Mp23-11 Disparities in Surgical Treatments for Urinary Incontinence: Evidence From the 2019 National Ambulatory Surgery Sample (Nass)

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence (MP23)1 May 2024MP23-11 DISPARITIES IN SURGICAL TREATMENTS FOR URINARY INCONTINENCE: EVIDENCE FROM THE 2019 NATIONAL AMBULATORY SURGERY SAMPLE (NASS) Christabel Egemba, Edie Duncan, Katherine Amin, Alan Wein, Alberto Caban-Martinez, and Raveen Syan Christabel EgembaChristabel Egemba , Edie DuncanEdie Duncan , Katherine AminKatherine Amin , Alan WeinAlan Wein , Alberto Caban-MartinezAlberto Caban-Martinez , and Raveen SyanRaveen Syan View All Author Informationhttps://doi.org/10.1097/01.JU.0001008776.99097.8a.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Seeking care for urinary incontinence (UI), including stress incontinence (SUI), overactive bladder (OAB) and mixed UI (MUI) is known to be influenced by severity of symptoms and knowledge of available treatments. However, the relationship between race/ethnicity, socioeconomic (SE) status and receiving treatment is poorly understood. We hypothesize racial and SE status can predict whether a patient will receive surgical treatment, including race, insurance status, and income level. We investigated the associations between surgical treatments for SUI, OAB, and MUI and evaluated if racial and/or socioeconomic factors influence receiving the indicated surgical treatment for SUI, OAB or MUI. METHODS: We identified population estimates of 44,996 adult females with OAB (with or without UUI), 87,737 with SUI, and 22,873 with MUI in the 2019 NASS. NASS doesn't capture whether stress or urge UI symptoms predominated within the MUI data points. Chi-square analysis was used to make comparisons between surgical treatments for each diagnosis, with significance assessed at<0.05. A multivariable logistic regression was used to determine SE predictors of receiving the indicated treatment for OAB, SUI, or MUI. RESULTS: About 2.5% of patients were surgically treated for SUI, OAB or MUI. Sling was the most utilized surgical treatment for both SUI and MUI (75.2% and 60.8 % respectively). While SNS was the most utilized surgical treatment for OAB, 75% of OAB patients did not undergo surgical treatment. There were trends present in the associations between racial and SE factors and receiving the indicated treatment for patients' diagnoses. For example, even when considering age, insurance status, and income, Black women were significantly less likely to receive surgical treatment for MUI, OAB and SUI (0.706 0.644, 0.773, 0.6910.624, 0.765, 0.686 0.590, 0.797) respectively). Notably, private insurance status and higher income quartiles were negatively associated with receiving surgical treatment for OAB. CONCLUSIONS: Even when considering age, insurance status, and income, Black women were significantly less likely to receive surgical treatment for OAB, SUI and MUI. Further studies are needed to investigate reasons why, including examination of disease severity and access to care. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e385 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Christabel Egemba More articles by this author Edie Duncan More articles by this author Katherine Amin More articles by this author Alan Wein More articles by this author Alberto Caban-Martinez More articles by this author Raveen Syan More articles by this author Expand All Advertisement PDF downloadLoading ...