Evidence map›Paper›PMID 31256142›Full record

ReviewJournal of Alzheimer's disease : JAD2019

Tip of the Iceberg: Assessing the Global Socioeconomic Costs of Alzheimer's Disease and Related Dementias and Strategic Implications for Stakeholders.

Youssef H El-Hayek, Ryan E Wiley, Charles P Khoury, Ritesh P Daya, Clive Ballard, Alison R Evans, Michael Karran, José Luis Molinuevo, Matthew Norton, Alireza Atri

Abstract readReview
In one paragraph

Review in Journal of Alzheimer's disease : JAD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 138 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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

138 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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78 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

10 authors.

Youssef H El-HayekShift Health, Toronto, ON, Canada.
Ryan E WileyShift Health, Toronto, ON, Canada.
Charles P KhouryShift Health, Toronto, ON, Canada.
Ritesh P DayaShift Health, Toronto, ON, Canada.
Clive BallardUniversity of Exeter, Exeter, UK.
Alison R EvansAlzheimer's Research UK, Cambridge, UK.
Michael KarranAlzheimer's Research UK, Cambridge, UK.
José Luis MolinuevoBarcelonaβeta Brain Research Center, Barcelona, Spain.
Matthew NortonAlzheimer's Research UK, Cambridge, UK.
Alireza AtriBanner Sun Health Research Institute, Banner Health, Sun City, AZ, USA.

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI REIMAN, ERIC MICHAEL · 2001 to 2020
$32.5M
NIA NIH HHS P30 AG019610
6 · The paper itself

Abstract

While it is generally understood that Alzheimer's disease (AD) and related dementias (ADRD) is one of the costliest diseases to society, there is widespread concern that researchers and policymakers are not comprehensively capturing and describing the full scope and magnitude of the socioeconomic burden of ADRD. This review aimed to 1) catalogue the different types of AD-related socioeconomic costs described in the literature; 2) assess the challenges and gaps of existing approaches to measuring these costs; and 3) analyze and discuss the implications for stakeholders including policymakers, healthcare systems, associations, advocacy groups, clinicians, and researchers looking to improve the ability to generate reliable data that can guide evidence-based decision making. A centrally emergent theme from this review is that it is challenging to gauge the true value of policies, programs, or interventions in the ADRD arena given the long-term, progressive nature of the disease, its insidious socioeconomic impact beyond the patient and the formal healthcare system, and the complexities and current deficiencies (in measures and real-world data) in accurately calculating the full costs to society. There is therefore an urgent need for all stakeholders to establish a common understanding of the challenges in evaluating the full cost of ADRD and define approaches that allow us to measure these costs more accurately, with a view to prioritizing evidence-based solutions to mitigate this looming public health crisis.

Indexed as

Cost of IllnessHealth Care CostsSocioeconomic FactorsStakeholder ParticipationAlzheimer DiseaseDementiaGlobal HealthHumansAlzheimer’s diseasecaregiverscost of illnessdementiadisease progressionhealth care costshealth policylong-term careresource allocation

Identifiers

PMID31256142
PMCPMC6700654

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.