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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 18 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| Exposure | Question | Direction | Outcome measured | Design | People | Effect size, as the source reported it | Source |
|---|---|---|---|---|---|---|---|
| Blood biomarker test (p-tau217 / amyloid ratio) Care, carers and services | Treatment |
No direction reported
whyA price-threshold model: it estimates the test price at which diagnostic cost per true-positive case equals standard care ($290-$1,950 depending on use), and compares no actual price against it, so there is no direction to record. |
Value-based price of a blood test for AD pathology as a triage or confirmatory test in primary and specialty care, and projected reduction in PET/CSF use | modelling study | not stated | If used in primary care, the value-based price would be $290 for a triage and $1150 for a confirmatory test, respectively, as use of PET or CSF testing would decline by 47 % and 86 %, respectively. If used in specialty care, i.e., after confirmation of early-stage cognitive impairment, the overall number of blood tests would decline. Consequently, the value-based price would increase to $450 for a triage test and $1950 for a confirmatory test |
Journal of Prevention of Alzheimer's Disease
2025 ✓ Peer-reviewed PMID 40494736 |
| Cost of dementia care Care, carers and services | Treatment |
No direction reported
whyA cost estimate ($818 billion, 80% of it borne by families through unpaid care, earnings losses, out-of-pocket costs and quality-of-life losses) with no exposure compared, so no direction is recorded. |
Total cost of dementia in the United States in 2026 | modelling study | not stated | In 2026, 5.7 million (95% confidence interval [CI] [5.6, 6.0]) US adults aged 51 and older are living with dementia, supported by 5.2 million (95% CI [4.9, 5.5]) care partners. Total costs are $818 billion (B, 95% CI [759, 866]), driven by quality-of-life losses for persons with dementia ($320B, 95% CI [269, 363]) and care partners ($15B 95% CI [6, 25]). Unpaid care ($237B, 95% CI [220, 253]), earnings losses ($23B), and out-of-pocket costs combined with quality-of-life losses account for 80% of costs and are borne by families |
Alzheimer's & Dementia
2026 ✓ Peer-reviewed PMID 42340126 |
| Cost of dementia care Care, carers and services | Treatment |
No direction reported
whyA cost projection: total burden is estimated at $344 billion in 2020 rising to over $3 trillion in 2060, with African American and Latino families projected to bear a disproportionate share. It compares spending shares between groups but tests no exposure, so no direction is recorded. |
Total US economic burden of dementia by race and ethnicity, 2020 to 2060 | modelling study | 31,028 | The total estimated economic burden of ADRD was close to $344 billion in 2020 and was projected to increase to over $3 trillion in 2060. African American and Latino adults bore one-third ($113 billion) of it in 2020, with projections rising to $1.7 trillion by 2060, surpassing the economic burden for White adults, which was projected to grow from $231 billion to $1.4 trillion |
JAMA Network Open
2025 ✓ Peer-reviewed PMID 40471578 |
| Cost of dementia care Care, carers and services | Treatment |
No direction reported
whyA cost estimate with no exposure compared, so there is no direction to record. Higher unpaid-care costs went with lower medical spending on nursing facility care. |
Annual cost of care attributable to dementia per case in 2019 and the unpaid-care share of total cost by US state | modelling study | not stated | The annual cost of care attributable to dementia in 2019 was $53,502 (95% uncertainty interval [UI] 46,135-60,594) per case. The contribution of unpaid care to total costs varied by state, ranging from 70.2% (95% UI 64.3-75.4) in the District of Columbia to 89.9% (95% UI 87.8-91.5) in Arizona |
Journal of Alzheimer's Disease
2025 ✓ Peer-reviewed PMID 40111940 |
| Cost of dementia care Care, carers and services | Treatment |
No direction reported
whyA cost projection with no exposure compared, so there is no direction to record. Dementia's share of replacement cost is projected to rise from 44% to 53%. |
Replacement cost of unpaid family care and opportunity cost of forgone earnings for older Americans with and without dementia, now and projected to 2060 | modelling study | not stated | Current annual replacement cost of unpaid family care is between $96 and $182 billion, 44% of which is accounted for by dementia caregiving. By 2060, it will increase to $277-571 billion, and 53% will be for dementia caregiving. The opportunity costs of forgone earnings and productivity loss, however, will grow faster, increasing from current levels of $107 billion and $26 billion to $380 billion and $102 billion, respectively, in 2060 |
Innovation in Aging
2025 ✓ Peer-reviewed PMID 40662057 |
| Cost of dementia care Care, carers and services | Treatment |
No direction reported
whyA cost estimate with no exposure compared, so there is no direction to record. |
