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Regional/National cost of illness estimates

Cost of dementia

by Anders Wimo, MD, PhD, professor, Karolinska Institutet, Linus Jönsson, PhD, I3 Innovus and Anders Gustavsson, Senior Analyst, I3 Innovus

There are regional patterns in Europe with a dominance for direct costs (mainly institutional care) in Northern Europe while informal care is the major costs component in Southern Europe (table 4).

Table 4. Regional COI-patterns in Europe (billions €) in 2008.

European Regions

Direct costs

Informal care

Total costs

Northern Europé

35.8

17.3

53.0

Western Europé

27.2

25.3

52.6

Southern Europé

11.3

46.2

57.4

Eastern E urope

6.3

7.8

14.2

Europe (including Turkey)

80.6

96.6

177.2

The cost per demented person was about 22,000 € per year (table 5), while it was somewhat lower for the wider EU sphere and for the whole of Europe. The total societal costs per case are estimated to be 8 times more in Northern Europe than in Eastern Europe.

Table 5. Annual cost per demented in Europe (€) in 2008 for Alzheimer´s disease and other dementias.
 

Direct costs

Informal care

Total costs

EU 27

9,925

12,270

22,194

EU27 + candidate countries , EEA countries and Switzerland

9,754

11,672

21,426

Europe (including Turkey)

7,971

9,556

17,526

Table 6. Annual regional cost per demented in Europe (€) in 2008.

European Regions

Direct costs

Informal care

Total costs

Northern Europé

24,276

11,711

35,987

Western Europé

9,400

8,749

18,149

Southern Europé

4,380

17,963

22,343

Eastern E urope

1,998

2,475

4,473

Europe (including Turkey)

7,971

9,556

17,526

The country specific COI data and cost per case data are seen in tables 7 and 8.

Table 7. Cost of illness of dementia in Europan countries (millions €) in 2008.
   

COI direct

COI informal care

COI all

Northern Europé

Denmark

882,8

564,9

1447,7

 

Estonia

37,9

46,9

84,8

 

Finland

1513,0

609,2

2122,2

 

Iceland

81,3

32,7

114,0

 

Ireland

282,0

277,5

559,5

 

Latvia

63,8

79,1

142,9

 

Lithuania

107,3

132,8

240,1

 

Norway

2267,0

912,7

3179,7

 

Sweden

5608,7

578,1

6186,8

 

UK

24925,7

14020,7

38946,3

Western Europé

Austria

1428,2

1076,8

2505,0

 

Belgium

2193,1

201,2

2394,2

 

France

9574,3

14685,3

24259,6

 

Germany

10107,6

6463,1

16570,7

 

Liechtenstein

4,0

3,0

7,0

 

Luxembourg

142,0

107,1

249,1

 

Switzerland

1440,6

1086,2

2526,8

 

The Netherlands

2336,5

1717,4

4053,9

Southern Europé

Albania

12,0

14,9

27,0

 

Bosnia and Herzegovina

30,8

38,2

69,0

 

Croatia

100,1

124,0

224,1

 

Cyprus

47,1

186,0

233,0

 

Greece

962,7

3802,6

4765,4

 

Italy

4759,1

24985,4

29744,5

 

Maltas

17,4

68,7

86,1

 

Portugal

343,9

2123,8

2467,7

 

Serbia and Montenegro

154,2

191,0

345,2

 

Slovenia

74,7

92,6

167,3

 

Spain

4119,0

14130,7

18249,7

 

TFYR Macedonia

17,1

21,2

38,2

 

Turkey

621,4

395,8

1017,2

Eastern E urope

Belarus

184,2

228,2

412,4

 

Bulgaria

144,2

178,6

322,8

 

Czech republic

450,6

558,0

1008,7

 

Hungary

415,1

514,1

929,2

 

Poland

756,5

936,9

1693,4

 

Republic of Moldavia

15,0

18,6

33,6

 

Romania

270,5

334,9

605,4

 

Russian federation

3255,5

4031,7

7287,2

 

Slovakia

142,7

176,7

319,4

 

Ukraine

701,8

869,1

1570,9

Europe (including Turkey)

 

80591,5

96616,3

177207,8

Table 8 . Annual cost per demented in Europe (€ ) in 2008. Country specific data.
   

per case direct

per case informal

per case total

Northern Europé

Denmark

11,193

7,163

18,356

 

Estonia

2,588

3,205

5,793

 

Finland

19,484

7,844

27,328

 

Iceland

24,833

9,998

34,831

 

Ireland

7,008

6,896

13,903

 

Latvia

2,416

2,992

5,408

 

Lithuania

2,548

3,155

5,703

 

Norway

30,711

12,364

43,075

 

Sweden

33,981

3,502

37,483

 

UK

26,200

14,738

40,938

Western Europé

Austria

12,422

9,365

21,787

 

