Economic analyses of stress urinary incontinence surgical procedures in women

Rawlings, Tanner

doi:10.1002/nau.22878

Cited by 13 publications

(10 citation statements)

References 30 publications

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“…Further studies to analyze cost of treatment using methods such as incremental cost of illness models, which are more accurate than reimbursement, are needed. While data regarding the direct, indirect, and personal cost of treatment for SUI is robust, 23,42–44 data on indirect and personal cost of POP is more limited and may be underestimated in this study. The primary drivers of our cost figures, especially for POP, represented direct costs of treatment.…”

Section: Discussionmentioning

confidence: 90%

Economic evaluation of elective cesarean versus vaginal delivery on cost of future pelvic floor disorders in the United States

Kuhlmann

Patel

Chen

et al. 2020

Neurourology and Urodynamics

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Aim: To analyze the cost impact of cesarean versus vaginal delivery in the United States on the development of stress urinary incontinence (SUI) and pelvic organ prolapse (POP). Methods: We compared average cost of delivery method to the lifetime risk and cost of pelvic floor disorders (PFDs) in women < 65 years. Costs of maternal care, obtained from the MarketScan® database, included those incurred at delivery and 3 months post-partum. Future costs of PFDs included those incurred after delivery up to 65 years. Previously reported data on the prevalence of POP and SUI following cesarean and vaginal delivery was used to calculate attributable risk. An incremental cost of illness model was used to estimate costs for SUI. Direct surgical and ambulatory care costs were used to determine cost of POP.

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Section: Discussionmentioning

confidence: 90%

Economic evaluation of elective cesarean versus vaginal delivery on cost of future pelvic floor disorders in the United States

Kuhlmann

Patel

Chen

et al. 2020

Neurourology and Urodynamics

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“…That was a more complex study than ours, since it followed up patients for up to 10 years. However, a published meta-analysis by Rawlings and Zimmern ( 8 ) in 2016 was inconclusive to compare cost-efficiency of different surgical techniques; they affirmed that there is variation of results according to surgeons, technique and different regions. Maybe direct comparison as done in our study is the best way to answer this question.…”

Section: Discussionmentioning

confidence: 99%

Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques

et al. 2018

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IntroductionSurgical treatment of urinary incontinence progressed significantly with the introduction of synthetic slings. However, in some public Brazilian hospitals, the costs of these materials prevent their routine use.ObjectiveTo compare the costs of ambulatory synthetic sling surgery with an historical series of patients submitted to Burch surgery in a Brazilian public hospital.Materials and MethodsTwenty nine incontinent patients were selected to synthetic sling surgery. Demographic data were prospectively collected and also the costs of the procedure, including drugs and materials, use of surgical and recovery wards, medical staff and hospitalization. These data were compared to the costs of 29 Burch surgeries performed before the introduction of synthetic slings.ResultsDemographic data were similar, although median age was lower in the group submitted to Burch surgery (46.3±8.6 versus 56.2±11.3 (p<0.001)). Cost was significantly lower in patients submitted to sling in all items, except for time spent in recovery ward. Total value of 29 Burch surgeries was R$ 217.766.12, and of R$ 68.049.92 of 29 patients submitted to sling surgery (p<0.001).ConclusionBurch surgery was more expensive than ambulatory synthetic transobturator sling surgery, even when the cost of the synthetic sling was considered.

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“…RT more costly than laparoscopic colposuspension is equally effective as or less effective than open colposuspension with similar costs, and injectable agents are less effective but also more costly than RT (29). In a systematic review (30), costs related to surgical procedures were classified on Table 4.…”

Section: Treatment Costs Of Urinary Incontinencementioning

confidence: 99%

Üriner İnkontinansın Hastalık Yükü ve Maliyeti

Kaya¹,

Aslan²

2021

Yeni Üroloji Dergisi

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ÖzetÜriner inkontinans (Üİ) fiziksel, ruhsal, sosyal ve ekonomik yönden tüm bireyleri olumsuz etkileyen bir sağlık sorunudur. Üİ görülme sıklığı %5-70 arasında değişmektedir. Üİ birey, aile, toplum üzerinde ve sağlık sisteminde ciddi ekonomik yük oluşturmaktadır. Üİ ekonomik yükünün belirlenmesinde hastalık yükü önemli bir parametre olup, sıklıkla Kaliteye Ayarlanmış Yaşam Yılı (KAYY-tedavilerin maliyet etkinliğini değerlendirmek için geliştirilmiş bir araçtır) kullanılmaktadır. Üİ toplam maliyeti kullanılan ve kaybedilen tüm maliyetleri kapsamakta olup, doğrudan ve dolaylı maliyetleri içermektedir. Doğrudan maliyetler; tanı, tedavi, rutin bakım ve Üİ sonuç maliyetleri içermekte olup rutin bakım maliyetleri Üİ maliyetlerinin büyük bir bölümünü oluşturmaktadır. Dolaylı maliyetler Üİ ekonomik yükünün görünmeyen yüzü olup hesaplanması oldukça zordur ve doğrudan maliyetlerden daha büyük bir paya sahip olduğu düşünülmektedir. Türkiye' de Üİ'nin hastalık ve ekonomik yüküne ilişkin bir kayıt sistemi veya araştırmaya rastlanmamış olup veriler Sağlık Uygulama Tebliği (SUT) kapsamında belirtilen tanı ve tedavi maliyetleri ile sınırlıdır. Bu derlemede stres (SÜİ), urgency (UÜİ) ve miks üriner inkontinansın (MÜİ) hastalık yükü ve maliyetinin literatür doğrultusunda incelenerek mevcut durumu belirlenmiştir. Yapılan çalışmalar doğrultusunda Üİ'nin birey ve sağlık sistemi üzerinde ciddi ekonomik yük oluşturduğu, birinci basamak sağlık hizmetlerinin bu maliyeti azaltmada önemli bir güç olacağı belirtilmektedir. Ülkemizde de Üİ'nin ulusal düzeydeki ekonomik yükünün belirlenmesi, doğrudan ve dolaylı maliyetlerin açığa çıkarılması, kaynakların doğru ve etkin şekilde kullanılması, maliyet-etkin inkontinans yönetimi açısından oldukça önemlidir.

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Economic analyses of stress urinary incontinence surgical procedures in women

Cited by 13 publications

References 30 publications

Economic evaluation of elective cesarean versus vaginal delivery on cost of future pelvic floor disorders in the United States

Economic evaluation of elective cesarean versus vaginal delivery on cost of future pelvic floor disorders in the United States

Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques

Üriner İnkontinansın Hastalık Yükü ve Maliyeti

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