TY - JOUR
T1 - High costs of urinary incontinence among women electing surgery to treat stress incontinence
AU - Subak, Leslee L.
AU - Brubaker, Linda
AU - Chai, Toby C.
AU - Creasman, Jennifer M.
AU - Diokno, Ananias C.
AU - Goode, Patricia S.
AU - Kraus, Stephen R.
AU - Kusek, John W.
AU - Leng, Wendy W.
AU - Lukacz, Emily S.
AU - Norton, Peggy
AU - Tennstedt, Sharon
N1 - Funding Information:
The GeriCare@North nursing home project is a service and training partnership program between 8 nursing homes and the geriatric department of a 590-bed acute general hospital located in the North of Singapore that serves a population of more than 700,000. The goals of the program were to provide nursing homes with greater access to geriatric care, upskill and train nursing home staff, and reduce hospital transfers by leveraging on technology: in this instance, telemedicine. This project was funded by a grant from the Ministry of Health (MOH), Singapore. The business model and health economics aspects of the program were reported separately by the Institute of Global Health Innovation, Imperial College, London and the Nanyang Business School, Nanyang Technological University, Singapore. 8–10
Funding Information:
This study was funded by the Agency for Integrated Care , Ministry of Health , Singapore.
PY - 2008/4
Y1 - 2008/4
N2 - OBJECTIVE: To estimate costs for incontinence management, health-related quality of life, and willingness to pay for incontinence improvement in women electing surgery for stress urinary incontinence. METHODS: A total of 655 incontinent women enrolled in the Stress Incontinence Surgical Treatment Efficacy Trial, a randomized surgical trial. Baseline out-of-pocket costs for incontinence management were calculated by multiplying self-report of resources used (supplies, laundry, dry cleaning) by national resource costs ($2006). Health-related quality of life was estimated with the Health Utilities Index Mark 3. Participants estimated willingness to pay for 100% improvement in incontinence. Potential predictors of these outcomes were examined by using multivariable linear regression. RESULTS: Mean age was 52±10 years, and mean number of weekly incontinence episodes was 22±21. Mean and median (25%, 75% interquartile range) estimated personal costs for incontinence management among all women were $14± $24 and $8 (interquartile range $3, $18) per week, and 617 (94%) women reported any cost. Costs increased significantly with incontinence frequency and mixed compared with stress incontinence. The mean and median Health Utilities Index Mark 3 scores were 0.73±0.25 and 0.84 (interquartile range 0.63, 0.92). Women were willing to pay a mean of $118±$132 per month for complete resolution of incontinence, and willingness to pay increased significantly with greater expected incontinence improvement, household income, and incontinent episode frequency. CONCLUSION: Urinary incontinence is associated with substantial costs. Women spent nearly $750 per year out of pocket for incontinence management, had a significant decrement in quality of life, and were willing to pay nearly $1,400 per year for cure.
AB - OBJECTIVE: To estimate costs for incontinence management, health-related quality of life, and willingness to pay for incontinence improvement in women electing surgery for stress urinary incontinence. METHODS: A total of 655 incontinent women enrolled in the Stress Incontinence Surgical Treatment Efficacy Trial, a randomized surgical trial. Baseline out-of-pocket costs for incontinence management were calculated by multiplying self-report of resources used (supplies, laundry, dry cleaning) by national resource costs ($2006). Health-related quality of life was estimated with the Health Utilities Index Mark 3. Participants estimated willingness to pay for 100% improvement in incontinence. Potential predictors of these outcomes were examined by using multivariable linear regression. RESULTS: Mean age was 52±10 years, and mean number of weekly incontinence episodes was 22±21. Mean and median (25%, 75% interquartile range) estimated personal costs for incontinence management among all women were $14± $24 and $8 (interquartile range $3, $18) per week, and 617 (94%) women reported any cost. Costs increased significantly with incontinence frequency and mixed compared with stress incontinence. The mean and median Health Utilities Index Mark 3 scores were 0.73±0.25 and 0.84 (interquartile range 0.63, 0.92). Women were willing to pay a mean of $118±$132 per month for complete resolution of incontinence, and willingness to pay increased significantly with greater expected incontinence improvement, household income, and incontinent episode frequency. CONCLUSION: Urinary incontinence is associated with substantial costs. Women spent nearly $750 per year out of pocket for incontinence management, had a significant decrement in quality of life, and were willing to pay nearly $1,400 per year for cure.
UR - http://www.scopus.com/inward/record.url?scp=41649086296&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=41649086296&partnerID=8YFLogxK
U2 - 10.1097/AOG.0b013e31816a1e12
DO - 10.1097/AOG.0b013e31816a1e12
M3 - Article
C2 - 18378749
AN - SCOPUS:41649086296
SN - 0029-7844
VL - 111
SP - 899
EP - 907
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 4
ER -