Ridder, Hanne Mette O., Stige, Brynjulf, Qvale, Liv Gunnhild, Gold, Christian

Objectives: Agitation in nursing home residents with dementia leads to increase in psychotropic medication, decrease in quality of life, and to patient distress and caregiver burden. Music therapy has previously been found effective in treatment of agitation in dementia care but studies have been methodologically insufficient. The aim of this study was to examine the […]

Pitkälä, Kaisu H., Pöysti, Minna M., Laakkonen, Marja-Liisa, Tilvis, Reijo S., Savikko, Niina, Kautiainen, Hannu, Strandberg, Timo E.

Importance: Few rigorous clinical trials have investigated the effectiveness of exercise on the physical functioning of patients with Alzheimer disease (AD).; Objectives: To investigate the effects of intense and long-term exercise on the physical functioning and mobility of home-dwelling patients with AD and to explore its effects on the use and costs of health and […]

Meeuwsen, Els, Melis, René, van der Aa, Geert, Golüke-Willemse, Gertie, de Leest, Benoit, van Raak, Frank, Schölzel-Dorenbos, Carla, Verheijen, Desiree, Verhey, Frans, Visser, Marieke, Wolfs, Claire, Adang, Eddy, Olde Rikkert, Marcel

Objective: To evaluate the cost-effectiveness of post-diagnosis dementia treatment and coordination of care by memory clinics compared to general practitioners’ care.; Methods: A multicentre randomised trial with 175 community dwelling patients newly diagnosed with mild to moderate dementia, and their informal caregivers, with twelve months’ follow-up. Cost-effectiveness was evaluated from a societal point of view […]

Kohler, Leonore, Meinke-Franze, Claudia, Hein, Jurgen, Fendrich, Konstanze, Heymann, Romy, Thyrian, Jochen, Hoffmann, Wolfgang

Background: Most persons with dementia live at home and are treated in the primary care. However, the ambulatory health care system in Germany contains a lot of “interface problems” and is not optimized for the future challenges. Innovative concepts like regional networks in dementia care exist on a project level and need to be tested […]

Knapp, M., King, D., Romeo, R., Schehl, B., Barber, J., Griffin, M., Rapaport, P., Livingston, D., Mummery, C., Walker, Z., Hoe, J., Sampson, E. L., Cooper, C., Livingston, G.

Objective: To assess whether the START (STrAtegies for RelatTives) intervention added to treatment as usual is cost effective compared with usual treatment alone.; Design: Cost effectiveness analysis nested within a pragmatic randomised controlled trial.; Setting: Three mental health and one neurological outpatient dementia service in London and Essex, UK.; Participants: Family carers of people with […]

Joling, Karlijn J, Bosmans, Judith E, van Marwijk, Harm WJ, van der Horst, Henriëtte E, Scheltens, Philip, Vroomen, Janet L, van Hout, Hein PJ

Background: Dementia imposes a heavy burden on health and social care systems as well as on family caregivers who provide a substantial portion of the care. Interventions that effectively support caregivers may prevent or delay patient institutionalization and hence be cost-effective. However, evidence about the cost-effectiveness of such interventions is scarce. The aim of this […]

Getsios, Denis, Blume, Steve, Ishak, K. Jack, Maclaine, Grant D.H.

Background: Recommendations in the UK suggest restricting treatment of Alzheimer’s disease with cholinesterase inhibitors, on cost-effectiveness grounds, to patients with moderate cognitive decline. As the economic analyses that informed these recommendations have been the subject of debate, we sought to address the potential limitations of existing models and produce estimates of donepezil treatment cost effectiveness […]

Duru, O. Kenrik, Ettner, Susan L., Vassar, Stefanie D., Chodosh, Joshua, Vickrey, Barbara G.

Objective: To calculate intervention costs and the potential cost offset of a care management intervention that substantially improved the quality of dementia care.; Study Design: From both a payer perspective and a social planner perspective, we analyzed data from a cluster randomized controlled trial (RCT) evaluating this intervention versus usual care. The RCT included 408 […]