Costs of ambulatory care related to female pelvic floor disorders in the United States

Abstract

OBJECTIVE-To evaluate trends in costs of ambulatory care related to female pelvic floor disorders (PFD) in the United States.STUDY DESIGN-We used the National Ambulatory Medical Care Survey for national estimates of ambulatory visits in the United States. PFD-related visits were based on ICD-9 codes. Visits were assigned an Evaluation and Management (E/M) code and costs were estimated using national average Medicare allowances for physician services. We converted costs to 2006 dollars using the physicians' services component of the Consumer Price Index and compared the average annual costs between 1996-1997 and 2005-2006. CONCLUSIONS-The cost of ambulatory care related to female PFDs is significant and is increasing. RESULTS-The

Impact of surgically induced weight loss on pelvic floor disorders

“…Pelvic floor disorders are known to affect between 12 % and 42 % of adult women depending on the definition applied and the population studied, and the prevalence of PFDs is predicted to increase from 28.1 million to 43.8 million women in the United States from the years 2010 to 2050 [3]. Both conditions are costly to society, with US $117 billion dollars in direct and indirect annual costs spent on obesity-related issues in the United States alone, accounting for >6 % of healthcare dollars [4], and an average annual cost of ambulatory physician services alone related to PFDs of US $412 million in 2005-2006 [5]. Both obesity and PFDs negatively impact quality of life (QOL), with broad effects on social, behavioral, emotional, and health domains [6,7].…”

Knockdown of Hoxa11 In Vivo in the Uterosacral Ligament and Uterus of Mice Results in Altered Collagen and Matrix Metalloproteinase Activity1

“…The number of American women with this condition was estimated to be 3.3 million in 2010 and is forecast to increase in the range of 4.9 million to 9.2 million by the year 2050 [3]. Thus, the annual direct costs of corrective surgery for POP pose a significant economic burden on the health care system [4,5].…”

Common Tests for the Pelvic Floor

“…Constipation appears to be a more frequent complaint of patients, affecting up to 20 % of North Americans [ 3 -5 ]. The direct annual costs associated with ambulatory care for pelvic fl oor disorders were estimated at $412 million dollars in 2006, compared to $262 million in 1997 [ 6 ]. As the population ages, health care expenditures in treating pelvic fl oor disorders are expected to escalate.…”