{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:17:38Z","timestamp":1787800658358,"version":"build-2784847793"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T00:00:00Z","timestamp":1647043200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T00:00:00Z","timestamp":1647043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Umea University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and hypothesis<\/jats:title><jats:p>A previous randomized controlled trial (RCT) demonstrated that the app T\u00e4t II, for self-management of mixed urinary incontinence (MUI) and urgency urinary incontinence (UUI), yielded significant, clinically relevant improvements in symptom severity and quality of life (QoL) compared with a control group. We aimed to assess the cost-effectiveness of T\u00e4t II.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cost\u2013utility analysis with a 1-year societal perspective was carried out, comparing T\u00e4t II with an information app. Data were collected alongside an RCT: 122 community-dwelling women aged \u226518 years with MUI or UUI \u22652 times\/week were randomized to 3 months of T\u00e4t II treatment focused on pelvic floor muscle training (PFMT) and bladder training (BT;<jats:italic>n<\/jats:italic>= 60), or to an information app (<jats:italic>n<\/jats:italic>= 62). Self-assessed data from validated questionnaires were collected at baseline and at 3-month and 1-year follow-ups. Costs for assessment, treatment delivery, incontinence aids, laundry, and time for PFMT and BT were included. We calculated quality-adjusted life-years (QALYs) using the International Consultation on Incontinence Modular Questionnaire Lower Urinary Tract Symptoms Quality of Life. The incremental cost-effectiveness ratio (ICER) between the groups was our primary outcome. Sensitivity analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 58.3 (SD = 9.6) years. Annual overall costs were \u20ac738.42 in the treatment group and \u20ac605.82 in the control group; annual QALY gains were 0.0152 and 0.0037 respectively. The base case ICER was \u20ac11,770.52; ICERs in the sensitivity analyses ranged from \u20ac\u22129,303.78 to \u20ac22,307.67.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The app T\u00e4t II is a cost-effective treatment method for women with MUI and UUI.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00192-022-05137-1","type":"journal-article","created":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T10:02:53Z","timestamp":1647079373000},"page":"1273-1282","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["A mobile app for the treatment of female mixed and urgency incontinence: a cost-effectiveness analysis in Sweden"],"prefix":"10.1007","volume":"33","author":[{"given":"J.","family":"Ekersund","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Samuelsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Lindholm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0868-6249","authenticated-orcid":false,"given":"M.","family":"Sj\u00f6str\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,3,12]]},"reference":[{"key":"5137_CR1","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","volume":"21","author":"BT Haylen","year":"2010","unstructured":"Haylen BT, de Ridder D, Freeman RM, et al. 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Malin Sj\u00f6str\u00f6m and Eva Samuelsson are cofounders and shareholders of eContinence AB and have a potential future financial gain in the app T\u00e4t II. Eva Samuelsson is the managing director of eContinence AB. Julia Ekersund and Lars Lindholm declare that they have no conflicts of interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interests"}}]}}