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Economic “symptoms” associated with dementia appear up to 6 years before formal diagnosis

Economic “symptoms” associated with dementia appear up to 6 years before formal diagnosis

 


Baltimore — When you think of the symptoms associated with dementia, problems such as forgetting and confusion usually come to mind. Now, a new study reports that “payment for missing invoices” needs to be added to that list as well. Researchers at Johns Hopkins say that economic signs or “symptoms” of dementia often appear in older people years before the official diagnosis is made.

More specifically, their study found that Medicare beneficiaries who eventually develop dementia. Miss invoice payment Up to 6 years before being diagnosed. Given how important early detection is to combat and treat dementia, this study has many important implications for both patients and physicians.

These findings also have an educational side. Low-educated beneficiaries diagnosed with dementia began missing out on bills seven years before their diagnosis. This is far from the much shorter 2.5-year gap between the loss and diagnosis of an adult with the highest academic performance.

Of course, always forgetting to pay your bill, with or without dementia, can be ruined. Your credit score.. In that regard, the research team also reports that missed payments are more likely to result in low credit scores within 2.5 years of being diagnosed with dementia.

“Currently, there is no effective treatment to delay or reverse the symptoms of dementia,” said Dr. Lauren Harshnicolas, lead author and associate professor of health policy management at Bloomberg School. University release.. “But early screening and detection combined with information about the risk of irreversible economic events such as foreclosures and foreclosures is important to protect the financial well-being of patients and their families.”

Only dementia damages the patient’s finances

To reach these conclusions, researchers worked to connect the anonymized ones. Medicare claims With credit report data. In total, 81,364 Medicare recipients living in single-person households participated in the survey. Within that group, 27,302 participants were diagnosed with dementia between 1999 and 2014, but 54,062 did not.

The researchers then compared the economic outcomes between participants diagnosed with dementia and those not diagnosed between 1998 and 2018. They compared pre-diagnosis and 4-year post-diagnosis records. The Johns Hopkins team focused on invoice omissions that were at least 30 days late and low credit scores.

To make sure that these financial problems really happened Connected to The dementia research team also compared the financial results with the incidence of other health problems such as arthritis, heart attack, and glaucoma.

“We don’t see the same patterns as other health conditions,” Nicholas concludes. “Dementia The only medical condition Here, consistent economic symptoms, especially long-term worsening results before clinical recognition, were seen. Our study is the first to provide large-scale quantitative evidence of the medical maxim that the first place to look for dementia is in the checkbook. “

In particular, many people with dementia have been neglecting unpaid payments for up to 3.5 years after starting dementia treatment. This suggests that people with dementia need continuous financial guidance.

The· Survey Published in JAMA Internal Medicine.

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