Evidence map›Paper›PMID 28978658›Full record

ArticleNeurology2017

The social and economic burden of frontotemporal degeneration.

James E Galvin, David H Howard, Sharon S Denny, Susan Dickinson, Nadine Tatton

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 5 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. The prevalence of frontotemporal dementia: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. The prevalence of frontotemporal dementia: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  14. Developing digital health technologies for frontotemporal degeneration.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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  17. Atypical Presentations of Alzheimer Disease.Continuum (Minneapolis, Minn.) · 2024
    Review
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

James E GalvinFrom the Institute for Healthy Aging and Lifespan Studies (J.E.G.), Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton; Emory University (D.H.H.), Atlanta, GA; and Association for Frontotemporal Degeneration (S.S.D., S.D., N.T.), Radnor, PA. galvinj@health.fau.edu.
David H HowardFrom the Institute for Healthy Aging and Lifespan Studies (J.E.G.), Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton; Emory University (D.H.H.), Atlanta, GA; and Association for Frontotemporal Degeneration (S.S.D., S.D., N.T.), Radnor, PA.
Sharon S DennyFrom the Institute for Healthy Aging and Lifespan Studies (J.E.G.), Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton; Emory University (D.H.H.), Atlanta, GA; and Association for Frontotemporal Degeneration (S.S.D., S.D., N.T.), Radnor, PA.
Susan DickinsonFrom the Institute for Healthy Aging and Lifespan Studies (J.E.G.), Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton; Emory University (D.H.H.), Atlanta, GA; and Association for Frontotemporal Degeneration (S.S.D., S.D., N.T.), Radnor, PA.
Nadine TattonFrom the Institute for Healthy Aging and Lifespan Studies (J.E.G.), Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton; Emory University (D.H.H.), Atlanta, GA; and Association for Frontotemporal Degeneration (S.S.D., S.D., N.T.), Radnor, PA.
Emory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify the socioeconomic burden of frontotemporal degeneration (FTD) compared to previously published data for Alzheimer disease (AD).

methodsA 250-item internet survey was administered to primary caregivers of patients with behavioral-variant FTD (bvFTD), primary progressive aphasia, FTD with motor neuron disease, corticobasal syndrome, or progressive supranuclear palsy. The survey included validated scales for disease staging, behavior, activities of daily living, caregiver burden, and health economics, as well as investigator-designed questions to capture patient and caregiver experience with FTD.

resultsThe entire survey was completed by 674 of 956 respondents (70.5%). Direct costs (2016 US dollars) equaled $47,916 and indirect costs $71,737, for a total annual per-patient cost of $119,654, nearly 2 times higher than reported costs for AD. Patients ≥65 years of age, with later stages of disease, and with bvFTD correlated with higher direct costs, while patients <65 years of age and men were associated with higher indirect costs. An FTD diagnosis produced a mean decrease in household income from $75,000 to $99,000 12 months before diagnosis to $50,000 to $59,999 12 months after diagnosis, resulting from lost days of work and early departure from the workforce.

conclusionsThe economic burden of FTD is substantial. Counting productivity-related costs, per-patient costs for FTD appear to be greater than per-patient costs reported for AD. There is a need for biomarkers for accurate and timely diagnosis, effective treatments, and services to reduce this socioeconomic burden.

Indexed as

Cost of IllnessAgedAge FactorsAphasia, Primary ProgressiveCaregiversFemaleFrontotemporal DementiaHealth Care CostsHumansMaleMiddle AgedMotor Neuron DiseaseNeurodegenerative DiseasesSeverity of Illness IndexSex FactorsSupranuclear Palsy, Progressive

Identifiers

PMID28978658
PMCPMC5711509
OpenAlexW2763008648

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.