{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T16:57:51Z","timestamp":1780678671774,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,6,29]],"date-time":"2014-06-29T00:00:00Z","timestamp":1404000000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To document variations and temporal trends in the use of urodynamics (UDS) in female U.S. Medicare beneficiaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a 5% sample of U.S. Medicare utilization records, we identified female beneficiaries who had undergone UDS studies between 2000 and 2010 by the presence of Common Procedural Terminology codes for cystometrogram in claims from the Carrier file. We abstracted data for each patient on age, race, residence, ICD9 diagnoses, dates of service, and provider specialty. We calculated rates per 100,000 beneficiaries with data available from the enrollment files (i.e., Denominator files) and reported the numbers and rates per 100,000 by year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During this period, 1.4 million female U.S. Medicare beneficiaries underwent UDS, of which 6% were videourodynamics. Seventy four percent of UDS were associated with a diagnosis of any urinary incontinence, with 50% specific for stress incontinence. The annual rates of UDS increased by 29%, from 422 in 2000 to 543 in 2010 per 100,000. Similar increases were seen across age groups, geographic regions and racial\/ethnic groups. The rate of UDS performed by gynecologists increased by 144% over the study period, while that of urologists decreased by 3%. In 2010, gynecologists performed 35% and urologists 58% of all UDS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of UDS in the female Medicare program increased substantially between 2000 and 2010, with some variation across demographics and marked variation across provider specialty. <jats:italic>Neurourol. Urodynam. 34:420\u2013423, 2015<\/jats:italic>. \u00a9 2014 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.22644","type":"journal-article","created":{"date-parts":[[2014,6,29]],"date-time":"2014-06-29T20:08:34Z","timestamp":1404072514000},"page":"420-423","source":"Crossref","is-referenced-by-count":7,"title":["Trends in urodynamics in U.S. female medicare beneficiaries, 2000\u20132010"],"prefix":"10.1002","volume":"34","author":[{"given":"W. Stuart","family":"Reynolds","sequence":"first","affiliation":[{"name":"Department of Urologic Surgery Vanderbilt University Medical Center Nashville Tennessee"},{"name":"Center for Surgical Quality and Outcomes Research Vanderbilt University Medical Center Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenghua","family":"Ni","sequence":"additional","affiliation":[{"name":"Center for Surgical Quality and Outcomes Research Vanderbilt University Medical Center Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa R.","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Department of Urologic Surgery Vanderbilt University Medical Center Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David F.","family":"Penson","sequence":"additional","affiliation":[{"name":"Department of Urologic Surgery Vanderbilt University Medical Center Nashville Tennessee"},{"name":"Center for Surgical Quality and Outcomes Research Vanderbilt University Medical Center Nashville Tennessee"},{"name":"Veterans Affairs Tennessee Valley Geriatric Research Education and Clinical Centers Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger R.","family":"Dmochowski","sequence":"additional","affiliation":[{"name":"Department of Urologic Surgery Vanderbilt University Medical Center Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1113595"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31828c68e3"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.11.066"},{"key":"e_1_2_6_5_1","unstructured":"2009 Health Publications Ltd Paris France G Hosker P Rosier J Gajewski P Abrams L Cardozo S Khoury A Wein Dynamic testingIncontinence: 4th Report International Consultation of Incontinence 413 522"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.09.081"},{"key":"e_1_2_6_7_1","unstructured":"FlaniganRC BadlaniG HowardsS et al. AUA White Paper on Genitourinary Reconstructive Medicine: Where Do We Stand and What Should the Future Look Like? Urinary Reconstruction Steering Committee Strategic Meeting.2011."},{"key":"e_1_2_6_8_1","unstructured":"IngramDD FrancoSJ. National Center for Health Statistics urban\u2010rural classification scheme for counties. Vital Health Stat 2. 2012 Jan(154): 1\u201365. PubMed PMID: 22783637. Epub 2012\/07\/13. eng."},{"key":"e_1_2_6_9_1","first-page":"153","article-title":"Defining the educational gap in urodynamics training between residency and the first 18 months in practice (Abstract Podium #6)","volume":"28","author":"Mueller E","year":"2009","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.05.139"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.05.149"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.03.114"},{"key":"e_1_2_6_13_1","first-page":"30","article-title":"Urology takes a heavy hit in 2010 Medicare updates","volume":"37","author":"Painter R","year":"2009","journal-title":"Urol Times"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c2ce96"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.03.046"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22644","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.22644","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.22644","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T15:54:09Z","timestamp":1696607649000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.22644"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,29]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1002\/nau.22644"],"URL":"https:\/\/doi.org\/10.1002\/nau.22644","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6,29]]}}}