Dementia prevention: the potential long-term cost-effectiveness of the FINGER prevention program

Wimo, Anders, Handels, Ron, Antikainen, Riitta, Eriksdotter, Maria, Jönsson, Linus, Knapp, Martin ORCID: 0000-0003-1427-0215, Kulmala, Jenni, Laatikainen, Tiina, Lehtisalo, Jenni, Peltonen, Markku, Sköldunger, Anders, Soininen, Hilkka, Solomon, Alina, Strandberg, Timo, Tuomilehto, Jaakko, Ngandu, Tiia and Kivipelto, Miia (2023) Dementia prevention: the potential long-term cost-effectiveness of the FINGER prevention program. Alzheimer's and Dementia, 19 (3). 999 - 1008. ISSN 1552-5260

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Abstract

Introduction: The aim of this study was to estimate the potential cost-effectiveness of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) program. Methods: A life-time Markov model with societal perspective, simulating a cohort of people at risk of dementia reflecting usual care and the FINGER program. Results: Costs were 1,653,275 and 1,635,346 SEK and quality-adjusted life years (QALYs) were 8.636 and 8.679 for usual care and the FINGER program, respectively, resulting in savings of 16,928 SEK (2023 US$) and 0.043 QALY gains per person, supporting extended dominance for the FINGER program. A total of 1623 dementia cases were avoided with 0.17 fewer person-years living with dementia. The sensitivity analysis confirmed the conclusions in most scenarios. Discussion: The model provides support that programs like FINGER have the potential to be cost-effective in preventing dementia. Results at the individual level are rather modest, but the societal benefits can be substantial because of the large potential target population.

Item Type:	Article
Official URL:	https://alz-journals.onlinelibrary.wiley.com/journ...
Additional Information:	© 2022 The Authors
Divisions:	Care Policy and Evaluation Centre
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited:	11 Aug 2022 14:21
Last Modified:	18 Nov 2024 08:00
URI:	http://eprints.lse.ac.uk/id/eprint/115970

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