Annual indirect cost of Alzheimer's disease per person by severity, and total US indirect cost | modelling study | not stated | $36 934 for mild cognitive impairment owing to AD, $65 565 for mild AD, $103 717 for moderate AD, and $145 250 for severe AD (2024 United States Dollars [USD]). Considering the current distribution of prevalent patients across severity stages, the total annual indirect cost was estimated at $832 billion, which includes $599 billion in unpaid caregiving costs and $233 billion in productivity losses |
Value in Health
2025 ✓ Peer-reviewed PMID 39571734 |
| Cost of dementia care Care, carers and services | Treatment |
No direction reported
whyA cost estimate and projection with no exposure compared, so there is no direction to record. |
Per-patient cost of care in 2016 and aggregate US cost projected 2020-2060 | modelling study | not stated | In 2016, the estimated per patient cost of formal care was $28,078 (95% confidence interval [CI]: $25,893-$30,433), and informal care cost valued in terms of replacement cost and forgone wages was $36,667 ($34,025-$39,473) and $15,792 ($12,980-$18,713), respectively. Aggregate formal care cost and formal plus informal care cost using replacement cost and forgone wage methods were $196 billion (95% uncertainty range [UR]: $179-$213 billion), $450 billion ($424-$478 billion), and $305 billion ($278-$333 billion), respectively, in 2020. These were projected to increase to $1.4 trillion ($837 billion-$2.2 trillion), $3.3 trillion ($1.9-$5.1 trillion), and $2.2 trillion ($1.3-$3.5 trillion), respectively, in 2060 |
npj Aging
2024 ✓ Peer-reviewed PMID 38331952 |
| Cost of dementia care Care, carers and services | Treatment |
No direction reported
whyA cost estimation across 204 countries with no exposure compared, so there is no direction to record. |
Global direct health care spending and informal care cost attributable to dementia, 2019, with projection to 2050 | modelling study | not stated | in 2019, the direct health care spending attributable to ADRD across 204 countries reached $260.6 billion (95% uncertainty interval [UI] 131.6-420.4) and the cost of informal ADRD care was $354.1 billion (95% UI 190.0-544.1). On average, informal care represents 57% (95% UI 38-75%) of the total cost of care. We estimated that direct health care spending attributable to ADRD will reach $1.6 trillion (95% UI 0.6-3.3) in 2050, or 9.4% (95% UI 3.9-19.6%) of projected health spending worldwide |
Journal of Alzheimer's Disease
2024 ✓ Peer-reviewed PMID 39150827 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at current Australian prices: donanemab improved modelled QALYs (4.38 vs 4.01) but the ICER of $342,424 per QALY exceeded commonly cited willingness-to-pay thresholds. An unfavourable value result, not a clinical harm. |
Incremental cost per QALY of donanemab versus standard care in Australia | modelling study | not stated | Donanemab increased total healthcare costs ($300,689 vs. $178,121) and societal costs ($389,113 vs. $283,618) compared with standard care per capita, while improving health outcomes (4.38 vs. 4.01 QALYs) per capita. The ICER was $342,424 per QALY from the healthcare perspective and $294,701 per QALY from the societal perspective |
The Medical journal of Australia
2026 ✓ Peer-reviewed PMID 42015793 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
No direction reported
whyA threshold analysis estimating what each country should be willing to pay (from $4-$18 a year in low-income countries to $254-$9,434 for lecanemab and $387-$13,964 for donanemab in high-income countries). It sets no price against an actual list price, so there is no direction to record. |
Incremental QALYs versus usual care and value-based annual prices for lecanemab and donanemab across 174 countries | modelling study | not stated | Compared to usual care, lecanemab and donanemab respectively increased average QALYs by 0.38 and 0.51. By country income status, VBPs for lecanemab and donanemab respectively ranged between $254 to $9434 and $387 to $13,964 (high income), $90 to $1025 and $137 to $1507 (upper middle income), $11 to $623 and $21 to $956 (lower middle income) and $4 to $18 and $9 to $32 (low income) |
Alzheimer's & Dementia
2026 ✓ Peer-reviewed PMID 42125995 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
No direction reported
whyA cost-effectiveness model reporting ICERs of JPY 8.5 million and 7.9 million per QALY without stating a threshold or a verdict; the authors argue that narrow value assessments understate social value. No direction is recorded. |
Incremental QALYs (patient plus caregiver) and incremental cost-effectiveness ratio of lecanemab added to standard care in Japan | modelling study | not stated | The incremental QALYs were 1.31 QALYs for MCI due to AD and 0.85 QALYs for mild AD-D, and the incremental cost-effectiveness ratios (ICERs) were JPY 8.5 million /QALY and JPY 7.9 million /QALY ($1 = JPY 150), respectively |
Journal of Alzheimer's Disease
2026 ✓ Peer-reviewed PMID 42108615 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money: three years of lecanemab gained 0.17 QALYs and the cost-effective price at 1 million SEK per QALY was 33,886 SEK a year, which the authors say makes it unlikely to be cost effective in Sweden at current US list prices. An unfavourable value result, not a clinical harm. |
