Costs of ambulatory care related to female pelvic floor disorders in the United States.
OBJECTIVE
We sought to evaluate trends in costs of ambulatory care related to female pelvic floor disorders (PFD) in the United States.


METHODS
We used the National Ambulatory Medical Care Survey for national estimates of ambulatory visits in the United States. PFD-related visits were based on International Classification of Diseases, Ninth Revision, Clinical Modification codes. Visits were assigned an Evaluation and Management code, and costs were estimated using national average Medicare allowances for physician services. We converted costs to 2006 dollars using the physicians' services component of the Consumer Price Index and compared the average annual costs between 1996-1997 and 2005-2006.


RESULTS
The average annual cost of ambulatory physician services related to PFDs was $190 million in 1996-1997 and $298 million in 2005-2006 (P=.05). Adjusting for deductibles and copayments, these estimates increased to $262 million in 1996-1997 and $412 million in 2005-2006.


CONCLUSIONS
The cost of ambulatory care related to female PFDs is significant and is increasing.
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, and Division of Research, Women and Infants Hospital of Rhode Island, Providence, RI, USA.
Vivian W
VW
Sung
Blair
B
Washington
Christina A
CA
Raker
D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000191:economics*; D017281:Cost of Illness; D005242:Fecal Incontinence / Q000191:economics*; D005260:Female; D006801:Humans; D006278:Medicare / Q000191:economics; D008875:Middle Aged; D014481:United States; D014549:Urinary Incontinence / Q000191:economics*; D014596:Uterine Prolapse / Q000191:economics*; D055815:Young Adult