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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| Published in | Alzheimer's & dementia Vol. 13; no. 3; pp. 217 - 224 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
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United States
Elsevier Inc
01.03.2017
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| Abstract | 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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| AbstractList | 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.
Highlights
Patients with amnestic MCI have more direct medical spending than cognitively normal patients.
Having amnestic MCI is linked to greater utilization of inpatient and palliative health services relative to cognitively normal patients.
Patients with amnestic MCI are less likely to use outpatient services and to visit doctors than cognitively normal patients.
Patients with amnestic MCI patients have less expenditures than patients with AD dementia.
Poor cognitive status is associated with lower household income. 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. INTRODUCTIONIndividuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia.METHODSWith 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.RESULTSPatients 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).DISCUSSIONPatients 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. Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. 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. 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). 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. •Patients with amnestic MCI have more direct medical spending than cognitively normal patients.•Having amnestic MCI is linked to greater utilization of inpatient and palliative health services relative to cognitively normal patients.•Patients with amnestic MCI are less likely to use outpatient services and to visit doctors than cognitively normal patients.•Patients with amnestic MCI patients have less expenditures than patients with AD dementia.•Poor cognitive status is associated with lower household income. Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. 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. 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). 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. |
| Author | Ton, Thanh G.N. Chodosh, Joshua May, Suepattra G. Tebeka, Mahlet G. DeLeire, Thomas Chen, Er Hou, Ningqi |
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| Cites_doi | 10.1056/NEJMsa1204629 10.1007/s00259-012-2237-2 10.3389/fphar.2014.00102 10.1016/j.jalz.2015.01.007 10.1515/fhep-2014-0013 10.7326/M15-0381 10.1080/14034940210134059 10.1186/1471-2474-15-14 10.1016/S0140-6736(15)60461-5 10.7326/0003-4819-145-10-200611210-00004 10.1159/000087448 10.1159/000109998 10.1001/archneur.65.8.1091 10.1001/jama.2011.1964 10.1111/jgs.12562 10.1177/0898264315569454 10.1016/j.jalz.2012.05.2117 10.2307/146277 10.1370/afm.1596 10.1097/WAD.0000000000000031 10.1177/153331750401900507 10.1093/geront/34.2.199 |
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| Keywords | Costs Financial burden Cost analysis Mild cognitive impairment Cognitive status |
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| References | Heeringa, Fisher, Hurd, Langa, Ofstedal, Plassman (bib17) 2007 O'Bryant, Waring, Cullum, Hall, Lacritz, Massman (bib19) 2008; 65 Langa, Plassman, Wallace, Herzog, Heeringa, Ofstedal (bib7) 2005; 25 Reuben, Evertson, Wenger, Serrano, Chodosh, Ercoli (bib26) 2013; 61 Chodosh, Pearson, Connor, Vassar, Kaisey, Lee (bib24) 2012; 18 Stommel, Collins, Given (bib13) 1994; 34 Accessed September 18, 2014. Rothman, Greenland, Lash (bib27) 2008 Moelter, Glenn, Xie, Chittams, Clark, Watson (bib18) 2015; 29 Plassman, Langa, Fisher, Heeringa, Weir, Ofstedal (bib15) 2007; 29 Phelan, Borson, Grothaus, Balch, Larson (bib28) 2012; 307 Alzheimer's Facts and Figures. Available at