Life-years and QALYs gained and the cost-effective annual price of lecanemab in Sweden at 1 million SEK per QALY | modelling study | not stated | Treatment with lecanemab over 3 years resulted in 0.13 LYs gained, 0.17 QALYs gained, and a net cost increase of 87,146 SEK (€1 = 11.5 SEK, $US1 = 10.6 SEK) due to administration and monitoring, before considering the cost of drug. The cost-effective price of lecanemab at a willingness-to-pay level of 1 million SEK per QALY was 33,886 SEK per year of treatment |
PharmacoEconomics
2025 ✓ Peer-reviewed PMID 40730714 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at the current price: no lecanemab strategy was cost-effective against standard care alone, whichever diagnostic test was used; CSF-guided targeted treatment would become cost-effective below $5,100 per year. An unfavourable value result, not a clinical harm. |
Cost-effectiveness of lecanemab test-treat strategies versus standard care (cost per QALY) | modelling study | not stated | Neither targeted lecanemab treatment nor treatment unrestricted by APOE ε4 genotype was cost-effective vs SoC alone, regardless of the test used to diagnose patients with early-stage AD. However, CSF assay followed by targeted treatment would become cost-effective if lecanemab is priced below $5,100 per year |
Neurology
2024 ✓ Peer-reviewed PMID 38484190 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for chronic bi-weekly intravenous infusion relative to oral treatment: administration and monitoring cost $45,208 plus $6,095 caregiver burden, eroding 44% of treatment value, against 2% for an oral drug. A cost result for a hypothetical treatment, not a clinical harm. |
Direct medical cost, caregiver burden and preserved treatment value for five hypothetical disease-modifying treatments differing in route, frequency and duration | modelling study | not stated | Chronic bi-weekly infusion treatment had the highest direct medical cost ($45,208) and caregiver burden ($6,095), reducing the treatment value by 44%, while oral treatment with the lowest direct medical cost ($1,983) and caregiver burden ($457) reduced the treatment value by only 2% |
Journal of Prevention of Alzheimer's Disease
2024 ✓ Peer-reviewed PMID 39350384 |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at the list price: the benchmark price ($8,900-$21,500 per year) sits below the $26,500 list price, the committee voted 15-0 that the drug represents low long-term value at that price and 12-3 that the evidence did not adequately demonstrate a net health benefit. An unfavourable value assessment, not a clinical harm. |
Health-benefit price benchmark for lecanemab and appraisal-committee votes on net benefit and value | modelling study | not stated | ICER has calculated a health-benefit price benchmark (HBPB) for lecanemab to be between $8,900 – $21,500 per year; Lecanemab has been approved by the FDA and has a list price of $26,500 per year; The panelists unanimously (15-0) found that lecanemab at its current pricing represents “low” long-term value for money; A majority of panelists (12-3) found that current evidence is not adequate to demonstrate a net health benefit of lecanemab when compared to supportive care alone |
ICER (independent health technology assessment report)
2023 ⚠ Report — not peer-reviewed no DOI or PMID exists |
| Cost-effectiveness of anti-amyloid antibody Care, carers and services | Treatment |
Harm
whyDirection is for value for money at the assumed $28,000 annual price: ICERs of $981,000/QALY (aducanumab) and $193,000/QALY (donanemab) exceed the $150,000/QALY threshold, so neither was cost-effective. An unfavourable value result, not a clinical harm. |
Incremental cost per QALY versus standard care, and value-based price | modelling study | not stated | Health care sector and societal ICERs relative to standard care were $981 000/QALY and $964 000/QALY, respectively, for aducanumab and $193 000/QALY and $176 000/QALY, respectively, for donanemab |
JAMA Neurology
2022 ✓ Peer-reviewed PMID 35344024 |
| Cost-effectiveness of multidomain prevention programme Care, carers and services | Prevention |
Benefit
whyDirection is for value for money: the intervention was modelled as dominant, saving JPY 452,826 per person and adding 0.08 QALYs over 35 years, with sensitivity analyses described as confirming robustness. A model extrapolating an 18-month trial. |
Lifetime costs and QALYs of the J-MINT multidomain intervention versus usual care (35-year model) | modelling study | not stated | Over 35 years, J-MINT was projected to achieve cost savings of JPY 452,826 per person and a gain of 0.08 QALYs |
The journal of prevention of Alzheimer's disease
2026 ✓ Peer-reviewed PMID 41478834 |
| Health-system and payment model Care, carers and services | Treatment |
Benefit
whyDirection is for the benefit redesign: projected out-of-pocket drug spending fell 55% ($56 to $25) for low-income-subsidy beneficiaries and 25% ($772 to $576) for others, with larger reductions for people with 6-8 comorbidities. |
Simulated annual out-of-pocket drug spending for Medicare beneficiaries with dementia under the 2025 Part D cost-sharing rules | modelling study | 1,677 | we project average annual OOP drug expenditures among LIS beneficiaries with dementia to decrease from $56 to $25-representing a $31, or 55%, reduction. In contrast, among non-LIS beneficiaries, average OOP drug expenditures is projected to decrease from $772 to $576, a $196, or 25% reduction |
Value in Health
2025 ✓ Peer-reviewed PMID 39880200 |