Dementia in Germany: epidemiology, trends and challenges.

Journal of health monitoring Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI:10.25646/11667
Daniela Georges, Elena Rakusa, Anna-Victoria Holtz, Anne Fink, Gabriele Doblhammer
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Abstract

Background: Dementia poses a growing challenge for individuals, healthcare, social support, and society amidst the ongoing ageing of populations. To evaluate the care requirements and social implications of dementia in Germany, reliable statistics regarding its current and future occurrence are necessary.

Methods: Using existing data sources and recent research results, this paper compiles and analyses relevant statistics on the occurrence of dementia in Germany, presents protective and risk factors, and options for care provision.

Results: Recent projections indicate a potential surge in the number of dementia patients in Germany, predicted to rise from 1.7 million at present to up to 3.0 million by the year 2070. Cognitive and motor deterioration and behavioural changes associated with dementia lower the ability to live independently. These changes are often tied to social exclusion and stigma and, particularly in the severe phase of the disease, necessitate extensive medical and care requirements. This contributes to dementia being one of the most costly diseases at old age from an overall societal perspective. Currently, there are no curative treatment options available.

Conclusions: To reduce the increase in the number of dementia patients and associated costs in the future, preventive approaches, particularly promoting a healthy lifestyle, may prove effective. Simultaneously, the healthcare system, society, and caregivers must prepare for the increasing number of dementia patients. Improved diagnostics, new forms of therapy, and social innovations that support those who are affected and their relatives can help reduce the burden of dementia and its associated costs.

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德国痴呆症:流行病学、趋势和挑战。
背景:随着人口的不断老龄化,痴呆症对个人、医疗保健、社会支持和社会构成了越来越大的挑战。为了评估德国痴呆症的护理要求和社会影响,有必要对其当前和未来的发生情况进行可靠的统计。方法:利用现有的数据来源和最近的研究结果,本文汇编和分析了德国痴呆症发生的相关统计数据,提出了保护和风险因素,以及提供护理的选择。结果:最近的预测表明,德国痴呆症患者的数量可能会激增,预计到2070年将从目前的170万增加到300万。与痴呆症相关的认知和运动退化以及行为变化降低了独立生活的能力。这些变化往往与社会排斥和耻辱有关,尤其是在疾病的严重阶段,需要广泛的医疗和护理要求。从整体社会角度来看,这导致痴呆症成为老年人最昂贵的疾病之一。目前,没有可供选择的治疗方法。结论:为了减少未来痴呆症患者数量的增加和相关费用,预防方法,特别是促进健康的生活方式,可能会被证明是有效的。与此同时,医疗系统、社会和护理人员必须为痴呆症患者数量的增加做好准备。改善诊断、新形式的治疗以及支持受影响者及其亲属的社会创新,有助于减轻痴呆症的负担及其相关成本。
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