The financial burden of stress urinary incontinence among women in the United States

被引:111
作者
Chong E.C. [1 ]
Khan A.A. [1 ]
Anger J.T. [2 ]
机构
[1] David Geffen School of Medicine at UCLA, Los Angeles
[2] Cedars-Sinai Medical Center, Beverly Hills, CA 90211, 99 La Cienega Boulevard
关键词
Cost; Female urology; Financial burden; Incontinence management; QALY; Quality-adjusted life ears; Stress urinary incontinence; SUI; Women's health;
D O I
10.1007/s11934-011-0209-x
中图分类号
学科分类号
摘要
Stress urinary incontinence (SUI) is a common medical problem affecting 25% to 50% of women in the United States.∈This article reviews the literature on the current systems- and population-based costs of management of SUI in women. A PubMed search was conducted to seek studies examining the cost of various management options.∈Both nonsurgical and surgical management can effectively improve symptoms of SUI at a wide spectrum of costs. Over $12 billion are spent annually, an amount that continues to grow. Patients pay out-of-pocket for 70% of conservative management, amounting to a significant individual financial burden.∈Systems-based cost of SUI management continues to rise with the aging population.∈Costs to both individuals and systems may be mitigated if more patients are treated with intent to cure and as surgical management transitions from inpatient to outpatient procedures. © 2011 Springer Science+Business Media, LLC.
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页码:358 / 362
页数:4
相关论文
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  • [1] Minassian V.A., Stewart W.F., Wood G.C., Urinary incontinence in women: Variation in prevalence estimates and risk factors, Obstetrics and Gynecology, 111, 2 PART 1, pp. 324-331, (2008)
  • [2] Peyrat L., Haillot O., Bruyere F., Boutin J.M., Bertrand P., Lanson Y., Prevalence and risk factors of urinary incontinence in young and middle-aged women, BJU International, 89, 1, pp. 61-66, (2002)
  • [3] Nygaard I.E., Heit M., Stress urinary incontinence, Obstetrics and Gynecology, 104, 3, pp. 607-620, (2004)
  • [4] Rogers R.G., Urinary stress incontinence in women, New England Journal of Medicine, 358, 10, (2008)
  • [5] Hannestad Y.S., Rortveit G., Sandvik H., Et al., A community-based epidemiological survey of female urinary incontinence: The Norwegian EPICONT Study, J Clin Epidemiol, 53, pp. 1150-1157, (2000)
  • [6] Fultz N.H., Burgio K., Diokno A.C., Kinchen K.S., Obenchain R., Bump R.C., Burden of stress urinary incontinence for community-dwelling women, American Journal of Obstetrics and Gynecology, 189, 5, pp. 1275-1282, (2003)
  • [7] Cortes E., Kelleher C., Costs of female urinary incontinence, Women's Health Med, 2, 6, pp. 3-5, (2005)
  • [8] Imamura M., Abrams P., Bain C., Et al., Review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence, Health Technol Assess, 14, 40, pp. 1-215, (2010)
  • [9] Anger J.T., Saigal C.S., Madison R., Joyce G., Litwin M.S., Increasing Costs of Urinary Incontinence Among Female Medicare Beneficiaries, Journal of Urology, 176, 1, pp. 247-251, (2006)
  • [10] Palan P.R., Mikhail M.S., Romney S.L., Annual direct cost of urinary incontinence, Obstetrics and Gynecology, 98, 3, pp. 398-406, (2001)