https://scholars.lib.ntu.edu.tw/handle/123456789/572495
標題: | Trends in Urodynamic Procedures, Surgical Procedures, and Overall Health Resource Utilization in the Adult Taiwanese Population with Urinary Incontinence: A Secondary Data Analysis | 作者: | Hsu L.-F. LING-YIN CHANG Liao Y.-M. Yeh S.-D. Tsai P.-S. |
關鍵字: | healthcare utilization; National Health Insurance Research Database; surgical procedures; urinary incontinence; urodynamic procedures | 公開日期: | 2018 | 出版社: | Taiwan Nurses Association | 卷: | 26 | 期: | 6 | 起(迄)頁: | 438-445 | 來源出版物: | Journal of Nursing Research | 摘要: | The prevalence and incidence of the main risk factors for urinary incontinence (UI) have both increased over time. In addition, official statistics indicate that Taiwan is on course to evolve from an aging society into an aged society within the next decade. However, most of the studies in the literature that address the natural history of UI target Western and other non-Asian populations. Taiwan lacks knowledge of the natural history of UI. The aims of this research were to study the trends in the use of urodynamic and surgical procedures for various subtypes of UI and to investigate the relationship between UI and healthcare resource utilization. The data on 1 million, randomly selected people who were enrolled in the Taiwan National Health Insurance program between 2000 and 2008 were extracted from the Longitudinal Health Insurance Database. The population and all procedures were identified based on the International Classification of Disease, Ninth Revision, Clinical Modification codes. Annual incidence of UI was calculated on an annual basis, and trend analysis was performed using logistic regression models. The association between UI and healthcare utilization was examined using generalized linear models in a gamma distribution with a log link function. Overall, the trend in the annual incidence for all types of UI increased significantly (p < .01). Significantly increasing trends in the use of urodynamic procedures over time were observed for mixed and other types of UI (p < .01). In addition, a significantly increasing trend was observed in the annual rates of surgical procedures that were received by patients with urge or stress UI (p < .05). Patients with UI showed significantly higher healthcare resource utilization, including number of ambulatory visits, number of hospitalizations, average ambulatory care expenditures, and average days of hospitalization, than those without UI. However, limited information is available on the conservative treatment of UI in the database. UI symptoms may lead to increased healthcare resource utilization in patients with UI. ? 2018 Taiwan Nurses Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055910938&doi=10.1097%2fjnr.0000000000000254&partnerID=40&md5=81c2e08ec7b24f6876b0be3934a887bf https://scholars.lib.ntu.edu.tw/handle/123456789/572495 |
ISSN: | 1682-3141 | DOI: | 10.1097/jnr.0000000000000254 | SDG/關鍵字: | adult; aged; female; forecasting; hospitalization; human; incidence; male; middle aged; patient attitude; physiology; prevalence; statistics and numerical data; Taiwan; trends; urine incontinence; urodynamics; urologic surgery; very elderly; Adult; Aged; Aged, 80 and over; Female; Forecasting; Hospitalization; Humans; Incidence; Male; Middle Aged; Patient Acceptance of Health Care; Prevalence; Taiwan; Urinary Incontinence; Urodynamics; Urologic Surgical Procedures |
顯示於: | 健康行為與社區科學研究所 |
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