Incontinence after childbearing: long-term analysis of direct costs of conservative and surgical therapy.

Autor: Ho, Maria Theresa, Eastwood, Anne, Kuteesa, William M. A., Short, Alison, Moore, Kate H.
Zdroj: Australian & New Zealand Continence Journal; Autumn2012, Vol. 18 Issue 1, p10-19, 9p, 2 Diagrams, 2 Charts
Abstrakt: The aim of this study was to measure the short-term and long-term direct costs of conservative and surgical management of childbirth-related stress and mixed urinary incontinence (UI). Women aged 25-75 years, who had presented with a main complaint of post-childbirth stress incontinence between 1992 and 1999, were surveyed. In the 150 women, costs per treatment episode during conservative and surgical management were related to cure. At follow-up, six to 13 years after the first visit, personal and treatment ("direct") expenditure was measured using a modified Dowell Bryant Incontinence Cost Index (DBICI) questionnaire. At median 5.5 years since separation, 82 women had known addresses; 45% were lost to follow-up and 43 (52%) returned the survey. Of those who participated, 46% remained cured. The median "direct" costs for the total group was A$885.80 per capita per annum (IQR 338-2,589). The long-term outcome of post-childbirth incontinence is variable, owing to a variety of influences, and can be associated with prolonged costs. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index