), being others (n = 3) identified through other sources (hand-searching) because we did not detect it through the three databases. The cost estimates were compared between three perspectives: state/publicly funded health services, third-party/private sector/not-for-profit organisations and patient and family and/or societal. The estimated total annual cost per person with dementia in Europe is on average €32,506.73 (n = 10), whereas for the United States, it gets €42,898.65 (n = 2). Furthermore, differences are appreciated by type of costs. Besides, differences by severity groups are also considered. Overall, the higher the severity the higher the associated costs. Dementia imposes a huge economic burden. The figures here presented provide a good framework to quantify these costs for both, economic experts and researchers, and policy decision makers.

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“…Health diplomacy is a field that merges the disciplines of public health, management, international affairs, economics, and law, with a focus on negotiations that impact the global public health policy (WHO, 2018). There are three levels of health diplomacy that have been formally postulated, as "core", "multistakeholder", and "informal" (Brown et al, 2014;Katz et al, 2011). Each level has varying actors, tools, roles, and levels of accreditation.…”

“…The population of people with illnesses affecting brain health (i.e. dementia, depression, and other mind/brain disorders) is increasing rapidly around the world (ADI, 2018;Cantarero-Prieto et al, 2019). The global societal and economic cost of dementia is approximately USD $1 trillion per year (ADI, 2018).…”

“…The global societal and economic cost of dementia is approximately USD $1 trillion per year (ADI, 2018). Rates of dementia and their associated economic burden are both growing (ADI, 2015;Cantarero-Prieto et al, 2019). While dementia is not a normal part of the aging process, advanced age remains a primary risk factor.…”

Dementia as a contemporary challenge for providing care for the aging populations

“…According to the latest research meta-analyses, the average total annual cost of dementia care in Europe amounts wyzwania dla opieki zdrowotnej to 32,506.73 €, compared to 42,898.65 € in the United States [28]. As the population ages and the risk of dementia increases, these costs are expected to be increasingly borne by society.…”