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Public Health.
Chaur-Jong Hu1, Yao Hsien Huang2, Bruce Cm Wang3
1Taipei Medical University, Taipei, Taiwan.
Alzheimer
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Limited epidemiological data exists for mild cognitive impairment (MCI) and Alzheimer's Disease (AD) in Taiwan.
- Understanding demographic profiles, healthcare utilization, and treatment trends is crucial for effective management.
Purpose of the Study:
- To describe the demographic characteristics of MCI and AD patients in Taiwan.
- To analyze healthcare resource use and treatment patterns for MCI and AD from 2018 to 2022.
Main Methods:
- Utilized the National Health Insurance Research Database (NHIRD) covering 99.6% of Taiwan's population.
- Analyzed data annually from 2018-2022 for individuals aged ≥50 diagnosed with MCI or AD.
- Developed a diagnostic algorithm to stratify AD severity (MCI, mild, moderate, severe).
Main Results:
- AD prevalence increased by 19.6% from 2018-2022, with females comprising two-thirds of cases.
- Donepezil use increased, particularly in mild AD, while memantine use rose in moderate/severe AD.
- Traditional Chinese Medicine (TCM) use remained stable; severe AD patients utilized more non-pharmacological therapies.
Conclusions:
- AD prevalence is rising in Taiwan, necessitating updated healthcare strategies.
- Treatment patterns are evolving, with increased use of specific medications at different disease stages.
- Findings provide insights for optimizing MCI and AD management in Taiwan.
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