UMR1027, Inserm, 31073 Toulouse, France.
Biomed Res Int. 2013;2013:852368. doi: 10.1155/2013/852368. Epub 2012 Dec 5.
OBJECTIVES: Age-related dementia is a progressive degenerative brain syndrome whose prevalence increases with age. Dementias cause a substantial burden on society and on families who provide informal care. This study aims to review the relevant papers to compare informal care time and costs in different dementias. METHODS: A bibliographic search was performed on an international medical literature database (MEDLINE). All studies which assessed the social economic burden of different dementias were selected. Informal care time and costs were analyzed in three care settings by disease stages. RESULTS: 21 studies met our criteria. Mean informal care time was 55.73 h per week for Alzheimer disease and 15.8 h per week for Parkinson disease (P = 0.0076), and the associated mean annual informal costs were $17,492 versus $3,284, respectively (P = 0.0393). CONCLUSION: There is a lack of data about informal care time and costs among other dementias than AD or PD. Globally, AD is the most costly in terms of informal care costs than PD, $17,492 versus $3,284, respectively.
目的:与年龄相关的痴呆是一种进行性退行性脑综合征,其患病率随年龄增长而增加。痴呆症给社会和提供非正规护理的家庭带来了巨大负担。本研究旨在回顾相关文献,比较不同类型痴呆症的非正规护理时间和成本。
方法:在国际医学文献数据库(MEDLINE)上进行了文献检索。选择了所有评估不同类型痴呆症社会经济负担的研究。按疾病阶段在三种护理环境下分析了非正规护理时间和成本。
结果:符合标准的研究有 21 项。阿尔茨海默病每周的平均非正规护理时间为 55.73 小时,帕金森病每周的平均非正规护理时间为 15.8 小时(P = 0.0076),相应的平均年度非正规护理成本分别为 17492 美元和 3284 美元(P = 0.0393)。
结论:除 AD 或 PD 之外,其他类型痴呆症的非正规护理时间和成本数据缺乏。在全球范围内,AD 在非正规护理成本方面比 PD 更昂贵,分别为 17492 美元和 3284 美元。
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