E-Posters-10219

10219_Patel

Pdf Summary

The objective of this study was to analyze the cost impact of elective Cesarean delivery compared to vaginal delivery on the development of two common pelvic floor disorders (PFD): stress urinary incontinence (SUI) and pelvic organ prolapse (POP). The average cost of delivery method was compared to the lifetime risk and cost of PFD in women under 65 years of age. The costs of maternal care were obtained from reimbursement databases. Direct medical costs were defined based on reimbursements, and indirect costs were based on disability claims and imputed wages. The cost of SUI was estimated to be $10,600, with direct costs at $5,642, indirect costs at $4,208, and personal costs at $750. The total average cost of POP surgery was estimated to be $4,658. The average woman undergoing Cesarean delivery would have an immediate excess cost of $2,816. The potential savings for SUI and POP in women under 65 years of age would be $636 and $419, respectively, for a total of $1,055. The absolute risk for SUI and POP following Cesarean delivery was estimated to be 7% and 5%, respectively, while the absolute risk following vaginal delivery was estimated to be 13% and 14%, respectively. The study concluded that although elective Cesarean delivery is associated with a reduced incidence of PFDs, the increased immediate cost of Cesarean delivery does not translate into future cost savings.

Keywords

elective Cesarean delivery

vaginal delivery

pelvic floor disorders

stress urinary incontinence

SUI

pelvic organ prolapse

POP

cost impact

lifetime risk

direct medical costs