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Centre for Policy on Ageing | |
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Health utilities in mild cognitive impairment and dementia
— a population study in Sweden | | Author(s) | Mattias Ekman, Jenny Berg, Anders Wimo |
| Journal title | International Journal of Geriatric Psychiatry, vol 22, no 7, July 2007 |
| Pages | pp 649-655 |
| Source | http://www.interscience.wiley.com |
| Keywords | Cognitive impairment ; Dementia ; Quality of life ; Home care services ; Needs [elderly] ; Time duration ; Costs [care] ; Cross sectional surveys ; Sweden. |
| Annotation | The objective was to collect new primary data on community-based health utilities (time trade-off values) in different strategies of mild cognitive impairment (MCI) and dementia from a general population sample. A cross-sectional study including 1800 randomly selected members of the Swedish public aged 45-84 was performed through a postal survey, 42% response rate. The Clinical Dementia Rating scale (CDR) was used for describing progressive stages of dementia in vignettes that were used in combination with time trade-off questions for valuing the perceived quality of life in these stages. The time trade-off values varied considerably across the progressive disease stages. The mean score was 0.82 for MCI, 0.62 for mild dementia, 0.40 for moderate dementia, and 0.25 for severe dementia. In multiple regression analyses, the scores were relatively insensitive to demographic factors such as age, gender and self-assessed health. The results show that the average time trade-off values declined sharply from MCI to progressing stages of dementia. Since there are many methodological challenges involved in measuring health state utilities in MCI and dementia, more research that evaluates different methods would be welcome. (RH). |
| Accession Number | CPA-071113208 A |
| Classmark | E4: EA: F:59: NH: IK: 4N: QDC: 3KB: 76P |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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