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The worldwide costs of dementia in 2019
Anders Wimo, Katrin Maria Seeher, Rodrigo Cataldi, Eva Cyhlarova, Joseph L. Dielemann, Oskar Frisell, Maëlenn Guerchet, Linus Jönsson, Angeladine Kenne Malaha, Emma L. Nichols, Paola Pedroza, Martin James Prince, Martin Richard John Knapp, Tarun Dua. Alzheimer s & Dementia, 2023-01-08
Topic: Risk, prevention and care in population studies
INTRODUCTION: Dementia is a leading cause of death and disability globally. Estimating total societal costs demonstrates the wide impact of dementia and its main direct and indirect economic components. METHODS: We constructed a global cost model for dementia, presenting costs as cumulated global and regional costs. RESULTS: In 2019, the annual global societal costs of dementia were estimated at US $1313.4 billion for 55.2 million people with dementia, corresponding to US $23,796 per person with dementia. Of the total, US $213.2 billion (16%) were direct medical costs, US $448.7 billion (34%) direct social sector costs (including long-term care), and US $651.4 billion (50%) costs of informal care. DISCUSSION: The huge costs of dementia worldwide place enormous strains on care systems and families alike. Although most people with dementia live in low- and middle-income countries, highest total and per-person costs are seen in high-income countries. HIGHLIGHTS: Global economic costs of dementia were estimated to reach US $1313.4 in 2019. Sixty-one percent of people with dementia live in low-and middle-income countries, whereas 74% of the costs occur in high-income countries. The impact of informal care accounts for about 50% of the global costs. The development of a long-term care infrastructure is a great challenge for low-and middle-income countries. There is a great need for more cost studies, particularly in low- and middle-income countries. Discussions of a framework for global cost comparisons are needed.
Why it matters
Estimates that the global societal costs of dementia in 2019 were US $1313.4 billion for 55.2 million people with dementia, with about half from informal care. Most people with dementia live in low- and middle-income countries, but 74% of the costs occur in high-income countries.
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How this study scored 57/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it. We have no data on strength of evidence, so that was left out: it earned 54 of the 95 points we could judge it on, which is 57 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | — / 5 | No evidence rating recorded — left out of this score |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2023 — within 6 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 6 / 7 | Cited 551 times (OpenAlex, 2026-10-10) |
| Citations per year | 5 / 5 | 110.2 citations a year over 5 year(s) since 2023 |
| Impact for its field and year | 6 / 6 | Cited 99.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 4 / 4 | Cited 520 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Tarun Dua: h-index 17 (OpenAlex, whole career) |
| Institution's track record | 3 / 3 | Institute for Health Metrics and Evaluation: institution h-index 3,605 (OpenAlex) |
| Multi-centre collaboration | 3 / 3 | OpenAlex lists 12 institution(s) in 5 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 36617519) |
| Free to read | 2 / 2 | Free to read |
| Points | 54 / 95 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 54 of the 95 points we could judge it on is 57 out of 100. |
| Total | 57 / 100 | — |
What each of these 20 components measures, and what this score is not →
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
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 names 14 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
APA 7th
Wimo, A., Seeher, K. M., Cataldi, R., Cyhlarova, E., Dielemann, J. L., Frisell, O., et al. (2023). The worldwide costs of dementia in 2019. Alzheimer s & Dementia. https://doi.org/10.1002/alz.12901
Vancouver
Wimo A, Seeher KM, Cataldi R, Cyhlarova E, Dielemann JL, Frisell O, et al. The worldwide costs of dementia in 2019. Alzheimer s & Dementia. 2023. doi:10.1002/alz.12901. PMID: 36617519.
BibTeX
@article{wimo2023-36617519,
author = {Wimo, Anders and Seeher, Katrin Maria and Cataldi, Rodrigo and Cyhlarova, Eva and Dielemann, Joseph L. and Frisell, Oskar and Guerchet, Maëlenn and Jönsson, Linus and Malaha, Angeladine Kenne and Nichols, Emma L. and Pedroza, Paola and Prince, Martin James and Knapp, Martin Richard John and Dua, Tarun},
title = {{The worldwide costs of dementia in 2019}},
journal = {Alzheimer s \& Dementia},
year = {2023},
doi = {10.1002/alz.12901},
pmid = {36617519},
url = {https://doi.org/10.1002/alz.12901}
}