On May 25, 2017, the CDC published a report that found death rates from Alzheimer’s disease increased 55 percent —from 16.5 per 100,000 people in 1999 to 25.4 per 100,000 in 2014 after accounting for age. The number of Alzheimer’s deaths at home also increased during the same period, from 14 percent to 25 percent, suggesting an increase in the number of caregivers that would benefit from support, including education and case management services.
Alzheimer’s disease is a fatal form of dementia. It is the sixth leading cause of death in the U.S., accounting for 3.6 percent of all deaths in 2014. It is the fifth leading cause of death among people ages 65 years and older in the United States.
“Millions of Americans and their family members are profoundly affected by Alzheimer’s disease,” said CDC Acting Director Anne Schuchat, M.D. “Our new study reveals an increase in the incidence of Alzheimer’s disease-related deaths. As the number of older Americans with Alzheimer’s disease rises, more family members are taking on the emotionally and physically challenging role of caregiver than ever before. These families need and deserve our support.”
This study is the first to provide county-level rates for deaths caused by Alzheimer’s disease. CDC researchers analyzed state- and county-level death certificate data from the National Vital Statistics System to identify deaths with Alzheimer’s disease reported as the underlying cause. According to the analysis, possible reasons for the increase include the growing population of older adults in the U.S., increases in diagnosis of Alzheimer’s disease at earlier stages, increased reporting by physicians and others who record the cause of death, and fewer deaths from other causes of deaths for the elderly, such as heart disease and stroke.
The report made several key findings from its analysis of Alzheimer’s disease rates. First, most Alzheimer’s deaths still occur in a nursing home or long-term care facility, but fewer in 2014 (54 percent) than in 1999 (68 percent). Second, counties with the highest death rates were primarily in the Southeast. Other areas with high rates included the Midwest and West Coast. Third, age is the greatest risk factor for Alzheimer’s disease. Most adults with the disease are 65 years or older. As fewer people die from other diseases, more survive into older adulthood and the risk for Alzheimer’s disease increases.
“As Alzheimer’s disease progresses, caregiving becomes very important. Caregivers and patients can benefit from programs that include education about Alzheimer’s disease, how to take care of themselves and their loved one, and case management to lessen the burden of care,” said Christopher Taylor, Ph.D., lead author and epidemiologist, Division of Population Health, the CDC’s National Center for Chronic Disease Prevention and Health Promotion. “Supportive interventions can lessen the burden for caregivers and improve the quality of care for people with Alzheimer’s disease.”
While there is currently no cure for Alzheimer’s disease, early diagnosis is important to allow patients and their families to begin planning medical and caregiving needs at all stages of the disease.
See the CDC Announcement
See the CDC Report
See also Medical Law Perspectives Report: Risks in Caring for Patients with Cognitive Impairments: Alzheimer's Disease and Dementia
See the Medical Law Perspectives Blog: Alzheimer’s Disease Presents an Array of Legal Issues