Evidence map›Paper›PMID 32826748›Full record

ArticleMedical care2020

Health Care Costs of Alzheimer's and Related Dementias Within a Medicare Managed Care Provider.

Paul A Fishman, Lindsay White, Bailey Ingraham, Sungchul Park, Eric B Larson, Paul Crane, Norma B Coe

Open access · greenAbstract read
In one paragraph

Article in Medical care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Cognitive measures lacking in EHR prior to dementia or Alzheimer's disease diagnosis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
    Article
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

7 authors at 4 institutions in 1 country.

Paul A FishmanDepartment of Health Services, University of Washington.
Lindsay WhiteDepartment of Health Services, University of Washington.
Bailey IngrahamDepartment of Health Services, University of Washington.
Sungchul ParkDepartment of Health Management and Policy, Drexel University, Philadelphia, PA.
Eric B LarsonKaiser Permanente Washington Health Research Institute, Seattle, WA.
Paul CraneDepartment of Health Services, University of Washington.
Norma B CoeDepartment of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia, PA.
University of Washington · USDrexel University · USKaiser Permanente Washington Health Research Institute · USNational Bureau of Economic Research · US

Funding

Furthering scientific understanding of mechanisms underlying resilience to the effects of AD pathology by incorporating state of the art quantification of gliosis, inflammation, & synaptic toxicityU01AG006781 · NIA · UNIVERSITY OF WASHINGTON · PI CRANE, PAUL K, LARSON, ERIC B · 1986 to 2020
$39.3M
STATISTICAL DATA ENCLAVE COREP30AG012836 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 1999 to 2024
$14.0M
Current and Future Costs of Alzheimer's and Dementia CareR01AG049815 · NIA · UNIVERSITY OF WASHINGTON · PI COE, NORMA B · 2015 to 2018
$2.1M
EPA EP-C-14-005NIA NIH HHS P30 AG012836NIA NIH HHS R01 AG049815NIA NIH HHS U01 AG006781
6 · The paper itself

Abstract

backgroundAlthough one third of Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans, there is limited information about the cost of treating Alzheimer disease and related dementias (ADRD) in these settings.

objectiveThe objective of this study was to estimate direct health care costs attributable to ADRD among older adults within a large MA plan. RESEARCH

designA retrospective cohort design was used to estimate direct total, outpatient, inpatient, ambulatory pharmacy, and nursing home costs for 3 years before and after an incident ADRD diagnosis for 927 individuals diagnosed with ADRD relative to a sex-matched and birth year-matched set of 2945 controls. SUBJECT: Adults 65 years of age and older enrolled in the Kaiser Permanente Washington MA plan and the Adult Changes in Thought (ACT) Study, a prospective longitudinal cohort study of ADRD and brain aging. MEASURES: Data on monthly health service use obtained from health system electronic medical records for the period 1992-2012.

resultsTotal monthly health care costs for individuals with ADRD are statistically greater (P<0.05) than controls beginning in the third month before diagnosis and remain significantly greater through the eighth month following diagnosis. Greater total health costs are driven by significantly (P<0.05) greater nursing home costs among individuals diagnosed with ADRD beginning in the third month prediagnosis. Although total costs were no longer significantly greater at 8 months following diagnosis, nursing home costs remained higher for the people with dementia through the 3 years postdiagnosis we analyzed.

conclusionGreater total health care costs among individuals with ADRD are primarily driven by nursing home costs.

Indexed as

AgedAged, 80 and overAlzheimer DiseaseDementiaFemaleHealth ExpendituresHealth ServicesHomes for the AgedHumansLongitudinal StudiesMaleMedicare Part CNursing HomesPatient Acceptance of Health CareProspective StudiesUnited States

Identifiers

PMID32826748
PMCPMC8877720
OpenAlexW3045847816

What OpenQuestion holds

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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.