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@INPROCEEDINGS{Glaeser:283074,
author = {Glaeser, Eva and Kilimann, Ingo and Platen, Moritz and
Hoffmann, Wolfgang and Brosseron, Frederic and Bürger,
Katharina and Coenjaerts, Marie and Düzel, Emrah and Ewers,
Michael and Fließbach, Klaus and Frommann, Ingo and
Gemenetzi, Maria and Glanz, Wenzel and Hellmann-Regen,
Julian and Incesoy, Enise I and Janowitz, Daniel and Jessen,
Frank and Peters, Oliver and Priller, Josef and Ramirez,
Alfredo and Schneider, Anja and Spottke, Annika and Spruth,
Eike Jakob and Teipel, Stefan and Wagner, Michael and
Michalowsky, Bernhard},
collaboration = {delcode},
title = {{T}he {E}conomic {B}urden of {S}ubjective {C}ognitive
{D}ecline, {M}ild {C}ognitive {I}mpairment and {A}lzheimer's
{D}ementia: {E}xcess {C}osts and {A}ssociated {C}linical and
{R}isk {F}actors},
journal = {Alzheimer's and dementia},
volume = {21},
number = {Suppl 6},
issn = {1552-5260},
reportid = {DZNE-2025-01481},
pages = {e100774},
year = {2025},
abstract = {This study assessed costs and cost-associated factors in
patients with subjective cognitive decline (SCD), mild
cognitive impairment (MCI) and Alzheimer's Disease (AD)
dementia compared to healthy controls.Clinical data, risk
factors, healthcare resource use and informal care provision
were assessed in the DELCODE study. Costs were calculated
from payer and societal perspectives, with multivariate
regression analyses identifying cost-associated
factors.Societal costs were elevated by $50\%$ for SCD
(adjusted mean 7,705€ $[95\%CI$ 6,227-9,182€)], $199\%$
for MCI (15,328€ [6,121-24,535€]) and $602\%$ for AD
(36,031€ [3,075-68,986€]) compared to controls (5,129€
[3,217-7,042€]). ApoE ε4 negative patients showed higher
costs compared to positive patients. Hypertension was
associated with higher costs, while lower education status
and high cholesterol reduced costs.Healthcare costs are
already significantly elevated in early subjective and
objective cognitive impairment, driven by formal and
informal care. The study emphasizes the importance of early
interventions to reduce the economic burden and delay
progression.},
month = {Jul},
date = {2025-07-27},
organization = {Alzheimer’s Association
International Conference, Toronto
(Canada), 27 Jul 2025 - 31 Jul 2025},
keywords = {Humans / Male / Female / Cognitive Dysfunction: economics /
Alzheimer Disease: economics / Aged / Health Care Costs:
statistics $\&$ numerical data / Public Health: economics /
Risk Factors / Cost of Illness / Aged, 80 and over / Middle
Aged},
cin = {AG Michalowsky / AG Hoffmann / AG Teipel / AG Wagner / AG
Jessen / AG Heneka / Clinical Research (Munich) / AG Düzel
/ Patient Studies (Bonn) / AG Endres / AG Peters / AG
Priller / AG Schneider / AG Spottke},
ddc = {610},
cid = {I:(DE-2719)5000067 / I:(DE-2719)1510600 /
I:(DE-2719)1510100 / I:(DE-2719)1011201 / I:(DE-2719)1011102
/ I:(DE-2719)1011303 / I:(DE-2719)1111015 /
I:(DE-2719)5000006 / I:(DE-2719)1011101 / I:(DE-2719)1811005
/ I:(DE-2719)5000000 / I:(DE-2719)5000007 /
I:(DE-2719)1011305 / I:(DE-2719)1011103},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
experiment = {EXP:(DE-2719)DELCODE-20140101},
typ = {PUB:(DE-HGF)1 / PUB:(DE-HGF)16},
pubmed = {pmid:41435114},
pmc = {pmc:PMC12726759},
doi = {10.1002/alz70860_100774},
url = {https://pub.dzne.de/record/283074},
}