Lundkvist, Halldin, Sandin, Nordvall, Forsell, Svensson (bib1) 2014; 5 O'Bryant, Waring, Cullum, Hall, Lacritz, Massman (bib20) 2008; 65 Zissimopoulos, Crimmins, St Clair (bib9) 2014; 18 Harrow, Mahoney, Mendelsohn, Ory, Coon, Belle (bib12) 2004; 19 Nublein, Alten, Galeazzi, Lorenz, Boumpas, Nurmohamed (bib16) 2014; 15 Chodosh, Colaiaco, Connor, Cope, Liu, Ganz (bib21) 2015; 27 Hurd, Martorell, Delavande, Mullen, Langa (bib8) 2013; 368 Feinberg, Reinhard, Houser, Choula (bib14) 2011 Ngandu, Lehtisalo, Solomon, Levalahti, Ahtiluoto, Antikainen (bib22) 2015; 385 Leibson, Long, Ransom, Roberts, Hass, Duhig (bib11) 2015; 11 Vickrey, Mittman, Connor, Pearson, Della Penna, Ganiats (bib25) 2006; 145 Kronborg, Christian, Jørgen, Kragh-Sørensen (bib23) 2003; 31 Juster, Suzman (bib6) 1995; 30 Lin, Neumann (bib5) 2013; 9 Kelley, McGarry, Gorges, Skinner (bib10) 2015; 163 Nordberg, Carter, Rinne, Drzezga, Brooks, Vandenberghe (bib4) 2013; 40 Kaduszkiewicz, Eisele, Wiese, Prokein, Luppa, Luck (bib3) 2014; 12 1995; 30 2015; 163 2011 2013; 40 2013; 368 2013; 61 2015; 11 2015; 385 2008 2007 2012; 18 2003; 31 2013; 9 2012; 307 2005; 25 2007; 29 2014; 5 2015; 27 2015; 29 2004; 19 1994; 34 2014; 15 2008; 65 2014; 18 2014; 12 2006; 145 Lundkvist J (e_1_2_6_2_2) 2014; 5 Feinberg L (e_1_2_6_15_2) 2011 e_1_2_6_18_2 e_1_2_6_12_2 e_1_2_6_13_2 Moelter ST (e_1_2_6_19_2) 2015; 29 e_1_2_6_10_2 e_1_2_6_11_2 Kronborg A (e_1_2_6_24_2) 2003; 31 Chodosh J (e_1_2_6_25_2) 2012; 18 e_1_2_6_16_2 e_1_2_6_14_2 e_1_2_6_20_2 e_1_2_6_8_2 e_1_2_6_7_2 e_1_2_6_9_2 e_1_2_6_29_2 e_1_2_6_4_2 Nublein HG (e_1_2_6_17_2) 2014; 15 e_1_2_6_3_2 e_1_2_6_6_2 e_1_2_6_5_2 e_1_2_6_23_2 e_1_2_6_22_2 e_1_2_6_21_2 e_1_2_6_27_2 e_1_2_6_26_2 Rothman KJ (e_1_2_6_28_2) 2008 |
| References_xml | – volume: 31 start-page: 119 year: 2003 end-page: 125 ident: bib23 article-title: Cost of dementia: impact of disease progression estimated in longitudinal data publication-title: Scand J Public Health contributor: fullname: Kragh-Sørensen – volume: 5 start-page: 102 year: 2014 ident: bib1 article-title: The battle of Alzheimer's Disease – the beginning of the future Unleashing the potential of academic discoveries publication-title: Front Pharmacol contributor: fullname: Svensson – volume: 385 start-page: 2255 year: 2015 end-page: 2263 ident: bib22 article-title: A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial publication-title: Lancet contributor: fullname: Antikainen – volume: 368 start-page: 1326 year: 2013 end-page: 1334 ident: bib8 article-title: Monetary costs of dementia in the United States publication-title: N Engl J Med contributor: fullname: Langa – volume: 15 start-page: 14 year: 2014 ident: bib16 article-title: Real-world effectiveness of abatacept for rheumatoid arthritis treatment in European and Canadian populations: a 6-month interim analysis of the 2-year, observational, prospective ACTION study publication-title: BMC Musculoskelet Disord contributor: fullname: Nurmohamed – volume: 61 start-page: 2214 year: 2013 end-page: 2218 ident: bib26 article-title: The University of California at Los Angeles Alzheimer's and Dementia Care Program for Comprehensive, Coordinated, Patient-Centered Care: Preliminary Data publication-title: J Am Geriatr Soc contributor: fullname: Ercoli – volume: 27 start-page: 864 year: 2015 end-page: 893 ident: bib21 article-title: Dementia care management in an underserved community the comparative effectiveness of two different approaches publication-title: J Aging Health contributor: fullname: Ganz – volume: 9 start-page: 58 year: 2013 end-page: 62 ident: bib5 article-title: The economics of mild cognitive impairment publication-title: Alzheimers Dement contributor: fullname: Neumann – volume: 29 start-page: 158 year: 2015 end-page: 160 ident: bib18 article-title: The Dementia Severity Rating Scale Predicts Clinical Dementia Rating Sum of Boxes Scores publication-title: Alzheimer Dis Assoc Disord contributor: fullname: Watson – volume: 307 start-page: 