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Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru

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dc.contributor.author Custodio, Nilton
dc.contributor.author Lira, David
dc.contributor.author Herrera-Perez, Eder
dc.contributor.author Del Prado, Liza Nunez
dc.contributor.author Parodi, Jose
dc.contributor.author Guevara-Silva, Erik
dc.contributor.author Castro-Suarez, Sheila
dc.contributor.author Montesinos, Rosa
dc.date.accessioned 2019-02-06T14:52:18Z
dc.date.available 2019-02-06T14:52:18Z
dc.date.issued 2015
dc.identifier.uri https://hdl.handle.net/20.500.12866/5299
dc.description.abstract Dementia is a major cause of dependency and disability among older persons, and imposes huge economic burdens. Only a few cost-of-illness studies for dementia have been carried out in middle and low-income countries. Objective: The aim of this study was to analyze costs of dementia in demented patients of a private clinic in Lima, Peru. Methods: We performed a retrospective, cohort, 3-month study by extracting information from medical records of demented patients to assess the use of both healthcare and non-healthcare resources. The total costs of the disease were broken down into direct (medical and social care costs) and indirect costs (informal care costs). Results: In 136 outpatients, we observed that while half of non-demented patients had total care costs of less than US$ 23 over three months, demented patients had costs of US$ 1500 or over (and more than US$ 1860 for frontotemporal dementia). In our study, the monthly cost of a demented patient (US$ 570) was 2.5 times higher than the minimum wage (legal minimum monthly wage in Peru for 2011: US$ 222.22). Conclusion: Dementia constitutes a socioeconomic problem even in developing countries, since patients involve high healthcare and non-healthcare costs, with the costs being especially high for the patient's family. en_US
dc.language.iso eng
dc.publisher Brazilian Academy of Neurology
dc.relation.ispartofseries Dementia and Neuropsychologia
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject dementia en_US
dc.subject cost of illness en_US
dc.subject costs and cost analysis en_US
dc.subject health care costs en_US
dc.subject health expenditures en_US
dc.title Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru en_US
dc.title.alternative Custo de doença em um estudo coorte retrospectivo de pacientes com demência em Lima, Peru pt_BR
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1590/S1980-57642015DN91000006
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.25
dc.relation.issn 2764-4863

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