Anders Sköldunger

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BACKGROUND Inappropriate drug use (IDU) is an important risk factor for adverse outcomes in older persons. We aimed to investigate IDU and the risk of hospitalizations and mortality in older persons and in persons with dementia and to estimate the costs of IDU-related hospitalizations. METHODS We analyzed 4108 individuals aged ≥60 years from the Swedish(More)
BACKGROUND The societal costs of Alzheimer's Disease (AD) are enormous and pose a great challenge for the health and social care in any society. It is of vital importance to develop and identify cost effective treatment. The aim of the study was to present a hypothetical economic model of Disease Modifying Treatment (DMT) in AD. METHODS A 20 year Markov(More)
BACKGROUND Aging of the population results in increasing number people suffering from dementia, and this will have a great impact on costs for the society. Because of the long duration of dementia disorders, it is difficult to collect empirical data for the whole survival period of incident cases. Therefore, modeling approaches are frequently used. The(More)
OBJECTIVE Elderly care includes complex interactions between formal services, informal care, morbidity and disabilities. Studies of the incremental effects of formal and informal care are rare and thus the objective was to describe the longitudinal patterns in formal and informal care given to non-demented and demented persons living in a rural area in(More)
BACKGROUND Previous findings indicate that people with dementia and their informal carers experience difficulties accessing and using formal care services due to a mismatch between needs and service use. This mismatch causes overall dissatisfaction and is a waste of the scarce financial care resources. This article presents the background and methods of the(More)
OBJECTIVES Study formal and informal care of community-living older people in the Swedish National study of Aging and Care (SNAC). DESIGN Cross-sectional, population based cohort. SETTING Three areas in Sweden: Municipality of Nordanstig, Stockholm and Skåne County. PARTICIPANTS 3,338 persons ≥72 years. MEASUREMENTS Patterns and amounts of informal(More)
BACKGROUND Recent studies suggest that trends in cardiovascular risk may result in a decrease in age-specific prevalence of dementia. Studies in rural areas are rare. OBJECTIVES To study cohort effects in dementia prevalence and survival of people with dementia in a Swedish rural area. METHODS Participants were from the 1995-1998 Nordanstig Project (NP)(More)
OBJECTIVE To estimate the cost of dementia care and its relation to dependence. METHOD Disease severity and health care resource utilization was retrieved from the Swedish National Study on Aging and Care. Informal care was assessed with the Resource Utilization in Dementia instrument. A path model investigates the relationship between annual cost of care(More)
BACKGROUND Chronic pain affects nursing home residents' daily life. Pain assessment is central to adequate pain management. The overall aim was to investigate effects of a pain management intervention on nursing homes residents and to describe staffs' experiences of the intervention. METHODS A cluster-randomized trial and a mixed-methods approach.(More)
In this study, we sought to estimate the societal cost of illness in dementia in Sweden in 2012 using different costing approaches to highlight methodological issues. We conducted a prevalence-based cost-of-illness study with a societal perspective. The societal costs of dementia in Sweden in 2012 were SEK 62.9 billion (approximately €7.2 billion,(More)