165 year: 2012 end-page: 172 ident: bib28 article-title: Association of incident dementia with hospitalizations publication-title: JAMA contributor: fullname: Larson – volume: 163 start-page: 729 year: 2015 end-page: 736 ident: bib10 article-title: The burden of health care costs for patients with dementia in the last 5 years of life publication-title: Ann Intern Med contributor: fullname: Skinner – volume: 65 start-page: 1091 year: 2008 end-page: 1095 ident: bib20 article-title: Staging Dementia Using Clinical Demential Rating Scale Sum of Boxes Scores: A Texas Alzheimer's Research Consortium Study publication-title: Arch Neurol contributor: fullname: Massman – year: 2008 ident: bib27 article-title: Modern epidemiology contributor: fullname: Lash – volume: 34 start-page: 199 year: 1994 end-page: 205 ident: bib13 article-title: The costs of family contributions to the care of persons with dementia publication-title: Gerontologist contributor: fullname: Given – volume: 29 start-page: 125 year: 2007 end-page: 132 ident: bib15 article-title: Prevalence of dementia in the United States: the aging, demographics, and memory study publication-title: Neuroepidemiology contributor: fullname: Ofstedal – year: 2011 ident: bib14 article-title: Valuing the invaluable: 2011 update: The growing contributions and costs of family caregiving contributor: fullname: Choula – volume: 11 start-page: 917 year: 2015 end-page: 932 ident: bib11 article-title: Direct medical costs and source of cost differences across the spectrum of cognitive decline: A population-based study publication-title: Alzheimers Dement contributor: fullname: Duhig – volume: 145 start-page: 713 year: 2006 end-page: 726 ident: bib25 article-title: The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial publication-title: Ann Intern Med contributor: fullname: Ganiats – volume: 18 start-page: 85 year: 2012 end-page: 94 ident: bib24 article-title: A dementia care management intervention: which components improve quality? publication-title: Am J Manag Care contributor: fullname: Lee – volume: 18 start-page: 25 year: 2014 end-page: 39 ident: bib9 article-title: The value of delaying Alzheimer's disease onset publication-title: Forum Health Econ Policy contributor: fullname: St Clair – volume: 65 start-page: 1091 year: 2008 end-page: 1095 ident: bib19 article-title: Staging dementia using Clinical Dementia Rating Scale Sum of Boxes scores: a Texas Alzheimer's research consortium study publication-title: Arch Neurol contributor: fullname: Massman – volume: 25 start-page: 181 year: 2005 end-page: 191 ident: bib7 article-title: The Aging, Demographics, and Memory Study: study design and methods publication-title: Neuroepidemiology contributor: fullname: Ofstedal – volume: 40 start-page: 104 year: 2013 end-page: 114 ident: bib4 article-title: A European multicentre PET study of fibrillar amyloid in Alzheimer's disease publication-title: Eur J Nucl Med Mol Imaging contributor: fullname: Vandenberghe – volume: 19 start-page: 299 year: 2004 end-page: 308 ident: bib12 article-title: Variation in cost of informal caregiving and formal-service use for people with Alzheimer's disease publication-title: Am J Alzheimers Dis Other Demen contributor: fullname: Belle – volume: 12 start-page: 158 year: 2014 end-page: 165 ident: bib3 article-title: Prognosis of mild cognitive impairment in general practice: results of the German AgeCoDe study publication-title: Ann Fam Med contributor: fullname: Luck – volume: 30 start-page: S7 year: 1995 end-page: S56 ident: bib6 article-title: An overview of the Health and Retirement Study publication-title: J Hum Resour contributor: fullname: Suzman – year: 2007 ident: bib17 article-title: Aging, Demographics and Memory Study (ADAMS). Sample design, weighting, and analysis for ADAMS contributor: fullname: Plassman – year: 2011 – volume: 307 start-page: 165 year: 2012 end-page: 172 article-title: Association of incident dementia with hospitalizations