{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T08:44:40Z","timestamp":1791794680425,"version":"4.3.4"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["HC-CORAD #10430 37231 0007"],"award-info":[{"award-number":["HC-CORAD #10430 37231 0007"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["POLAR #10430 03201 0004"],"award-info":[{"award-number":["POLAR #10430 03201 0004"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID-19 pandemic disrupted healthcare services and daily routines, which may have particularly affected individuals with cognitive impairment or dementia who rely on continuity of care. However, the impact of these disruptions on institutionalization and healthcare costs remains largely unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We investigated the impact of COVID-19-pandemic on institutionalization and healthcare costs in a mixed memory clinic population, compared to a well-balanced historical control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We included memory clinic patients from the Amsterdam Dementia Cohort: 1) n\u2009=\u2009911 pandemic-patients (baseline: 2017\u20132018, follow-up: until 2021), and 2) n\u2009=\u2009821 well-balanced historical controls (baseline: 2015\u20132016, follow-up: until 2019). Time to institutionalization was analyzed using restricted mean survival time (RMST), and healthcare costs using linear regression with spline knot at 2 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We found no difference for time until institutionalization between groups for all diagnoses together. Stratified for syndrome diagnosis, we found that pandemic-patients with dementia (RMST between group contrast (BGC)[95%-CI]\u2009=\u2009\u22120.241 year[\u22120.456 \u2013 \u22120.026], i.e., \u22122.9 months) and another diagnosis (RMST BGC[95%-CI]\u2009=\u2009\u22120.214 year[\u22120.407 \u2013 \u22120.021], i.e., \u22122.6 months) had shorter time to institutionalization. Total healthcare costs did not differ between groups (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      [95%-CI]\u2009=\u2009302.12 [\u22121229.17\u20131833.40],\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.699).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In conclusion, we found no indications of a significantly decreased or increased healthcare consumption as a result of COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877261486732","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T13:03:54Z","timestamp":1791551034000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of the COVID-19 pandemic on institutionalization and healthcare costs in memory clinic patients"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4040-9332","authenticated-orcid":false,"given":"Els D.","family":"Bakker","sequence":"first","affiliation":[{"name":"Vrije Universiteit Amsterdam"},{"name":"Neurodegeneration, Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands"},{"name":"Northwest Academy, Northwest Clinics Alkmaar, Alkmaar, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1671-6850","authenticated-orcid":false,"given":"Pieter J.","family":"van der Veere","sequence":"additional","affiliation":[{"name":"Vrije Universiteit Amsterdam"},{"name":"Neurodegeneration, Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands"},{"name":"Vrije Universiteit Amsterdam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn W.","family":"Heymans","sequence":"additional","affiliation":[{"name":"Vrije Universiteit Amsterdam"},{"name":"Methodology, Amsterdam Public Health, Methodology, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Argonde C.","family":"van Harten","sequence":"additional","affiliation":[{"name":"Vrije Universiteit Amsterdam"},{"name":"Neurodegeneration, Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiesje M.","family":"van der Flier","sequence":"additional","affiliation":[{"name":"Neurodegeneration, Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands"},{"name":"Vrije Universiteit Amsterdam"},{"name":"Methodology, Amsterdam Public Health, Methodology, Amsterdam, The Netherlands"},{"name":"Alzheimer Nederland, Amersfoort, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6919-8340","authenticated-orcid":false,"given":"Ingrid S.","family":"van Maurik","sequence":"additional","affiliation":[{"name":"Northwest Academy, Northwest Clinics Alkmaar, Alkmaar, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2021.1974547"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s43856-024-00724-3"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16523"},{"key":"e_1_3_3_5_2","volume-title":"Risk reduction of cognitive decline and Dementia: WHO guidelines","author":"WHO","year":"2019","unstructured":"WHO. 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