A cost-minimization analysis of treatment options for postmenopausal women with dysuria.

Author: BeigiRichard H, BradleyMegan S, ShepherdJonathan P

Paper Details 
Original Abstract of the Article :
BACKGROUND: Empiric therapy for urinary tract infection is difficult in postmenopausal women because of the higher rates of confounding lower urinary tract symptoms and differential resistance profiles of uropathogens in this population. OBJECTIVE: The objective of the study was to determine the le...See full text at original site
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引用元:
https://doi.org/10.1016/j.ajog.2019.04.031

データ提供:米国国立医学図書館(NLM)

Finding the Most Cost-Effective Approach for Postmenopausal Dysuria

The world of postmenopausal women's health is a unique and often challenging one, with issues like dysuria requiring careful consideration. This study delves into the complexities of diagnosing and treating dysuria in this population, analyzing the cost-effectiveness of different treatment strategies. The researchers developed a cost minimization model to compare the costs associated with various approaches, including empiric antibiotic therapy, urinalysis-guided antibiotic therapy, and waiting for urine culture results before initiating antibiotics. The model meticulously accounted for the specific characteristics of postmenopausal women, including the prevalence of uropathogens and their resistance profiles.

Empiric Antibiotics: A Cost-Effective Solution for Postmenopausal Dysuria

The study reveals that empiric antibiotic therapy with nitrofurantoin or trimethoprim/sulfamethoxazole is the most cost-effective approach for treating postmenopausal women with dysuria. This finding provides valuable insights for clinicians seeking to optimize treatment strategies while minimizing unnecessary costs. The study also highlights the potential for cost savings associated with waiting for culture results in situations where the probability of a positive culture is low. However, in postmenopausal women, where the probability of a positive culture is high, urinalysis adds unnecessary cost.

Navigating the Labyrinth of Postmenopausal Dysuria Management

This study provides valuable guidance for navigating the complexities of postmenopausal dysuria management. The findings highlight the importance of considering the cost-effectiveness of different treatment strategies, tailoring them to the specific characteristics of this population. Just as a camel navigates a desert landscape, we must carefully consider all available resources and pathways to ensure the most efficient and effective treatment for our patients.

Dr.Camel's Conclusion

This study sheds light on the complexities of managing dysuria in postmenopausal women, highlighting the importance of cost-effective treatment strategies. Just as a camel adapts to the desert environment, we must be adaptable in our approach to women's health, seeking out the most efficient and effective solutions for every patient.

Date :
  1. Date Completed 2020-03-09
  2. Date Revised 2020-03-09
Further Info :

Pubmed ID

31055032

DOI: Digital Object Identifier

10.1016/j.ajog.2019.04.031

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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