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Alzheimer-s Research and Therapy

, 8:59

First Online: 18 November 2016Received: 29 June 2016Accepted: 14 October 2016


BackgroundIn this study, we sought to estimate the societal cost of illness in dementia in Sweden in 2012 using different costing approaches to highlight methodological issues.

MethodsWe conducted a prevalence-based cost-of-illness study with a societal perspective.

ResultsThe societal costs of dementia in Sweden in 2012 were SEK 62.9 billion approximately €7.2 billion, approximately US$9.0 billion or SEK 398,000 per person with dementia approximately €45,000, approximately US$57,000. By far the most important cost item is the cost of institutional care: about 60% of the costs. In the sensitivity analysis, different quantification and costing approaches for informal care resulted in a great variation in the total societal cost, ranging from SEK 60 billion €6.8 billion, US$8.6 billion to SEK 124 billion €14.1 billion, US$17.8 billion.

ConclusionsThe societal costs of dementia are very high. The cost per person with dementia has decreased somewhat, mainly because of de-institutionalisation. The majority of the costs occur in the social care sector, but the costing of informal care is crucial for the cost estimates.

KeywordsCosting study Cost of illness Dementia Alzheimer’s disease Sweden AbbreviationsADIAlzheimer’s Disease International

ALCOVEAlzheimer Cooperative Valuation in Europe

EBCEuropean Brain Council

COICost of illness

IADLInstrumental activities of daily living

NBHWSwedish National Board of Health and Welfare

PADLPersonal activities of daily living

PWDPersons with dementia

RUDResource Utilization in Dementia

SALARSwedish Association of Local Authorities and Regions

SBUSwedish Agency for Health Technology Assessment

SEKSwedish krona

SNACSwedish National Study on Aging and Care

SveDemSwedish Dementia Registry

An erratum to this article is available at

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Autor: Anders Wimo - Linus Jönsson - Laura Fratiglioni - Per Olof Sandman - Anders Gustavsson - Anders Sköldunger - Lennarth Jo


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