{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T12:18:37Z","timestamp":1762604317164},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the characteristics of women with stress or mixed urinary incontinence (SUI\/MUI) receiving physical therapy (PT) services, including referral patterns and PT utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Female patients with claims associated with an SUI or MUI diagnosis (International Classification of Disease\u2014Clinical Modification [ICD\u20109\u2010CM]: 625.6, 788.33, or ICD\u201010\u2010CM: N39.3, N39.46) between July 01, 2014 and June 30, 2016 were identified in International business machines (IBM)'s MarketScan Research Database. Inclusion criteria included the absence of pregnancy claims and \u226580% medical and pharmacy enrollment pre\u2010 and postindex. First SUI\/MUI diagnosis claim determined index. Patients were followed for 2 years, and associated UI\u2010associated PT encounters were identified. Descriptive statistics were calculated for patients with at least one PT visit during the postindex period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In a cohort of 103,813 women with incident SUI or MUI diagnosis, 2.6% (2792\/103,813) had at least one PT visit in the 2 years following their diagnosis. Mean age at index PT encounter was 50.55 years. A total of 52.36% (1462\/2792) women had one to four PT visits; 21.2% (592\/2792) had &gt;8 PT visits. In subanalysis of the PT cohort (1345\/2792), women who received PT only had the lowest average 2\u2010year postindex total medical cost (mean: $12,671; <jats:italic>SD<\/jats:italic>: $16,346), compared with PT plus medications (mean: $27,394; <jats:italic>SD<\/jats:italic>: $64,481), and PT plus surgery (mean: $33,656; <jats:italic>SD<\/jats:italic>: $26,245), respectively. Over 40% had their first PT visit \u22653 months after their index date.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The percentage of women with a PT visit associated with an incident SUI or MUI diagnosis was low (2.6%), and 30% of this group completed three or more PT visits. This suggests poor adherence to clinical guidelines regarding supervised treatment of UI in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact Statement<\/jats:title><jats:p>Our study suggests underutilization of PT among insured women with SUI and MUI in the 2 years following diagnosis. Interventions to improve this gap in first\u2010line care may represent an opportunity for an increased role for PTs in the care of women with UI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24913","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T18:54:27Z","timestamp":1648666467000},"page":"918-925","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Retrospective claims analysis of physical therapy utilization among women with stress or mixed urinary incontinence"],"prefix":"10.1002","volume":"41","author":[{"given":"Jessica L.","family":"McKinney","sequence":"first","affiliation":[{"name":"Physical Therapy, School of Rehabilitation Sciences Andrews University Berrien Springs Michigan USA"},{"name":"Renovia Inc. Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manasi","family":"Datar","sequence":"additional","affiliation":[{"name":"Boston Healthcare Associates Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Chen","family":"Pan","sequence":"additional","affiliation":[{"name":"Boston Healthcare Associates Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Goss","sequence":"additional","affiliation":[{"name":"Boston Healthcare Associates Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura E.","family":"Keyser","sequence":"additional","affiliation":[{"name":"Physical Therapy, School of Rehabilitation Sciences Andrews University Berrien Springs Michigan USA"},{"name":"Renovia Inc. 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Boston Massachusetts USA"},{"name":"Obstetrics and Gynecology Tufts University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000200"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.03.114"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020962"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-011-0209-x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.01.015"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02106.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.01.045"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2888-1"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.08.023"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000223"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1743-x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c2ce96"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01419.x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.09.011"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002633"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0225"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2008.01068.x"},{"key":"e_1_2_11_20_1","first-page":"CD006632","article-title":"Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs","volume":"3","author":"Rotter T","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-016-0580-z"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13187"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2020.101842"},{"issue":"5","key":"e_1_2_11_24_1","first-page":"CD005654","article-title":"Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women (Cochrane Review)","volume":"14","author":"Dumoulin C","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.10026"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2020.04.1475"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2115-x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2017.11.008"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-019-04090-w"},{"issue":"2","key":"e_1_2_11_30_1","first-page":"155","article-title":"Does patient education augment pelvic floor physical therapy preparedness and attendance? 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