title: The direct cost of stress urinary incontinence among women in a Medicaid population.
abstract: OBJECTIVE
  To describe health care utilization and costs for women diagnosed with stress urinary incontinence in a Medicaid population.
  
  
  METHODS
  We utilized a pooled database of claims for women enrolled in Medicaid in 1 of 3 states. Health care utilization and costs were compared for 12 months before and 12 months after a woman's urinary incontinence diagnosis. Additional analyses utilized data from a fourth state.
  
  
  RESULTS
  Of 13,672 women with diagnosed stress urinary incontinence, average urinary incontinence-related costs were approximately 800 dollars in the 12-month study period, less than 0.1% of total Medicaid spending. Thirteen percent of women underwent a surgery for stress urinary incontinence in the study period, with sling procedures performed most commonly.
  
  
  CONCLUSIONS
  Although population prevalence estimates of any stress urinary incontinence symptoms often are high, diagnosis and health care utilization in the Medicaid population is low. Overall costs of stress urinary incontinence treatment in Medicaid currently are minimal. Further efforts to understand the appropriate detection, diagnosis, and treatment of women with stress urinary incontinence are needed.
authors.affiliation: Outcomes Research, Eli Lilly and Company, Indianapolis, IN 46285, USA. kinchen_kraig@lilly.com
authors.forename: Kraig S
authors.initials: KS
authors.lastname: Kinchen
authors.forename: Stacey
authors.initials: S
authors.lastname: Long
authors.forename: Stella
authors.initials: S
authors.lastname: Chang
authors.forename: Tammy K
authors.initials: TK
authors.lastname: Girts
authors.forename: Barbara
authors.initials: B
authors.lastname: Pantos
mesh_terms: D000328:Adult; D017281:Cost of Illness; D005260:Female; D006801:Humans; D008484:Medicaid / Q000191:economics / Q000706:statistics & numerical data*; D008875:Middle Aged; D015999:Multivariate Analysis; D010818:Practice Patterns, Physicians'; D015995:Prevalence; D012189:Retrospective Studies; D014481:United States; D014550:Urinary Incontinence, Stress / Q000188:drug therapy / Q000191:economics* / Q000453:epidemiology / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000191:economics; D014596:Uterine Prolapse / Q000601:surgery