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Cost of diagnosing dementia in a German memory clinic

Overview of attention for article published in Alzheimer's Research & Therapy, August 2017
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2 tweeters

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Title
Cost of diagnosing dementia in a German memory clinic
Published in
Alzheimer's Research & Therapy, August 2017
DOI 10.1186/s13195-017-0290-6
Pubmed ID
Authors

Bernhard Michalowsky, Steffen Flessa, Johannes Hertel, Olav Goetz, Wolfgang Hoffmann, Stefan Teipel, Ingo Kilimann

Abstract

Little is known about diagnostic work-ups or the costs of diagnosing dementia in specialized care. Here, we analyzed the costs of diagnosing dementia according to specific dementia disorders. A prospective descriptive design was used to analyze the cost of diagnosing dementia for 120 patients with suspected dementia at a German memory clinic. The duration of clinical consultations and use of technical procedures were recorded by the memory clinic staff. To detect cost drivers, a multiple linear regression model was used. Of patients with suspected dementia, 44% were diagnosed with dementia. The total cost per patient and diagnostic process amounted to 501 € across all patients and 659 € for patients who were diagnosed with dementia. The costs varied between 649 € for patients with Alzheimer's disease, 662 € for patients with vascular or mixed dementia, and 705 € for patients with unspecific dementia. A final diagnosis of dementia was the only factor that was significantly associated with the diagnostic cost (b = 356, CI(-) 182, CI(+) 531, p = 0.001). The high range of costs reflects differences in diagnostic demands depending on the etiology of dementia. This variation needs to be transferred into reimbursement. Further studies are needed to assess the influence of the type of cognitive impairment and of the setting on diagnostic costs.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 23%
Student > Master 7 18%
Student > Ph. D. Student 5 13%
Student > Bachelor 5 13%
Student > Doctoral Student 2 5%
Other 5 13%
Unknown 6 15%
Readers by discipline Count As %
Medicine and Dentistry 9 23%
Neuroscience 9 23%
Agricultural and Biological Sciences 2 5%
Business, Management and Accounting 2 5%
Psychology 2 5%
Other 7 18%
Unknown 8 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 August 2017.
All research outputs
#8,948,592
of 11,648,047 outputs
Outputs from Alzheimer's Research & Therapy
#413
of 478 outputs
Outputs of similar age
#176,807
of 263,265 outputs
Outputs of similar age from Alzheimer's Research & Therapy
#19
of 26 outputs
Altmetric has tracked 11,648,047 research outputs across all sources so far. This one is in the 20th percentile – i.e., 20% of other outputs scored the same or lower than it.
So far Altmetric has tracked 478 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 16.5. This one is in the 11th percentile – i.e., 11% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,265 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.