Custo de doença em um estudo coorte retrospectivo de pacientes com demência em lima, Peru

Translated title of the contribution: Cost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru

Nilton Custodio, David Lira, Eder Herrera-Perez, Liza Nuñez del Prado, José Parodi, Erik Guevara-Silva, Sheila Castro-Suarez, Rosa Montesinos

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

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. Key words: dementia, costs and cost analysis, cost of illness, health care costs, health expenditures.

Translated title of the contributionCost-of-illness study in a retrospective cohort of patients with dementia in Lima, Peru
Original languagePortuguese
Pages (from-to)32-41
Number of pages10
JournalDementia e Neuropsychologia
Volume9
Issue number1
DOIs
StatePublished - 2015
Externally publishedYes

Keywords

  • Cost of illness
  • Costs and cost analysis
  • Dementia
  • Health care costs
  • Health expenditures

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