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Long-term cost-effectiveness of a more accurate diagnostic work-up for dementia
Pieter J van der Veere, Hana M Broulikova, Jeroen Hoogland, Ingrid S van Maurik, Elsmarieke van de Giessen, Argonde C van Harten, Judith E Bosmans, Johannes Berkhof et al.. Alzheimer's & dementia (Amsterdam, Netherlands), 2025-11-04
Topic: Health services, long-term care and technology
PET participants lived longer in community (0.26 years, 95% confidence interval [CI]: 0.05 to 0.45) and overall (0.15, CI: 0.02 to 0.27), but did not have statistically different health insurance (€703, CI: -3974 to 5045) or total costs including institutionalization (-€8258, CI: -20,622 to 3377). The probability that PET was cost-effective for extending time in community was 76% at a €2530 willingness-to-pay threshold. The probability that PET yielded cost savings and was more effective for extending time alive was 90%. Findings in this observational cohort suggest that using amyloid PET in memory clinics may be cost-effective. HIGHLIGHTS: Participants with an amyloid PET in a memory clinic work-up were compared to those without.The amyloid PET group spent more time in community and alive over 5 years of follow-up.Amyloid PET had a 76% chance to cost-effectively extend time in community in uncertainty analysis.
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APA 7th
van der Veere, P. J., Broulikova, H. M., Hoogland, J., van Maurik, I. S., van de Giessen, E., van Harten, A. C., et al. (2025). Long-term cost-effectiveness of a more accurate diagnostic work-up for dementia. Alzheimer's & dementia (Amsterdam, Netherlands). https://doi.org/10.1002/dad2.70210
Vancouver
van der Veere PJ, Broulikova HM, Hoogland J, van Maurik IS, van de Giessen E, van Harten AC, et al. Long-term cost-effectiveness of a more accurate diagnostic work-up for dementia. Alzheimer's & dementia (Amsterdam, Netherlands). 2025. doi:10.1002/dad2.70210. PMID: 41195193.
BibTeX
@article{vanderveere2025-41195193,
author = {van der Veere, Pieter J and Broulikova, Hana M and Hoogland, Jeroen and van Maurik, Ingrid S and van de Giessen, Elsmarieke and van Harten, Argonde C and Bosmans, Judith E and Berkhof, Johannes and others},
title = {{Long-term cost-effectiveness of a more accurate diagnostic work-up for dementia}},
journal = {Alzheimer's \& dementia (Amsterdam, Netherlands)},
year = {2025},
doi = {10.1002/dad2.70210},
pmid = {41195193},
url = {https://doi.org/10.1002/dad2.70210}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
Key findings
- PET participants lived longer in community (0.26 years, 95% confidence interval [CI]: 0.05 to 0.45) and overall (0.15, CI: 0.02 to 0.27), but did not have statistically different health insurance (€703, CI: -3974 to 5045) or total costs including institutionalization (-€8258, CI: -20,622 to 3377).
- The probability that PET was cost-effective for extending time in community was 76% at a €2530 willingness-to-pay threshold.
- The probability that PET yielded cost savings and was more effective for extending time alive was 90%.
- Findings in this observational cohort suggest that using amyloid PET in memory clinics may be cost-effective.
- HIGHLIGHTS: Participants with an amyloid PET in a memory clinic work-up were compared to those without.The amyloid PET group spent more time in community and alive over 5 years of follow-up.Amyloid PET had a 76% chance to cost-effectively extend time in community in uncertainty analysis.
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Study details
- Participants440
- Evidence strengthModerate
How this study scored 59/100
Published in a leading specialty journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 33 of the 56 points we could judge it on, which is 59 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 9 / 10 | Tier 2 — leading specialty journal (Alzheimer's & dementia (Amsterdam, Netherlands)) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 440 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41195193) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 33 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 33 of the 56 points we could judge it on is 59 out of 100. |
| Total | 59 / 100 | — |
What each of these 20 components measures, and what this score is not →
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