title: An update on the current and future demand for care of pelvic floor disorders in the United States.
abstract: OBJECTIVE
  In 2001, we predicted a 45% increase in the demand for care of women with pelvic floor disorders (PFDs) between 2000 and 2030. However, in 2010, we observed that in our clinic demand for care had increased substantially more than expected. Using updated data, we sought to provide more accurate projections of future demand for care of pelvic floor disorders in the United States.
  
  
  METHODS
  Demographic data on all new female patients between 30 and 89 years of age seen for pelvic floor disorders in our Urogynecology Clinic between 2009 and 2011 were analyzed. These data were combined with United States Census Bureau projections for 2010 and 2030 stratified by 10-year age blocks.
  
  
  RESULTS
  In 2010, our clinic saw a 116% increase in new patients per year compared with 2000. There was an 85% increase in new patient visits per 1000 women per year compared with 2000. We estimate that 1,218,371 new patient visits took place in the United States in 2010 and predict 1,644,804 visits will occur in 2030.
  
  
  CONCLUSIONS
  If the United States population increases 24% by 2030 as projected by the United States Census Bureau, we predict the demand for care for pelvic floor disorders will increase by 35% between 2010 and 2030. This new, more accurate projection for 2030 is based on improved baseline data from 2010 and is 72% higher than we predicted in 2000. Accurately quantifying this growing demand for care of pelvic floor disorders is important for public health planning and physician training.
authors.affiliation: Department of Obstetrics and Gynecology, Kaiser Permanente San Diego, San Diego, CA; Department of Reproductive Medicine, University of California School of Medicine, San Diego, San Diego, CA.
authors.forename: Anna C
authors.initials: AC
authors.lastname: Kirby
authors.forename: Karl M
authors.initials: KM
authors.lastname: Luber
authors.forename: Shawn A
authors.initials: SA
authors.lastname: Menefee
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005242:Fecal Incontinence / Q000453:epidemiology; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008875:Middle Aged; D020380:Needs Assessment; D059952:Pelvic Floor Disorders / Q000453:epidemiology*; D056887:Pelvic Organ Prolapse / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D014549:Urinary Incontinence / Q000453:epidemiology*
keywords: demographics; health care policy; pelvic organ prolapse; urinary incontinence