Fecal incontinence in primary care: prevalence, diagnosis, and health care utilization

被引：87

作者：

Dunivan, Gena C. ^{[1
]}

Heymen, Steve ^{[2
]}

Palsson, Olafur S. ^{[2
]}

von Korff, Michael ^{[3
]}

Turner, Marsha J. ^{[2
]}

Melville, Jennifer L. ^{[4
]}

Whitehead, William E. ^{[1
,2
]}

机构：

[1] Univ N Carolina, Sch Med, Dept Obstet & Gynecol, Chapel Hill, NC 27599 USA

[2] Univ N Carolina, Sch Med, Dept Med, Chapel Hill, NC 27599 USA

[3] Univ Washington, Sch Med, Ctr Hlth Studies, Grp Hlth Cooperat Puget Sound, Seattle, WA USA

[4] Univ Washington, Sch Med, Dept Obstet & Gynecol, Seattle, WA 98195 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 202卷 / 05期

关键词：

fecal incontinence; health care costs; health care utilization; screening; COSTS; EPIDEMIOLOGY; WOMEN; CONSTIPATION; URINARY;

D O I：

10.1016/j.ajog.2010.01.018

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: We sought to estimate the frequency of self-reported fecal incontinence (FI), identify what proportion of these patients have a diagnosis of FI in their medical record, and compare health care costs and utilization in patients with different severities of FI to those without FI. STUDY DESIGN: Patients in a health maintenance organization were eligible and 1707 completed a survey. Patients with self-reported FI were assessed for a diagnosis of FI in their medical record for the last 5 years. Health care costs and utilization were obtained from claims data. RESULTS: FI was reported by 36.2% of primary care patients, but only 2.7% of patients with FI had a medical diagnosis. FI adversely affected quality of life and severe FI was associated with 55% higher health care costs (including 77% higher gastrointestinal-related health care costs) compared to continent patients. CONCLUSION: Increased screening of FI is needed.

引用

页码：493.e1 / 493.e6

页数：6

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