Urologic diseases in America project trends in resource use for urinary tract infections in women
Urologic diseases in America project trends in resource use for urinary tract infections in women
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DOI：
10.1097/01.ju.0000155596.98780.82
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发表时间：
2005-04-01
影响因子：
6.6
通讯作者：
Griebling, TL
中科院分区：
文献类型：
--
作者：
Griebling, TL
目的：尿路感染(UTI)是女性最常见的临床诊断之一。在这项研究中，我们调查了美国女性UTI的流行病学、经济学和医疗保健使用趋势。材料和方法：用于产生这些结果的分析方法已经在前面描述过。结果：女性UTI的终生风险很高(大于50%)。1988年至1994年期间，尿路感染的总患病率估计为53,067/100,000名妇女。处方模式显示，使用氟喹诺酮类药物作为一线治疗尿路感染的趋势有所增加，这与成本增加有关。综合数据显示，2000年，美国女性治疗尿路感染的总支出约为24.7亿美元，其中不包括门诊处方的支出。女性尿路感染的诊断和治疗在不同的临床环境中进行。在年轻女性中，因UTI护理而住院的人数普遍减少，但在老年女性中却增加了。年轻女性使用急诊室的情况急剧增加，这可能反映了在获得医疗保险或初级保健提供者方面的差距。大多数女性尿路感染的门诊护理是在医生办公室进行的。结论：对女性尿路感染的卫生保健使用和经济数据的分析揭示了各种有趣的趋势。这些发现将有助于形成对UTI治疗与女性其他泌尿系统疾病的关系的理解。这一结果提出了各种重要的未来研究问题。
Purpose: Urinary tract infection (UTI) is one of the most common clinical diagnoses in women. In this study we examined epidemiological, economic and health care use trends for UTI in women in the United States.Materials and Methods: The analytical methods used to generate these results have been described previously.Results: The lifetime risk for UTI in women is high (greater than 50%). Between 1988 and 1994 the overall lifetime prevalence of UTI was estimated to be 53,067/100,000 women. Prescribing patterns demonstrated an increase in the trend toward using fluoroquinolones as first line therapy for UTI, which was associated with increased costs. Composite data revealed that overall expenditures for the treatment of UTIs in women in the United States, excluding spending on outpatient prescriptions, were approximately $2.47 billion in 2000. Diagnosis and treatment of UTI in women is performed in various clinical settings. Inpatient hospitalization for UTI care has generally decreased in younger women but increased in elderly women. There has been a sharp increase in emergency room use by younger women, which may reflect disparities in access to health insurance or primary care providers. Most outpatient care of women with UTIs is performed in physician offices.Conclusions: Analysis of health care use and economic data on UTIs in women revealed various interesting trends. These findings will help shape understanding of UTI treatment in relation to other urological disorders in women. The results raise various important future research questions.