The financial burden and health care utilization patterns associated with amnestic mild cognitive impairment

Abstract Introduction Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. Methods With data from the Aging, Demographics, and Memory Study, we used the Clinical Dementia Rating Sum of Boxes classifications to conduct a...

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Bibliographic Details
Published inAlzheimer's & dementia Vol. 13; no. 3; pp. 217 - 224
Main Authors Ton, Thanh G.N, DeLeire, Thomas, May, Suepattra G, Hou, Ningqi, Tebeka, Mahlet G, Chen, Er, Chodosh, Joshua
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2017
Subjects
Aged
Aged, 80 and over
Alzheimer Disease - economics
Alzheimer Disease - nursing
Cognitive Dysfunction - economics
Cognitive Dysfunction - nursing
Cognitive Dysfunction - psychology
Cognitive status
Cost analysis
Costs
Cross-Sectional Studies
Disease Progression
Female
Financial burden
Humans
Longitudinal Studies
Male
Mild cognitive impairment
Neurology
Neuropsychological Tests
Patient Acceptance of Health Care - statistics & numerical data
Retrospective Studies
Severity of Illness Index
Costs
Financial burden
Cost analysis
Mild cognitive impairment
Cognitive status
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Summary:Abstract Introduction Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. Methods With data from the Aging, Demographics, and Memory Study, we used the Clinical Dementia Rating Sum of Boxes classifications to conduct a cross-sectional analysis assessing the relationship between cognitive state and various direct and indirect costs and health care utilization patterns. Results Patients with aMCI had less medical expenditures than patients with moderate and severe AD dementia ( P  < .001) and were also significantly less likely to have been hospitalized ( P  = .04) and admitted to nursing home ( P  < .001). Compared to individuals with normal cognition, patients with aMCI had significantly less household income ( P  = .018). Discussion Patients with aMCI had lower medical expenditures than patients with AD dementia. Poor cognitive status was linearly associated with lower household income, higher medical expenditures, higher likelihood of nursing and home care services, and lower likelihood of outpatient visits.
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ISSN:1552-5260
1552-5279
DOI:10.1016/j.jalz.2016.08.009