MP27-04 ECONOMIC COST OF URINARY INCONTINENCE FOR INSURED ADULT MEN IN THE UNITED STATES: FINDINGS FROM THE UROLOGICAL DISEASES IN AMERICA PROJECT

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Value of Care: Cost and Outcomes Measures (MP27)1 Apr 2020MP27-04 ECONOMIC COST OF URINARY INCONTINENCE FOR INSURED ADULT MEN IN THE UNITED STATES: FINDINGS FROM THE UROLOGICAL DISEASES IN AMERICA PROJECT Kathleen C. Kobashi*, Julia B. Ward, Lydia Feinstein, Kevin C. Abbott, Tamara Bavendam, Ziya Kirkali, Erline Martinez-Miller, Brian R. Matlaga, and Alvaro Lucioni Kathleen C. Kobashi*Kathleen C. Kobashi* More articles by this author , Julia B. WardJulia B. Ward More articles by this author , Lydia FeinsteinLydia Feinstein More articles by this author , Kevin C. AbbottKevin C. Abbott More articles by this author , Tamara BavendamTamara Bavendam More articles by this author , Ziya KirkaliZiya Kirkali More articles by this author , Erline Martinez-MillerErline Martinez-Miller More articles by this author , Brian R. MatlagaBrian R. Matlaga More articles by this author , and Alvaro LucioniAlvaro Lucioni More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000866.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urinary incontinence (UI) is a prevalent, yet underappreciated condition in men of all ages. However, its economic impact is not well understood. We examined insurer expenditures on UI services among a national sample of insured adult men in the United States from 2004-2013. METHODS: Urinary incontinence (UI) is a prevalent, yet underappreciated condition in men of all ages. However, its economic impact is not well understood. We examined insurer expenditures on UI services among a national sample of insured adult men in the United States from 2004-2013. RESULTS: From 2004-2013, annual per-person UI-related expenditures in the Medicare population increased from $149 to $194; however, these expenditures varied by race. Among White male Medicare beneficiaries, per patient expenditures increased from $140 in 2004 to $202 in 2013. Among Black male Medicare beneficiaries, expenditures decreased from $156 in 2004 to $150 in 2013. For privately insured patients, per-person expenditures decreased from $580 in 2004 to $472 in 2013. In most study years, expenditures in this privately insured sector were higher for White and Black men than Hispanic and Asian men. While expenditures decreased for all race/ethnic groups among privately insured men, the decrease was largest among Black men (50%) than White (16%), Hispanic (4%), and Asian (36%) men. The service location for expenditures shifted drastically over time in the Medicare UI population. Inpatient expenditures made up 12% of total expenditures in 2004, decreasing to 5% by 2013. Physician office expenditures also decreased from 46% to 23%. Correspondingly, outpatient expenditures increased from 32% in 2004 to 67% in 2013. The shift was less pronounced among privately insured patients, with inpatient expenditures decreasing from 18% of total expenditures in 2004 to 16% in 2013, while outpatient expenditures increased from 56% to 66%. CONCLUSIONS: We provide one of the most comprehensive examinations of UI expenditures among an insured adult male population to date, demonstrating racial/ethnic disparities in spending trends and a shift to outpatient treatment. Better understanding of the healthcare expenditures for UI provides a platform upon which to potentially improve utilization of resources and selection of therapeutic options for patients. Source of Funding: Funded by the NIH via a contract to Social & Scientific Systems. © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e410-e410 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kathleen C. Kobashi* More articles by this author Julia B. Ward More articles by this author Lydia Feinstein More articles by this author Kevin C. Abbott More articles by this author Tamara Bavendam More articles by this author Ziya Kirkali More articles by this author Erline Martinez-Miller More articles by this author Brian R. Matlaga More articles by this author Alvaro Lucioni More articles by this author Expand All Advertisement PDF downloadLoading ...