publication-title: JAMA – volume: 27 start-page: 864 year: 2015 end-page: 893 article-title: Dementia care management in an underserved community the comparative effectiveness of two different approaches publication-title: J Aging Health – volume: 18 start-page: 25 year: 2014 end-page: 39 article-title: The value of delaying Alzheimer's disease onset publication-title: Forum Health Econ Policy – volume: 40 start-page: 104 year: 2013 end-page: 114 article-title: A European multicentre PET study of fibrillar amyloid in Alzheimer's disease publication-title: Eur J Nucl Med Mol Imaging – volume: 11 start-page: 917 year: 2015 end-page: 932 article-title: Direct medical costs and source of cost differences across the spectrum of cognitive decline: A population‐based study publication-title: Alzheimers Dement – volume: 31 start-page: 119 year: 2003 end-page: 125 article-title: Cost of dementia: impact of disease progression estimated in longitudinal data publication-title: Scand J Public Health – volume: 34 start-page: 199 year: 1994 end-page: 205 article-title: The costs of family contributions to the care of persons with dementia publication-title: Gerontologist – year: 2007 – volume: 385 start-page: 2255 year: 2015 end-page: 2263 article-title: A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at‐risk elderly people (FINGER): a randomised controlled trial publication-title: Lancet – volume: 61 start-page: 2214 year: 2013 end-page: 2218 article-title: The University of California at Los Angeles Alzheimer's and Dementia Care Program for Comprehensive, Coordinated, Patient‐Centered Care: Preliminary Data publication-title: J Am Geriatr Soc – volume: 29 start-page: 125 year: 2007 end-page: 132 article-title: Prevalence of dementia in the United States: the aging, demographics, and memory study publication-title: Neuroepidemiology – volume: 163 start-page: 729 year: 2015 end-page: 736 article-title: The burden of health care costs for patients with dementia in the last 5 years of life publication-title: Ann Intern Med – volume: 18 start-page: 85 year: 2012 end-page: 94 article-title: A dementia care management intervention: which components improve quality? publication-title: Am J Manag Care – volume: 65 start-page: 1091 year: 2008 end-page: 1095 article-title: Staging dementia using Clinical Dementia Rating Scale Sum of Boxes scores: a Texas Alzheimer's research consortium study publication-title: Arch Neurol – volume: 145 start-page: 713 year: 2006 end-page: 726 article-title: The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial publication-title: Ann Intern Med – volume: 25 start-page: 181 year: 2005 end-page: 191 article-title: The Aging, Demographics, and Memory Study: study design and methods publication-title: Neuroepidemiology – volume: 9 start-page: 58 year: 2013 end-page: 62 article-title: The economics of mild cognitive impairment publication-title: Alzheimers Dement – volume: 29 start-page: 158 year: 2015 end-page: 160 article-title: The Dementia Severity Rating Scale Predicts Clinical Dementia Rating Sum of Boxes Scores publication-title: Alzheimer Dis Assoc Disord – volume: 12 start-page: 158 year: 2014 end-page: 165 article-title: Prognosis of mild cognitive impairment in general practice: results of the German AgeCoDe study publication-title: Ann Fam Med – volume: 15 start-page: 14 year: 2014 article-title: Real‐world effectiveness of abatacept for rheumatoid arthritis treatment in European and Canadian populations: a 6‐month interim analysis of the 2‐year, observational, prospective ACTION study publication-title: BMC Musculoskelet Disord – volume: 65 start-page: 1091 year: 2008 end-page: 1095 article-title: Staging Dementia Using Clinical Demential Rating Scale Sum of Boxes Scores: A Texas Alzheimer's Research Consortium Study publication-title: Arch Neurol – volume: 19 start-page: 299 year: 2004 end-page: 308 article-title: Variation in cost of informal caregiving and formal‐service use for people with Alzheimer's