Dementia care costs and outcomes: literature review

KNAPP Martin, ROMEO Renee, LEMMI Valentina
Alzheimer's Society
Publication year:
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This study reviewed evidence on the cost-effectiveness of prevention, care and treatment strategies in relation to dementia. A systematic review was performed on available literature on economic evaluations of dementia care, searching key databases and websites in medicine, social care and economics. Literature reviews were privileged, and other study designs were included only to fill gaps in the evidence base. Fifty six literature reviews and 29 single studies offering economic evidence on dementia care were identified. There was more cost-effectiveness evidence on pharmacological therapies than other interventions. Acetylcholinesterase inhibitors for mild-to-moderate disease and memantine for moderate-to-severe disease were found to be cost-effective. Regarding non-pharmacological treatments, cognitive stimulation therapy, tailored activity programme and occupational therapy were found to be more cost-effective than usual care. There was some evidence to suggest that respite care in day settings and psychosocial interventions for carers could be cost-effective. Coordinated care management and personal budgets held by carers have also demonstrated cost-effectiveness in some studies.

Subject terms:
intervention, medical treatment, older people, outcomes, social care provision, dementia, economic evaluation, health care, carers, therapy and treatment;
Content type:
research review
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