Direct and indirect cost of urge urinary incontinence with and without pharmacotherapy
| Autor: | A. Goren, Kelly H. Zou, S. Gupta, C.I. Chen |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Prescription Drugs Adolescent Cross-sectional study Urge urinary incontinence Urinary incontinence Efficiency Young Adult Indirect costs Pharmacotherapy medicine Humans Medical prescription Young adult Aged business.industry Urinary Incontinence Urge General Medicine Middle Aged medicine.disease Occupational Diseases Cross-Sectional Studies Overactive bladder Costs and Cost Analysis Physical therapy Health Resources Urological Agents Female medicine.symptom business |
| Zdroj: | International Journal of Clinical Practice. 68:336-348 |
| ISSN: | 1368-5031 |
| DOI: | 10.1111/ijcp.12301 |
| Popis: | Summary Objective To evaluate the impact of treating urge urinary incontinence (UUI), including mixed urinary incontinence (MUI), on healthcare resource utilisation, productivity, activity impairment and associated costs. Methods The study used data from the 2011 U.S. National Health and Wellness Survey, an Internet-based questionnaire of a nationwide sample of adults. UUI or MUI respondents were identified via three Incontinence Questions. Respondents with stress urinary incontinence only, prostate cancer or (medication for) benign prostatic hyperplasia were excluded. UUI/MUI respondents were categorised as Rx users for overactive bladder (OAB) and non-Rx users (who never used Rx and whose condition reportedly interfered with life activities or was difficult to manage). Outcome measures included healthcare utilisation and Work Productivity and Activity Impairment questionnaire-based scores. Direct and indirect costs were estimated using 2010 labour and 2008 medical expenditure data sources. Generalised linear models predicted resource use and productivity as a function of treatment status, adjusting for covariates (e.g. sociodemographics, OAB severity, comorbid status) that may also predict impairment. Results Rx (vs. non-Rx) users were more likely to be female (80.7% vs. 70.0%), older (mean = 62.7 vs. 53.1) and reporting more moderate-to-severe OAB (70.9% vs. 52.6%; all p |
| Databáze: | OpenAIRE |
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