disease publication-title: Am J Alzheimers Dis Other Demen – volume: 30 start-page: S7 year: 1995 end-page: S56 article-title: An overview of the Health and Retirement Study publication-title: J Hum Resour – volume: 5 start-page: 102 year: 2014 article-title: The battle of Alzheimer's Disease – the beginning of the future Unleashing the potential of academic discoveries publication-title: Front Pharmacol – year: 2008 – volume: 368 start-page: 1326 year: 2013 end-page: 1334 article-title: Monetary costs of dementia in the United States publication-title: N Engl J Med – ident: e_1_2_6_9_2 doi: 10.1056/NEJMsa1204629 – ident: e_1_2_6_5_2 doi: 10.1007/s00259-012-2237-2 – volume: 5 start-page: 102 year: 2014 ident: e_1_2_6_2_2 article-title: The battle of Alzheimer's Disease – the beginning of the future Unleashing the potential of academic discoveries publication-title: Front Pharmacol doi: 10.3389/fphar.2014.00102 contributor: fullname: Lundkvist J – volume-title: Valuing the invaluable: 2011 update: The growing contributions and costs of family caregiving year: 2011 ident: e_1_2_6_15_2 contributor: fullname: Feinberg L – ident: e_1_2_6_12_2 doi: 10.1016/j.jalz.2015.01.007 – ident: e_1_2_6_10_2 doi: 10.1515/fhep-2014-0013 – ident: e_1_2_6_11_2 doi: 10.7326/M15-0381 – volume: 31 start-page: 119 year: 2003 ident: e_1_2_6_24_2 article-title: Cost of dementia: impact of disease progression estimated in longitudinal data publication-title: Scand J Public Health doi: 10.1080/14034940210134059 contributor: fullname: Kronborg A – volume: 15 start-page: 14 year: 2014 ident: e_1_2_6_17_2 article-title: Real‐world effectiveness of abatacept for rheumatoid arthritis treatment in European and Canadian populations: a 6‐month interim analysis of the 2‐year, observational, prospective ACTION study publication-title: BMC Musculoskelet Disord doi: 10.1186/1471-2474-15-14 contributor: fullname: Nublein HG – ident: e_1_2_6_3_2 – ident: e_1_2_6_23_2 doi: 10.1016/S0140-6736(15)60461-5 – ident: e_1_2_6_26_2 doi: 10.7326/0003-4819-145-10-200611210-00004 – ident: e_1_2_6_8_2 doi: 10.1159/000087448 – ident: e_1_2_6_16_2 doi: 10.1159/000109998 – ident: e_1_2_6_20_2 doi: 10.1001/archneur.65.8.1091 – ident: e_1_2_6_29_2 doi: 10.1001/jama.2011.1964 – ident: e_1_2_6_21_2 doi: 10.1001/archneur.65.8.1091 – ident: e_1_2_6_27_2 doi: 10.1111/jgs.12562 – volume: 18 start-page: 85 year: 2012 ident: e_1_2_6_25_2 article-title: A dementia care management intervention: which components improve quality? publication-title: Am J Manag Care contributor: fullname: Chodosh J – ident: e_1_2_6_22_2 doi: 10.1177/0898264315569454 – ident: e_1_2_6_18_2 – ident: e_1_2_6_6_2 doi: 10.1016/j.jalz.2012.05.2117 – ident: e_1_2_6_7_2 doi: 10.2307/146277 – volume-title: Modern epidemiology year: 2008 ident: e_1_2_6_28_2 contributor: fullname: Rothman KJ – ident: e_1_2_6_4_2 doi: 10.1370/afm.1596 – volume: 29 start-page: 158 year: 2015 ident: e_1_2_6_19_2 article-title: The Dementia Severity Rating Scale Predicts Clinical Dementia Rating Sum of Boxes Scores publication-title: Alzheimer Dis Assoc Disord doi: 10.1097/WAD.0000000000000031 contributor: fullname: Moelter ST – ident: e_1_2_6_13_2 doi: 10.1177/153331750401900507 – ident: e_1_2_6_14_2 doi: 10.1093/geront/34.2.199 |
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| Snippet | Abstract Introduction Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. Methods... Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. With data from the Aging,... Introduction Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. Methods With data... INTRODUCTIONIndividuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia.METHODSWith data... |
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| SubjectTerms | 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 |
| Title | The financial burden and health care utilization patterns associated with amnestic mild cognitive impairment |
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