Urologic Diseases in America project: Analytical methods and principal findings
Urologic Diseases in America project: Analytical methods and principal findings
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DOI：
10.1097/01.ju.0000152365.43125.3b
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发表时间：
2005-03-01
影响因子：
6.6
通讯作者：
Wang, MM
中科院分区：
文献类型：
--
作者：
Litwin, MS;Saigal, CS;Wang, MM
目的：泌尿系统疾病对美国公众的负担在人力和财政方面是巨大的，但它一直在研究中。我们进行了一个项目，泌尿系统疾病在美国，量化泌尿系统疾病的负担，对美国public.Materials和方法：我们确定了公共和私人的数据源，包含人口为基础的数据资源利用的良性和恶性泌尿系统疾病的患者。来源包括医疗保险和医疗补助服务中心、国家卫生统计中心、医疗支出小组调查、国家健康和营养检查调查、退伍军人事务部、国家儿童医院和相关机构协会，以及MarketScan Health and Productivity Management维护的私人数据集（MarketScan，奇切斯特，英国）、Ingenix（Ingenix，盐湖，犹他州）和卫生保健政策和评价中心。使用诊断和程序代码，我们描述了在利用泌尿服务的趋势。结果：在2000年，尿路感染占超过680万的办公室访问和130万急诊室访问，和245,000住院妇女超过24亿美元的年度费用。尿路感染占男性140多万次门诊、424 000次急诊和121 000次住院治疗，每年费用超过10亿美元。良性前列腺增生是440多万次门诊、117，000次急诊和105，000次住院的主要诊断，占当年支出的11亿美元。尿石症是近200万次门诊、60多万次急诊和177，000多次住院的主要诊断，年支出总额超过20亿美元。2000年，妇女尿失禁是110多万次就诊的主要原因，2000年，110多万次就诊的主要原因总计为4.52亿美元，年度总支出为4.52亿美元。在这一系列的其他手稿提出了进一步的细节具体urologic conditions.Conclusions：在流行病学，实践模式，资源利用和泌尿系统疾病的成本的最新趋势有广泛的影响，医疗保健的质量，获得护理和公平分配稀缺的资源，临床护理和研究。
Purpose: The burden of urological diseases on the American public is immense in human and financial terms but it has been under studied. We undertook a project, Urologic Diseases in America, to quantify the burden of urological diseases on the American public.Materials and Methods: We identified public and private data sources that contain population based data on resource utilization by patients with benign and malignant urological conditions. Sources included the Centers for Medicare and Medicaid Services, National Center for Health Statistics, Medical Expenditure Panel Survey, National Health and Nutrition Examination Survey, Department of Veterans Affairs, National Association of Children's Hospitals and Related Institutions, and private data sets maintained by MarketScan Health and Productivity Management (MarketScan, Chichester, United Kingdom), Ingenix (Ingenix, Salt Lake City, Utah) and Center for Health Care Policy and Evaluation. Using diagnosis and procedure codes we described trends in the utilization of urological services.Results: In 2000 urinary tract infections accounted for more than 6.8 million office visits and 1.3 million emergency room visits, and 245,000 hospitalizations in women with an annual cost of more than $2.4 billion. Urinary tract infections accounted for more than 1.4 million office visits, 424,000 emergency room visits and 121,000 hospitalizations in men with an annual cost of more than $1 billion. Benign prostatic hyperplasia was the primary diagnosis in more than 4.4 million office visits, 117,000 emergency room visits and 105,000 hospitalizations, accounting for $1.1 billion in expenditures that year. Urolithiasis was the primary diagnosis for almost 2 million office visits, more than 600,000 emergency room visits, and more than 177,000 hospitalizations, totaling more than $2 billion in annual expenditures. Urinary incontinence in women was the primary cause for more than 1.1 million office visits in 2000 and $452 million in aggregate primary cause for more than 1.1 million office visits in 2000 and $452 million in aggregate annual expenditures. Other manuscripts in this series present further detail for specific urologic conditions.Conclusions: Recent trends in epidemiology, practice patterns, resource utilization and costs for urological diseases have broad implications for quality of health care, access to care and the equitable allocation of scarce resources for clinical care and research.