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• W2155402110 abstract "<h3>Context</h3> Because of the increasing number of elderly people with dementia, the costs of dementia and dementia care are expected to grow rapidly in the coming decades. Cost-effectiveness results are relevant for decision making about new strategies in dementia care. <h3>Objective</h3> To evaluate the cost-effectiveness of an integrated multidisciplinary diagnostic facility for diagnosing dementia in ambulatory psychogeriatric patients. <h3>Design</h3> Randomized controlled trial with an economic evaluation component. <h3>Setting</h3> The Maastricht Evaluation of a Diagnostic Intervention for Cognitively Impaired Elderly, Maastricht University Hospital, Maastricht, the Netherlands. <h3>Patients</h3> A total of 137 patients who received care in the multidisciplinary diagnostic facility and 93 who received usual care. <h3>Main Outcome Measures</h3> Quality-adjusted life-years (QALYs) as the main outcome measure and cognition and behavioral problems as secondary outcome measures. <h3>Results</h3> Compared with patients receiving usual care, patients who visited the diagnostic facility gained a mean 0.05 QALY at the extra cost of €65. The incremental cost per QALY amounted to €1267. This point estimate lies beneath commonly accepted thresholds and is within an acceptable range of uncertainty. With regard to the secondary analyses, cost-effectiveness results showed a substantial amount of uncertainty and were therefore indecisive. <h3>Conclusion</h3> On the basis of the main cost-per-QALY analysis, the use of the integrated multidisciplinary diagnostic facility is cost-effective for the diagnosis and management of dementia in ambulatory patients. <h3>Trial Registration</h3> clinicaltrials.gov Identifier:NCT00402311" @default.
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• W2155402110 date "2009-03-01" @default.
• W2155402110 modified "2023-10-09" @default.
• W2155402110 title "Economic Evaluation of an Integrated Diagnostic Approach for Psychogeriatric Patients" @default.
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• W2155402110 doi "https://doi.org/10.1001/archgenpsychiatry.2008.544" @default.
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