Subak Leslee, Van Den Eeden Stephen, Thom David, Creasman Jennifer M, Brown Jeanette S
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, School of Medicine, San Francisco, CA, USA.
Am J Obstet Gynecol. 2007 Dec;197(6):596.e1-9. doi: 10.1016/j.ajog.2007.04.029. Epub 2007 Sep 18.
The purpose of this study was to estimate the direct costs of routine care for urinary incontinence (UI) in community-dwelling, racially diverse women.
In the Reproductive Risks for Incontinence Study at Kaiser population-based study, 528 women with UI weekly or more quantified resources that were used for UI. Routine care costs were calculated with the use of national resource costs ($2005). Potential predictors of these outcomes were examined by multivariable linear regression.
Mean age was 55 +/- 9 (SD) years. Among women with weekly UI, 69% reported incontinence-related costs. Median weekly cost was $1.83 (25%-75% interquartile range [IQR], $0.50, $5.23), increasing from $0.93 (IQR, $0, $3) for moderate to $7.82 (IQR, $5, $37) for very severe incontinence. Costs that increased with incontinence severity (P < .001) and body mass index (P < .001) were 2.2-fold higher for African American versus white women (P < .0001) and 42% higher for women with mixed versus stress incontinence (P < .05).
Women pay a mean of >$250 per year out-of-pocket for UI routine care. Effective incontinence treatment may decrease costs.
本研究旨在估算社区居住的、种族多样的女性尿失禁（UI）常规护理的直接成本。
在凯撒基于人群的尿失禁生殖风险研究中，528名每周出现尿失禁的女性对用于尿失禁的资源进行了量化。常规护理成本采用国家资源成本（2005年）进行计算。通过多变量线性回归分析这些结果的潜在预测因素。
平均年龄为55±9（标准差）岁。在每周出现尿失禁的女性中，69%报告了与尿失禁相关的费用。每周费用中位数为1.83美元（四分位间距[IQR]25%-75%，0.50美元，5.23美元），从中度尿失禁的0.93美元（IQR，0美元，3美元）增至重度尿失禁的7.82美元（IQR，5美元，37美元）。随着尿失禁严重程度（P<.001）和体重指数（P<.001）增加的费用，非裔美国女性比白人女性高2.2倍（P<.0001），混合性尿失禁女性比压力性尿失禁女性高42%（P<.05）。
女性每年因尿失禁常规护理需自掏腰包支付平均超过250美元。有效的尿失禁治疗可能会降低成本。
