Urologic diseases in America project: Trends in resource use for urinary tract infections in men

Urologic diseases in America project: Trends in resource use for urinary tract infections in men
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DOI:
10.1097/01.ju.0000155595.98120.8e
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发表时间:
2005-04-01
期刊:
影响因子:
6.6
通讯作者:
Griebling, TL
Griebling, TL
中科院分区:
医学1区
文献类型:
--
作者:
Griebling, TL

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目的:男性尿路感染(UTI)的发病类型多种多样.在这项研究中,我们研究了医疗保健的使用趋势,包括流行病学和经济因素,UTI在男性在Uniteds.Materials和Methods:用于产生这些结果的分析方法已被描述previous.Results:大约20%的所有UTIs发生在男性。1988年至1994年期间,UTI的总体终生患病率估计为13,689/100,000男性。睾丸炎的发病率,特别是在老年男性中,通常高于膀胱炎或肾盂肾炎。所有UTI男性住院治疗中约10%是睾丸炎(12 - 14/100,000人口)。在过去的十年中,男性UTI的门诊医院和医生办公室护理率有所增加。老年男性(85至94岁)的UTI急诊室护理率几乎是85岁以下男性的两倍。1999年,患有UTI的私人保险男性的调整后平均医疗保健支出为5 544美元,而没有UTI的男性为2 715美元。UTI男性和女性的年度医疗保健总支出分别为5,544美元和5,407美元。男性的平均工作时间损失略高。根据综合数据,2000年美国男性UTI患者的总体医疗支出估计约为10.28亿美元。结论:男性UTI的医疗保健使用和经济数据显示了一些有趣的趋势。这些结果为未来的研究提出了各种重要问题。
Purpose: Various types of urinary tract infection (UTI) occur in men. In this study we examined health care use trends, including epidemiological and economic factors, for UTI in men in the United States.Materials and Methods: The analytical methods used to generate these results have been described previously.Results: Approximately 20% of all UTIs occur in men. Between 1988 and 1994 the overall lifetime prevalence of UTI was estimated to be 13,689/100,000 men. Orchitis rates, particularly in older men, are generally higher than those of cystitis or pyelonephritis. Approximately 10% of all inpatient care of men with UTI is for orchitis (12 to 14/100,000 population). Rates of outpatient hospital and physician office care for male UTI have increased in the last decade. Rates for emergency room care for UTI in elderly men (85 to 94 years old) were almost twice those in men younger than 85 years. The adjusted mean health care expenditure for privately insured men with UTI was $5,544 in 1999 compared to $2,715 for men without UTI. Total annual health care expenditures for men and women with UTI were $5,544 and $5,407, respectively. Mean time lost from work was slightly higher for men. Based on composite data overall medical expenditures for men with UTI in the United States were estimated to be approximately $1.028 billion in 2000.Conclusions: Health care use and economic data on UTIs in men revealed a number of intriguing trends. These results raise various important questions for future research.