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@ARTICLE{Michalowsky:140841,
      author       = {Michalowsky, Bernhard and Rädke, Anika and Hoffmann,
                      Wolfgang},
      title        = {[{T}he economic and social burden of dementia diseases in
                      {G}ermany-{A} meta-analysis].},
      journal      = {Bundesgesundheitsblatt, Gesundheitsforschung,
                      Gesundheitsschutz},
      volume       = {62},
      number       = {8},
      issn         = {1436-9990},
      address      = {Heidelberg},
      publisher    = {Springer},
      reportid     = {DZNE-2020-07163},
      pages        = {981-992},
      year         = {2019},
      abstract     = {Currently, there are 1.7 million people living with
                      dementia (PwD) in Germany. This number is expected to double
                      within the next decades. Estimates of the total societal
                      economic burden of dementia are currently missing.The aim
                      was to estimate the current and future total cost and excess
                      cost of dementia from a public payer and societal
                      perspective.Studies demonstrating the healthcare resource
                      utilization of PwD in Germany were identified. Utilization
                      data were aggregated using the sample size of different
                      studies as a weight. Annual per capita costs of PwD and
                      excess cost of dementia were calculated using standardized
                      unit costs. Current and future costs were calculated based
                      on published prevalence and population forecasts.PwD living
                      at home had lower costs from a payer perspective compared
                      to those who are institutionalized, but higher total
                      societal cost due to the higher informal care time. The
                      total cost for PwD from a payer perspective was
                      34 billion € in 2016. These costs could reach
                      90 billion € by 2060. The excess cost of dementia was
                      18 billion € in 2016 and is estimated to become
                      49 billion € by 2060 from a payer perspective,
                      representing $54\%$ of the total cost of PwD and up to
                      $15\%$ of the total costs associated with the elderly
                      population. The total societal cost was 73 billion € in
                      2016 and is estimated to become 194 billion € by 2060.
                      The excess cost of dementia was 54 billion € in 2016
                      and is estimated to become 145 billion € by 2060,
                      representing $74\%$ of the total societal cost of PwD and
                      $36\%$ of the total societal cost of the elderly.Dementia
                      diseases represent a tremendous social and economic burden.
                      Without a cure, supporting caregivers and implementing
                      interventions that delay the functional and cognitive
                      decline will be crucial to relieving the increasing costs.},
      keywords     = {Aged / Aged, 80 and over / Aging / Caregivers: economics /
                      Caregivers: statistics $\&$ numerical data / Cost of Illness
                      / Dementia: economics / Dementia: psychology / Germany /
                      Health Care Costs: statistics $\&$ numerical data / Humans /
                      Patient Acceptance of Health Care / Resource Allocation},
      cin          = {AG Grabe / AG Hoffmann},
      ddc          = {610},
      cid          = {I:(DE-2719)5000001 / I:(DE-2719)1510600},
      pnm          = {344 - Clinical and Health Care Research (POF3-344)},
      pid          = {G:(DE-HGF)POF3-344},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:31297549},
      doi          = {10.1007/s00103-019-02985-z},
      url          = {https://pub.dzne.de/record/140841},
}