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. 2021 Mar 23;80(2):905. doi: 10.3233/JAD-219002

Quantifying and Describing the Natural History and Costs of Alzheimer’s Disease and Effects of Hypothetical Interventions

PMCID: PMC8095370  PMID: 33749659

Anders Wimo, Ron Handels, Bengt Winblad, Christopher M. Black, Gunilla Johansson, Stina Salomonsson, Maria Eriksdotter, Rezaul K. Khandker

[Journal of Alzheimers Disease 75(3), 2020, 891-902. DOI 10.3233/JAD-191055] https://content.iospress.com/articles/journal-of-alzheimers-disease/jad191055

Because of a data extraction error, a correction is needed.

Instead of reporting 10-20-30-40 years results, figures representing 11-21-31-41 years were reported. There are no errors in the database or in the model and no impact on conclusions.

Correct tables are as below:

Table 1.

Main outcomes in the simulated cohort of 100,000 MCI-AD persons after 40 years

10 years 20 years 30 years 40 years
Cumulative cases of dementia 87,752 95,433 95,952 95,969
Cumulative deaths 13,391 52,501 93,908 99,973
Cumulative deaths with dementia 10,275 48,647 89,892 95,942
Cumulative deaths with AD-MCI 3,116 3,854 4,016 4,030
Mean PYs/person 9.50 16.41 18.83 18.97
Mean Pys/person with dementia 5.67 12.24 14.63 14.78
Mean Pys/person AD-MCI (without dementia) 3.84 4.17 4.20 4.20
Mean Pys/person in Mild AD 2.84 4.42 4.93 4.97
Mean Pys/person in Moderate AD 2.34 5.90 7.23 7.31
Mean PYs/person in Severe AD 0.49 1.92 2.47 2.50

Table 2.

Cumulative cohort cost distribution (state related cumulative costs, SEK) and QALY distribution (state related cumulative) (both NPVs) during the simulated period (1 US$ = 8.56 SEK)

Severity state 5 years 10 years 20 years 30 years 40 years
Costs (million SEK)
AD-MCI 55,3188 70,918 76,421 76,760 76,771
Mild 31,6329 63,333 94,956 104,029 104,650
Moderate 15,7287 65,716 156,962 187,754 189,440
Severe 1,6823 16,990 62,898 78,900 79,514
Total costs 104,3627 216,957 391,238 447,443 450,375
Cost/PY AD-dementia (SEK) 249,0394 257,756 257,221 253,310 252,843
QALYs
AD-MCI 225,166 283,161 301,214 302,122 302,146
Mild 85,415 163,457 230,727 246,489 247,384
Moderate 20,692 80,788 174,066 199,476 200,606
Severe 1,118 10,330 33,325 39,630 39,819
Total QALYs 332,391 537,736 739,332 787,716 789,956

Table 4: NNT 10 years: 11, NNT 20 years 28, NNTs 30 and 40 years are correct.


Articles from Journal of Alzheimer's Disease are provided here courtesy of IOS Press

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