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@ARTICLE{Michalowsky:141519,
author = {Michalowsky, Bernhard and Xie, Feng and Eichler, Tilly and
Hertel, Johannes and Rädke, Anika and Kilimann, Ingo and
Teipel, Stefan and Wucherer, Diana and Zwingmann, Ina and
Thyrian, Jochen René and Hoffmann, Wolfgang},
title = {{C}ost-effectiveness of a collaborative dementia care
management-{R}esults of a cluster-randomized controlled
trial.},
journal = {Alzheimer's and dementia},
volume = {15},
number = {10},
issn = {1552-5260},
address = {Amsterdam [u.a.]},
publisher = {Elsevier},
reportid = {DZNE-2020-07843},
pages = {1296-1308},
year = {2019},
abstract = {The purpose of this study was to determine the
cost-effectiveness of collaborative dementia care management
(DCM).The cost-effectiveness analysis was based on the data
of 444 patients of a cluster-randomized, controlled trial,
conceptualized to evaluate a collaborative DCM that aimed to
optimize treatment and care in dementia. Health-care
resource use, costs, quality-adjusted life years (QALYs),
and incremental cost per QALY gained were measured over a
24-month time horizon.DCM increased QALYs (+0.05) and
decreased costs (-569€) due to a lower hospitalization and
a delayed institutionalization (7 months) compared with
usual care. The probability of DCM being cost-effective was
$88\%$ at willingness-to-pay thresholds of 40,000€ per
QALY gained and higher in patients living alone compared to
those not living alone $(96\%$ vs. $26\%).DCM$ is likely to
be a cost-effective strategy in treating dementia and thus
beneficial for public health-care payers and patients,
especially for those living alone.},
keywords = {Aged / Cooperative Behavior / Cost-Benefit Analysis:
statistics $\&$ numerical data / Dementia: therapy / Disease
Management / Female / Humans / Male / Patient Acceptance of
Health Care: statistics $\&$ numerical data /
Quality-Adjusted Life Years / Surveys and Questionnaires},
cin = {AG Thyrian / AG Hoffmann / AG Teipel / AG Grabe},
ddc = {610},
cid = {I:(DE-2719)1510800 / I:(DE-2719)1510600 /
I:(DE-2719)1510100 / I:(DE-2719)5000001},
pnm = {344 - Clinical and Health Care Research (POF3-344)},
pid = {G:(DE-HGF)POF3-344},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31409541},
doi = {10.1016/j.jalz.2019.05.008},
url = {https://pub.dzne.de/record/141519},
}