Cost-effectiveness of an Internet-based treatment program for stress urinary incontinence

Neurourology and Urodynamics
Malin SjöströmEva Samuelsson

Abstract

To perform a deterministic cost-utility analysis, from a 1-year societal perspective, of two treatment programs for stress urinary incontinence (SUI) without face-to-face contact: one Internet-based and one sent by post. The treatments were compared with each other and with no treatment. We performed this economic evaluation alongside a randomized controlled trial. The study included 250 women aged 18-70, with SUI ≥ 1 time/week, who were randomized to 3 months of pelvic floor muscle training via either an Internet-based program including e-mail support from an urotherapist (n = 124) or a program sent by post (n = 126). Recruitment was web-based, and participants were self-assessed with validated questionnaires and 2-day bladder diaries, supplemented by a telephone interview with a urotherapist. Treatment costs were continuously registered. Data on participants' time for training, incontinence aids, and laundry were collected at baseline, 4 months, and 1 year. We also measured quality of life with the condition-specific questionnaire ICIQ-LUTSqol, and calculated the quality-adjusted life-years (QALYs) gained. Baseline data remained unchanged for the no treatment option. Sensitivity analysis was performed. Compared to the postal ...Continue Reading

References

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Citations

Jul 28, 2015·Health and Technology·Margaret GreyRobin Whittemore
Oct 6, 2018·The Cochrane Database of Systematic Reviews·Chantale DumoulinE Jean C Hay-Smith
Feb 5, 2019·International Urogynecology Journal·Sandra ZwolsmanUNKNOWN WOMEN-UP Consortium: http://www.women-up.eu/consortium/
Jul 19, 2017·Acta Obstetricia Et Gynecologica Scandinavica·Victoria HoffmanEva Samuelsson
Jul 4, 2019·International Urogynecology Journal·Stéphanie BernardHélène Moffet
Jul 7, 2017·Nature Reviews. Disease Primers·Yoshitaka AokiRufus Cartwright
Jul 13, 2019·JMIR Research Protocols·Lotte FiretAntoinette Leonarda Maria Lagro-Janssen
May 10, 2017·Journal of Medical Internet Research·Malin SjöströmEva Samuelsson
Nov 12, 2020·International Urogynecology Journal·Kyannie Risame Ueda da MataFátima Faní Fitz

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Clinical Trials Mentioned

NCT01032265

Software Mentioned

LUTSqol
Excel
SPSS
ICIQ

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