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.
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.
aDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI
bDepartments of Community Health and Obstetrics and Gynecology, Alpert Medical School, Brown University, Providence, RI
cDivision of Research, Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Providence, RI
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.).
ABSTRACT