American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 508.e1-508.e6, November 2009

Ambulatory care related to female pelvic floor disorders in the United States, 1995-2006

Presented at the 35th Annual Meeting of the Society of Gynecologic Surgeons, New Orleans, LA, March 30-April 1, 2009.

  • Vivian W. Sung, MD, MPH

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI
    • ,
  • Christina A. Raker, ScD

      Affiliations

    • Division of Research, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence, RI
    • ,
  • Deborah L. Myers, MD

      Affiliations

    • Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI
    • ,
  • Melissa A. Clark, PhD

      Affiliations

    • Departments of Community Health and Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI

Received 29 December 2008; received in revised form 7 May 2009; accepted 5 June 2009. published online 17 August 2009.

Objective

The purpose of this study was to describe trends for pelvic floor disorder (PFD)-related ambulatory visits.

Study Design

Data were derived from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Care Survey. PFD-related visits were based on ICD-9 codes. We collapsed 12 survey years into 3 study periods (1995-1998, 1999-2002, 2003-2006) to evaluate numbers, rates, and trends for PFD-related visits.

Results

The average annual number of PFD-related visits was 3.9 million (95% confidence interval, 3.1–4.7). The annual rate of PFD-related visits per 1000 women was 35.2% in 1995-1998, 40.6% in 1999-2002, and 36.3% in 2003-2006. PFD visits represent 0.9% of all ambulatory visits for adult women in the United States. Women ≥60 years old had higher rates of PFD-related visits compared with women <60 years old.

Conclusion

The annual number of PFD-related visits is significant and represents 0.9% of all ambulatory visits made by adult women in the United States.

Key words: pelvic floor disorder, incontinence, prolapse, ambulatory care, national trend

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 Cite this article as: Sung VW, Raker CA, Myers DL, et al. Ambulatory care related to female pelvic floor disorders in the United States, 1995-2006. Am J Obstet Gynecol 2009;201:508.e1-6.

 Reprints not available from the authors.

 Supported in part by Grant 5-K12-HD050108-02, WIH/Brown Women's Reproductive Health Research Career Development Award, National Institute of Child Health and Human Development (V.W.S.).

PII: S0002-9378(09)00638-3

doi:10.1016/j.ajog.2009.06.016

American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 508.e1-508.e6, November 2009

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