Evidence map›Paper›PMID 34255025›Full record

ArticleAge and ageing2021

Total cost of care increases significantly from early to mild Alzheimer's disease: 5-year ALSOVA follow-up.

Viivi Jetsonen, Virpi Kuvaja-Köllner, Tarja Välimäki, Tuomas Selander, Janne Martikainen, Anne M Koivisto

Open access · hybridAbstract read
In one paragraph

Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Review
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  9. Neuroinflammation Markers in Tear Fluid of Mild Alzheimer's Disease.Journal of molecular neuroscience : MN · 2025
    Article
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  12. Observational
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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

6 authors at 2 institutions in 1 country.

Viivi JetsonenDepartment of Neurology, University of Eastern Finland, Kuopio, Finland.
Virpi Kuvaja-KöllnerDepartment of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Tarja VälimäkiDepartment of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Tuomas SelanderScience Service Center, Kuopio University Hospital, Kuopio Finland.
Janne MartikainenSchool of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Anne M KoivistoDepartment of Neurology, University of Eastern Finland, Kuopio, Finland.
University of Eastern Finland · FIKuopio University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe studied the costs of formal and informal care in relation to Alzheimer's disease (AD) progression.

methods231 persons with AD with a family caregiver were followed up for 5 years. The Clinical Dementia Rating Scale-Sum of Boxes (CDR-SB) was used to measure AD progression. Health and social care unit costs were used for formal care costs. An opportunity cost method for lost leisure time was applied to analyse the cost of informal care.

resultsTotal cost of care in early stage AD (CDR-SB ≤ 4) was 16,448€ (95% CI 13,722-19,716) annually. In mild (CDR-SB 4.5-9), moderate (CDR-SB 9.5-15.5) and severe (CDR-SB ≥ 16) AD, the total costs were 2.3, 3.4 and 4.4 times higher, respectively. A one-unit increase in CDR-SB increased the total, formal and informal costs by 15, 11 and 18%, respectively.

conclusionsCompared to early AD, the costs of total, formal and informal care are remarkably higher already in mild AD. This finding emphasises early diagnosis, interventions and family support for persons with AD and their caregivers.

Indexed as

Alzheimer DiseaseCaregiversDisease ProgressionFollow-Up StudiesHumansMental Status and Dementia TestsALSOVAAlzheimer’s diseasecost of caredementiafollow-up studyformal careinformal careolder peopleThe Clinical Dementia Rating Scale—Sum of Boxes (CDR-SB)

Identifiers

PMID34255025
PMCPMC8581391
OpenAlexW3181529017

What OpenQuestion holds

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LicenceCC BY-NC
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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.