Exploring costs, cost components, and associated factors among people with dementia approaching the end of life: A systematic review.
Exploring costs, cost components, and associated factors among people with dementia approaching the end of life: A systematic review.
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DOI：
10.1002/trc2.12198
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Sleeman KE
中科院分区：
文献类型：
--
作者：
Leniz J;Yi D;Yorganci E;Williamson LE;Suji T;Cripps R;Higginson IJ;Sleeman KE
Understanding costs of care for people dying with dementia is essential to guide service development, but information has not been systematically reviewed. We aimed to understand (1) which cost components have been measured in studies reporting the costs of care in people with dementia approaching the end of life, (2) what the costs are and how they change closer to death, and (3) which factors are associated with these costs. We searched the electronic databases CINAHL, Medline, Cochrane, Web of Science, EconLit, and Embase and reference lists of included studies. We included any type of study published between 1999 and 2019, in any language, reporting primary data on costs of health care in individuals with dementia approaching the end of life. Two independent reviewers screened all full‐text articles. We used the Evers' Consensus on Health Economic Criteria checklist to appraise the risk of bias of included studies. We identified 2843 articles after removing duplicates; 19 studies fulfilled the inclusion criteria, 16 were from the United States. Only two studies measured informal costs including out‐of‐pocket expenses and informal caregiving. The monthly total direct cost of care rose toward death, from $1787 to $2999 USD in the last 12 months, to $4570 to $11921 USD in the last month of life. Female sex, Black ethnicity, higher educational background, more comorbidities, and greater cognitive impairment were associated with higher costs. Costs of dementia care rise closer to death. Informal costs of care are high but infrequently included in analyses. Research exploring the costs of care for people with dementia by proximity to death, including informal care costs and from outside the United States, is urgently needed.
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影响因子：
2.1
作者：
Ornstein KA;Zhu CW;Bollens-Lund E;Aldridge MD;Andrews H;Schupf N;Stern Y
通讯作者：
Stern Y
影响因子：
4.4
作者：
Gannon, Brenda;Davin, Berengere
通讯作者：
Davin, Berengere
影响因子：
3.4
作者：
Gozalo, Pedro L.;Miller, Susan C.;Mor, Vincent
通讯作者：
Mor, Vincent
影响因子：
4.4
作者：
Aworinde J;Werbeloff N;Lewis G;Livingston G;Sommerlad A
通讯作者：
Sommerlad A
影响因子：
9.3
作者：
Higginson IJ;Yi D;Johnston BM;Ryan K;McQuillan R;Selman L;Pantilat SZ;Daveson BA;Morrison RS;Normand C
通讯作者：
Normand C