StayCurrentMD · Economic Impact of Daily Bowel Management Regimens
Article1 min read·Published Sep 2024Older

Economic Impact of Daily Bowel Management Regimens

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Article · Sep 2024 · 1 min read

In brief

In brief

This study examines the financial burden of daily bowel management regimens on families of children with chronic constipation and fecal incontinence from conditions like anorectal malformations, Hirschsprung disease, and spina bifida. The analysis focuses on out-of-pocket costs for over-the-counter laxatives and enemas not covered by insurance.

  • Daily bowel management regimens enable patients with anorectal malformations, Hirschsprung's, and spina bifida to avoid diapers and accidents.
  • Effective regimens typically require daily laxatives or enemas to maintain continence and quality of life.
  • Over-the-counter bowel management products are not covered by insurance, creating significant out-of-pocket costs for families.
  • Economic burden of daily regimens can impact treatment adherence and family financial stability in chronic bowel dysfunction.
  • Cost analysis is essential for understanding barriers to optimal bowel management in pediatric colorectal conditions.

Written by the GCMD Library team from the article.

Chronic constipation and fecal incontinence are devastating problems for patients with anorectal malformations, Hirschsprung's disease, idiopathic constipation, and spina bifida/spinal cord injuries. Finding the proper regimen allows these patients to be out of diapers and free of stool accidents. A typical bowel management regimen consists of daily laxatives or enemas; because these products are sold over the counter, insurance companies do not cover them. This study reviews the cost of bowel regimens and analyzes their economic impact on the families we treat.

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