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. 2021 May 14:9:628700.
doi: 10.3389/fpubh.2021.628700. eCollection 2021.

Dementia Incidence, Burden and Cost of Care: A Filipino Community-Based Study

Jacqueline Dominguez  1   2 , Leo Jiloca  3 , Krizelle Cleo Fowler  4 , Ma Fe De Guzman  4 , Jhozel Kim Dominguez-Awao  2   5 , Boots Natividad  4 , Jeffrey Domingo  2   4 , Jayvee Dyne Dominguez  2   4 , Macario Reandelar Jr  4 , Antonio Ligsay  6 , Jeryl Ritzi Yu  1 , Stephen Aichele  7 , Thien Kieu Thi Phung  8
Affiliations

Dementia Incidence, Burden and Cost of Care: A Filipino Community-Based Study

Jacqueline Dominguez et al. Front Public Health. .

Abstract

Background: In the midst of competing priorities and limited resources in low-middle-income countries (LMIC), convincing epidemiological evidence is critical for urging governments to develop national dementia plans. The majority of primary epidemiological studies on dementia are from high income countries (HIC). Implications for developing countries are typically extrapolated from these outcomes through modeling, meta-analyses, and systematic reviews. In this study, we directly assessed the incidence of dementia, disability adjusted life years (DALYs), and cost of care among community-dwelling Filipino elderly. Methods: This was a follow-up study of the prospective cohort Marikina Memory Ageing Project (MMAP). Baseline assessment was performed in 2011-2012, and follow-up was done in 2015-2016 (N = 748 at follow-up). Incident dementia was determined. Disease burden was computed using the incidence rates and DALYs. Both indirect and direct (medical and non-medical) costs of dementia care were computed. Results: The crude incidence rate was 16 (CI: 13-20) cases per 1,000 person-years (pyr) with 17 (CI: 12-21) per 1,000 pyr for females and 14 (CI: 9-21) per 1,000 pyr for males. Based on this incidence, we project an estimation of 220,632 new cases in 2030, 295,066 in 2040, and 378,461 in 2050. Disease burden was at 2,876 DALYsper 100,000 persons. The economic burden per patient was around Php 196,000 annually (i.e., ~4,070 USD, or 36.7% of average family annual income in the Philippines). The majority (86.29%) of this care expense was indirect cost attributed to estimated lost potential earning of unpaid family caregivers whereas direct medical cost accounted for only 13.48%. Conclusions: We provide the first Filipino community-based data on the incidence of dementia, DALYs, and cost of care to reflect the epidemiologic and economic impact of disease. The findings of this study serve to guide the development of a national dementia plan.

Keywords: DALY; Filipino; LMIC; cost of care; dementia incidence.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flow chart of study participants.
See this image and copyright information in PMC

References

    1. Alzheimer's Disease International . World Alzheimer's Report: The Global Impact of Dementia, an Analysis of Prevalence, Incidence, Cost and Trends. Alzheimer's Disease International (ADI) (2015). Available online at: https://www.alz.co.uk/research/WorldAlzheimerReport2015.pdf (accessed October 13, 2020).
    1. Prince M, Bryce R, Albanese E, Wimo A, Ribeiro W, Ferri CP. The global prevalence of dementia: a systematic review and metaanalysis. Alzheimers Dement. (2013) 9:63–75.e2. 10.1016/j.jalz.2012.11.007 - DOI - PubMed
    1. Prince M, Acosta D, Ferri CP, Guerra M, Huang Y, Rodriguez JJL, et al. . Dementia incidence and mortality in middle-income countries, and associations with indicators of cognitive reserve: a 10/66 Dementia Research Group population-based cohort study. Lancet. (2012) 380:50–8. 10.1016/S0140-6736(12)60399-7 - DOI - PMC - PubMed
    1. Philippine Statistics Authority . Projected Population, by Age Group, Sex, and by Five-Calendar Year Interval, Philippines: 2010−2045. (2017). Available online at: https://psa.gov.ph/sites/default/files/attachments/hsd/pressrelease/Tabl... (accessed October 30, 2017).
    1. Ageing Population in the Philippines . Help Age Network. Available online at: https://ageingasia.org/ageing-population-philippines/ (accessed November 3, 2020).

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