Healthcare resource use and cost burden of urinary incontinence to United States payers

Datar, Manasi; Pan, Li‐Chen; McKinney, Jessica; Goss, Thomas F.; Pulliam, Samantha J.

doi:10.1002/nau.24989

Cited by 11 publications

(3 citation statements)

References 30 publications

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“…Urinary incontinence (UI), defined by an involuntary loss of urine, is a common healthcare problem that can affect up to one in three females [1]. UI is recognised as a worldwide concern, having a substantial medical and economic burden on healthcare systems [2][3][4]. Indeed, the economic burden of UI is considerable, reaching >$7 billion annually, with direct costs and nursing home admission in six Western countries [3].…”

Section: Introductionmentioning

confidence: 99%

Management of urinary incontinence in females by primary care providers: a systematic review

Charette,

Pacheco‐Brousseau,

Poitras

et al. 2023

BJU International

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ObjectiveTo describe primary care provider (PCP) practices for the assessment and management of females with urinary incontinence (UI), and appraise these practices relative to recommendations made in high‐quality clinical guidelines.MethodsStudies were searched in four databases (MEDLINE, EMBASE, CINAHL, Web of Science) from their respective inception dates to 6 March 2023. All studies describing UI evaluation and management practices used by PCPs for female patients were eligible. Two reviewers independently selected studies assessed their quality and extracted data. A narrative synthesis of included studies was performed to describe practices. Relevant evaluation and management practices were then compared to recommendations that were consistent across current high‐quality UI guidelines. Pharmacotherapy, referrals, and follow‐ups were reported descriptively only.ResultsA total of 3475 articles were retrieved and, among those, 31 were included in the review. The majority reported a poor–moderate adherence to performing a pelvic examination (reported adherence range: 23–76%; based on eight studies), abdominal examination (0–87%; three studies), pelvic floor muscle assessment (9–36%; two studies), and bladder diary (0–92%; nine studies), while there was high adherence to urine analysis (40–97%; nine studies). For the conservative management of UI, studies revealed a poor–moderate adherence to recommendations for pelvic floor muscle training (5–82%; nine studies), bladder training (2–53%; eight studies) and lifestyle interventions (1–71%; six studies). Regarding pharmacotherapy, PCPs predominantly prescribed antimuscarinics (2–46%; nine studies) and oestrogen (2–77%; seven studies). Lastly, PCPs referred those reporting UI to medical specialists (5–37%; 14 studies). Referrals were generally made <30 days after diagnosis with urologists being the most sought out professional to assess and treat UI.ConclusionThis review revealed poor–moderate adherence to clinical practice guideline recommendations. While these findings reflect high variability in reporting, the key message is that most aspects of patient care for female UI provided by PCPs needs to improve.

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Section: Introductionmentioning

confidence: 99%

Management of urinary incontinence in females by primary care providers: a systematic review

Charette,

Pacheco‐Brousseau,

Poitras

et al. 2023

BJU International

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show abstract

“…Currently, the worldwide annual expenditure on the treatment and care of UI has been consistently rising, thereby amplifying the medical and economic burdens on both society and individuals (5). UI primarily affects women as a personal issue, leading to a lack of proactive treatment-seeking behaviors.…”

Section: Introductionmentioning

confidence: 99%

The risk of urinary incontinence among women with obese in China： a meta-analysis

Shang,

Zhao,

et al. 2023

Preprint

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Objective The objective of this meta-analysis is to assess the potential association between obesity and overweight, and the susceptibility to Urinary Incontinence (UI) among Chinese women. Methods We searched PubMed, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI) and WANFANG Database to obtain observational study published between the establishment of the database and 10 July 2023. We used the Newcastle Ottawa Scale (NOS) and the Quality Assessment Program of the American Institute for Healthcare Quality and Research (AHRQ) to evaluate the quality of the study. When P > 0.1 and I2 ≤ 50%, a fixed effect model is used. Otherwise, a random effects model is applied. Funnel plots and Egger's test were used to explore publication bias. All statistical analyses were conducted in Stata 14.0. Results This meta-analysis comprises 13 observational studies involving a total of 76,606 individuals. The pooled analysis reveals no statistically significant association between overweight and the risk of UI (odds ratio [OR] = 1.23; 95% confidence interval [CI]: 0.97–1.56; I2 = 94.6%, P = 0.000). Among Chinese women, obesity significantly increases the likelihood of developing urinary incontinence (OR = 2.00; 95% CI: 1.55–2.58; I2 = 88.8%, p = 0.000). Subgroup analysis demonstrates no significant association between obesity and mixed urinary incontinence (MUI) among obese women in China (OR = 1.31; 95% CI: 0.98–1.75; I2 = 0.0%, P = 0.806). Nevertheless, obesity is significantly associated with stress urinary incontinence (SUI) (OR = 1.72; 95% CI: 1.47–2.01; I2 = 34.3%, P = 0.201). Subgroup analysis of regional types shows that obesity in southern and northern China, eastern, central and western regions is associated with a high risk of UI. Conclusions Obesity is found to be positively associated with an elevated likelihood of UI in Chinese women. This study can provide basis for the prevention and treatment of UI, and provide better prevention and management for alleviating the symptoms of UI in Chinese adult women.

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“…Women with UI incur costs 61% higher than women without UI. 10 The prevalence of UI increases with age, 11 making UI particularly concerning with a rapidly aging population. 12 Three primary subtypes of UI exist: stress UI, urgency UI, and mixed UI.…”

mentioning

confidence: 99%

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

Klein,

Eisenhauer,

Mollard

et al. 2023

West J Nurs Res

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Background: Urinary incontinence (UI) affects approximately 60% of women in the United States and negatively impacts self-esteem, sexual function, participation in social activities, and quality of life (QOL). Self-management interventions show promise for improving UI symptoms and QOL. Previous reviews of UI self-management studies have focused on outcomes for older women. However, the literature lacks a synthesis of methodologies of these studies. Purpose: The purpose of this integrative review was to synthesize and evaluate methodologies used in studies of self-management interventions for UI in adult women. Methods: Using an integrative review approach, a search of PubMed, CINAHL, and Embase was conducted yielding 1404 results, 23 of which met inclusion criteria. Data abstracted from each article included author(s), year of publication, study design and purpose, sample, country and setting, measures of UI symptoms, and intervention description. Results: Findings showed methodological differences, particularly in design, assessment of UI subtypes, measures of UI symptoms, and intervention components. Multicomponent self-management interventions were used in 18 studies and 1 component used in 5 studies. Education, pelvic floor muscle exercises, and bladder training were the intervention components most frequently used, either alone or in combination; however, intervention components were not consistently aligned with the UI subtypes. Analysis of ethical matters revealed areas for improvement, specifically in reporting privacy and confidentiality and in methods to obtain informed consent. Conclusions: Results highlight opportunities to improve the rigor of methodologies used in studies of self-management interventions for UI in adult women.

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Healthcare resource use and cost burden of urinary incontinence to United States payers

Cited by 11 publications

References 30 publications

Management of urinary incontinence in females by primary care providers: a systematic review

Management of urinary incontinence in females by primary care providers: a systematic review

The risk of urinary incontinence among women with obese in China： a meta-analysis

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

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