Belgium

13,627

1,250

14,877

 

France

9,914

15,206

25,119

 

Germany

7,674

4,907

12,582

 

Liechtenstein

12,422

9,365

21,787

 

Luxembourg

25,440

19,180

44,620

 

Switzerland

12,662

9,547

22,209

 

The Netherlands

10,719

7,879

18,598

Southern Europé

Albania

0,760

0,942

1,702

 

Bosnia and Herzegovina

0,909

1,125

2,034

 

Croatia

1,910

2,366

4,277

 

Cyprus

5,073

20,036

25,108

 

Greece

5,466

21,591

27,058

 

Italy

4,591

24,100

28,691

 

Maltas

4,185

16,528

20,713

 

Portugal

2,498

15,424

17,922

 

Serbia and Montenegro

1,484

1,838

3,323

 

Slovenia

3,165

3,919

7,084

 

Spain

6,234

21,387

27,622

 

TFYR Macedonia

1,067

1,322

2,390

 

Turkey

2,070

1,318

3,388

Eastern E urope

Belarus

1,686

2,089

3,775

 

Bulgaria

1,501

1,859

3,359

 

Czech republic

3,761

4,658

8,419

 

Hungary

3,460

4,285

7,745

 

Poland

1,935

2,396

4,331

 

Republic of Moldavia

0,464

0,575

1,039

 

Romania

1,229

1,523

2,752

 

Russian federation

2,250

2,786

5,036

 

Slovakia

2,778

3,440

6,219

 

Ukraine

1,202

1,489

2,691

Europe (including Turkey)

 

7,971

9,556

17,526

When the burden of dementia disorders in terms of DALYs is compared to diabetes, the burden figures are higher for dementia (Table 9).

Table 9. Burden in terms of DALYs in Europe for Alzheimer´s disease and other dementias and Diabetes.
 

DALYSx1000

DALYS per 100000 persons

 

AD and other dementias

Diabetes

AD and other dementias

Diabetes

EU 27

2121

1288

441

268

EU27 + candidate countries , EEA countries and Switzerland

2227

1452

398

260

Europe

2799

1973

350

247

The regional burden figures (table 10) show that the greatest burden occur in Western Europe.

Table 10. Regional burden of Alzheimer´s disease and other dementias in terms of DALYs

European Regions

DALYsx1000

DALYs per 100000 people

DALYs per 1000 AD/demented

Northern Europé

437

462

355

Western Europé

867

470

348

Southern Europé

769

356

357

Eastern E urope

726

239

282

Europe (including Turkey)

2,799

350

331

The country specific burden figures reflect the regional differences, but show a rather great range even in the figures per 1000 demented (range 187-471).

Table 11. Country burden of Alzheimer´s disease and other dementias in terms of DALYs

DALYsx1000

DALYs per 100000 people

DALYs per 1000 AD/demented

Northern Europé

Denmark

25

471

376

 

Estonia

4

292

260

 

Finland

30

580

471

 

Iceland

1

382

414

 

Ireland

13

333

376

 

Latvia

6

268

234

 

Lithuania

8

229

233

 

Norway

21

464

360

 

Sweden

52

581

387

 

UK

276

467

348

Western Europé

Austria

34

410

323

 

Belgium

56

555

415

 

France

289

482

348

 

Germany

378

459

332

 

Liechtenstein

NA

NA

NA

 

Luxembourg

2

398

401

 

Switzerland

37

497

391

 

The Netherlands

71

445

396

Southern Europé

Albania

4

135

268

 

Bosnia and Herzegovina

8

187

303

 

Croatia

18

409

376

 

Cyprus

1

165

187

 

Greece

50

471

367

 

Italy

304

536

339

 

Maltas

1

339

384

 

Portugal

43

439

382

 

Serbia and Montenegro

26

240

282

 

Slovenia

7

378

358

 

Spain

217

550

382

 

TFYR Macedonia

4

191

300

 

Turkey

84

117

392

Eastern E urope

Belarus

24

239

283

 

Bulgaria

22

281

264

 

Czech republic

39

382

385

 

Hungary

28

282

265

 

Poland

96

246

279

 

Republic of Moldavia

7

171

310

 

Romania

55

250

290

 

Russian federation

322

221

279

 

Slovakia

12

228

288

 

Ukraine

120

242

269

Europe

(including Turkey)

2 799

350

331

 

 
 

Last Updated: Tuesday 27 October 2009

 

 
  • Acknowledgements

    The EuroCoDe project received financial support from the European Commission. Neither the European Commission nor any person acting on its behalf is responsible for any use that might be made of the following information. Alzheimer Europe also gratefully acknowledges the support it received from Fondation Médéric Alzheimer for this project.
  • European Union
  • Fondation Médéric Alzheimer
 
 

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