National trends and costs of surgical treatment for female fecal incontinence

Objective The objective of the study was to describe national trends, hospital charges, and costs of inpatient surgical treatment for female fecal incontinence in the United States. Study Design We used the Nationwide Inpatient Sample from 1998 to 2003 to identify women who underwent surgery for fec...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2007-12, Vol.197 (6), p.652.e1-652.e5
Main Authors: Sung, Vivian W., MD, MPH, Rogers, Michelle L., PhD, Myers, Deborah L., MD, Akbari, Homayoon M., MD, PhD, Clark, Melissa A., PhD
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anal Canal - surgery
Biological and medical sciences
cost
Digestive System Surgical Procedures - economics
Digestive System Surgical Procedures - trends
fecal incontinence
Fecal Incontinence - surgery
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gynecology. Andrology. Obstetrics
Health Care Costs
Hospital Charges
Humans
Medical sciences
Middle Aged
Obstetrics and Gynecology
Other diseases. Semiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
surgical management
Treatment Outcome
trends
United States
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Summary:Objective The objective of the study was to describe national trends, hospital charges, and costs of inpatient surgical treatment for female fecal incontinence in the United States. Study Design We used the Nationwide Inpatient Sample from 1998 to 2003 to identify women who underwent surgery for fecal incontinence using International Classification of Diseases , ninth revision-CM coding. We examined national trends in procedures, patient demographics, outcomes, hospital charges, and costs. Multiple linear regression was used to identify variables associated with increased costs. Results A total of 21,547 women underwent inpatient surgery for fecal incontinence during the study period. This number has remained stable, with 3423 procedures in 1998 and 3509 procedures in 2003. The overall risk of complications was 15.4% and the risk of death was 0.02%, which remained stable during the study period. Total charges increased from $34 million in 1998 to $57.5 million in 2003, translating to a total cost of $24.5 million in 2003. Variables associated with increased costs included number of procedures per admission, length of stay, patient age, and race ( P < .05). Conclusion The number of women undergoing surgical treatment for fecal incontinence is stable but has a significant economic impact on the health care system.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2007.08.058