Primary care expenditures before the onset of Alzheimer's disease

Steven M. Albert, Sharon Glied, H. Andrews, Y. Stern, R. Mayeux

Research output: Contribution to journalArticle

Abstract

Objective: To investigate primary care expenditures in the period before diagnosis of AD. Methods: In a population-based sample of Medicare enrollees in New York City, person-level 1996 Medicare claims, summed over primary care encounters, were examined for people who developed AD in 1997 to 1998 and those who did not. Results: People who developed AD were more likely to use Medicare outpatient and ambulatory care 1 to 2 years before diagnosis. Compared with respondents who did not develop AD, the excess cost for men was $1,167 (85% higher) and for women $239 (26% higher). Among elderly people ≥75 years in the United States, the prodromal period of AD was associated with an excess Medicare-based primary care cost of $128.5 to $194.7 million. Conclusion: In addition to huge costs associated with AD after diagnosis, prediagnosis costs are an unrecognized source of expenditures related to the disease.

Original languageEnglish (US)
Pages (from-to)573-578
Number of pages6
JournalNeurology
Volume59
Issue number4
StatePublished - Aug 27 2002

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Health Expenditures
Medicare
Primary Health Care
Alzheimer Disease
Costs and Cost Analysis
Ambulatory Care
Prodromal Symptoms
Population

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Albert, S. M., Glied, S., Andrews, H., Stern, Y., & Mayeux, R. (2002). Primary care expenditures before the onset of Alzheimer's disease. Neurology, 59(4), 573-578.

Primary care expenditures before the onset of Alzheimer's disease. / Albert, Steven M.; Glied, Sharon; Andrews, H.; Stern, Y.; Mayeux, R.

In: Neurology, Vol. 59, No. 4, 27.08.2002, p. 573-578.

Research output: Contribution to journalArticle

Albert, SM, Glied, S, Andrews, H, Stern, Y & Mayeux, R 2002, 'Primary care expenditures before the onset of Alzheimer's disease', Neurology, vol. 59, no. 4, pp. 573-578.
Albert SM, Glied S, Andrews H, Stern Y, Mayeux R. Primary care expenditures before the onset of Alzheimer's disease. Neurology. 2002 Aug 27;59(4):573-578.
Albert, Steven M. ; Glied, Sharon ; Andrews, H. ; Stern, Y. ; Mayeux, R. / Primary care expenditures before the onset of Alzheimer's disease. In: Neurology. 2002 ; Vol. 59, No. 4. pp. 573-578.
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