Cost-Comparison Analysis of APEX M™ Pelvic Floor Therapy for the Treatment and Management of Female Urinary Incontinence: OAJBS Publishers
Cost-Comparison
Analysis of APEX M™ Pelvic Floor Therapy for the Treatment and
Management of Female Urinary Incontinence by Anna Camille Moreno, Belinda L Udeh, Yao Meng,
Sabrina Sahni, Holly L Thacker* in Open
Access Journal of Biomedical Science (OAJBS)
The primary objective of this study was to assess
the efficacy of APEX M™ pelvic floor therapy, a pelvic stimulating device, for
women with urinary incontinence (UI) from April 1, 2014 to January 31, 2018 at
a tertiary medical center. Efficacy of the device was measured by daytime
incontinence episodes; nighttime incontinence episodes (nocturia); number of
female incontinence pads at study visits. A total of 47 women purchased the
device and participated in a treatment protocol. A total of 71 women purchased
the device online or over the counter and did not participate in the treatment
protocol. A secondary objective was to assess health-related direct costs of UI
including prescription medications, pelvic floor physical therapy sessions,
surgical interventions, and female incontinence pads in patients who used APEX
M™ and those who didn’t use the device. Health care resource utilization and
costs were calculated for women who purchased APEX M™ (47 women) and
participated in a treatment protocol as well as for those who were eligible to
benefit from the use of the pelvic stimulating device but chose not to purchase
it (236 women). Wilcoxon signed-rank tests showed that daytime incontinence
episodes, nocturia, and number of pads used had significant decreases from the
initial to follow-up visits (day incontinence episodes P<0.001, episodes of
nocturia P<0.001 and number of pads P=0.014). More cost-effective and
conservative approaches are becoming more common in the treatment of UI. The
results of this study may be useful in shared-decision making with your
patients regarding the most appropriate, cost-effective and less-invasive
treatment for female urinary incontinence.
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