Validation de principe d'une analyse coût-utilité pour une prise en charge par réadaptation cognitive dans le syndrome démentiel débutant
| Autor: | Daniel Gillain, Vinciane Wojtasik, Mickaël Hiligsmann, Catherine Olivier, Françoise Lekeu, Eric Salmon, Martine Fischer, Anne Quittre |
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| Rok vydání: | 2012 |
| Předmět: |
Cost–utility analysis
medicine.medical_specialty business.industry media_common.quotation_subject Cognitive Neuroscience Cognition Small sample Art Disease Behavioral Neuroscience Indirect costs Neuropsychology and Physiological Psychology Early dementia Economic evaluation Physical therapy Medicine Cognitive rehabilitation therapy business Humanities media_common |
| Zdroj: | Revue de neuropsychologie. 4:151-162 |
| ISSN: | 2101-6739 |
| Popis: | Cognitive rehabilitation for patients with early Alzheimer's disease aims to help the patient performing a specific task bypassing the operating deficits while using residual cognitive abilities. To date, no economic evaluation has yet demonstrated the efficiency of this type of care. We have included in this study 17 patients with early degenerative dementia. Nine have received cognitive rehabilitation in addition to pharmacological treatment and eight were treated only by medication. The follow up was fixed at the rate of a quarterly visit to the informal caregiver, at 3, 6, 9 and 12 months to collect the direct costs related to the disease and implement a questionnaire to assess utility values related to the treatment. Participants were enrolled sequentially over our study period of 15 months. 17 subjects were followed for 3 months, 12 for 6 months, 6 to 9 months and 3 for one year. The results of the cost-utility analysis at three months to six months follow-up suggest that cognitive rehabilitation is efficient for the patient and source of savings for health insurance and a health perspective overall. The analysis of nine and twelve months was not possible due to small sample sizes. Although there are many limitations to the study, these initial results suggest an economic interest of cognitive rehabilitation that needs to be confirmed by studies on larger populations. |
| Databáze: | OpenAIRE |
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