Health status, comorbidities and cost-of-illness in females with stress urinary incontinence living in the Canton of Bern.

König, Irene; Moetteli, Céline; Luginbühl, Helena; Radlinger, Lorenz; Kuhn, Annette; Taeymans, Jan (2020). Health status, comorbidities and cost-of-illness in females with stress urinary incontinence living in the Canton of Bern. Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen, 150-15, pp. 73-79. Elsevier 10.1016/j.zefq.2020.02.002

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INTRODUCTION Two thirds of women suffering from stress urinary incontinence (SUI) reported a negative impact on quality of life (QoL). SUI can also lead to less physical activity and more comorbidities. SUI may result in a substantial economic burden on health care services but numbers are not clear. Therefore, the aim of this study was to estimate the health status, the comorbidities and the health costs of women with SUI living in the Canton of Bern (Switzerland). METHODS This cost-of-illness (COI) study was embedded in an RCT (n=96) exploring the effect of two pelvic floor muscle training protocols in women with SUI. A prevalence-based COI study with a societal perspective and a bottom-up approach was applied. Baseline demographics, comorbidities and cost data were collected prospectively during 16 weeks. Descriptive statistics, a frequency and a one-way sensitivity analysis were performed. RESULTS Thirty-seven participants volunteered in this COI study. About 95 % had at least one comorbidity. The most commonly reported problem was back pain (47.6 %). Fifty-one percent consulted a medical doctor, the prevalence of drug consumption was 70 %, 11 % reported less efficiency whilst working and 30 % less physical activity. Mental stress was mentioned by 59.5 % of the participants. The average health costs were CHF 2256. DISCUSSION This COI study provided data on health status, comorbidities, QoL, health care use, productivity losses and costs of SUI. The high prevalence of comorbidities observed in this study was comparable to obese females of a similar age group. The high economic burden of SUI requires cost-effective preventive actions and clinical treatment concepts.

Item Type:

Journal Article (Original Article)


School of Health Professions
School of Health Professions > Physiotherapy > Pelvic Floor Health


König, Irene0000-0002-6032-0255;
Moetteli, Céline;
Luginbühl, Helena0000-0002-9865-7144;
Radlinger, Lorenz0000-0002-0326-6264;
Kuhn, Annette and
Taeymans, Jan








Lorenz Radlinger

Date Deposited:

25 Nov 2020 16:02

Last Modified:

14 Jul 2024 01:34

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Activity Aktivität Analysekosten Analysis cost Comorbidities Komorbiditäten Lebensqualität Productivity Produktivität Quality of life




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