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

共 27 条

[21]

Romanowicz M, 2008, J DRUGS DERMATOL, V7, P41

[22] Use of comorbidity scores for control of confounding in studies using administrative data bases [J].

Schneeweiss, S ;

Maclure, M .

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2000, 29 (05) :891-898

[23] National trends and costs of surgical treatment for female fecal incontinence [J].

Sung, Vivian W. ;

Rogers, Michelle L. ;

Myers, Deborah L. ;

Akbari, Homayoon M. ;

Clark, Melissa A. .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 197 (06) :652.e1-652.e5

[24]

Thompson WG., 2006, Rome III: the functional gastrointestinal disorders, P917

[25] Fecal incontinence in females older than aged 40 years: Who is at risk? [J].

Varma, MG ;

Brown, JS ;

Creasman, JM ;

Thom, DH ;

Van den Eeden, SK ;

Beattie, MS ;

Subak, LL .

DISEASES OF THE COLON & RECTUM, 2006, 49 (06) :841-851

[26] Fecal Incontinence in US Adults: Epidemiology and Risk Factors [J].

Whitehead, William E. ;

Borrud, Lori ;

Goode, Patricia S. ;

Meikle, Susan ;

Mueller, Elizabeth R. ;

Tuteja, Ashok ;

Weidner, Alison ;

Weinstein, Milena ;

Ye, Wen .

GASTROENTEROLOGY, 2009, 137 (02) :512-517

[27] Healthcare costs and utilization for Medicare beneficiaries with Alzheimer's [J].

Zhao, Yang ;

Kuo, Tzu-Chun ;

Weir, Sharada ;

Kramer, Marilyn S. ;

Ash, Arlene S. .

BMC HEALTH SERVICES RESEARCH, 2008, 8 (1)

← 1 2 3 →