Cost analysis of myomectomy, hysterectomy, and uterine artery embolization

Objective: The purpose of this study was to compare inpatient hospital costs of different treatments of uterine fibroid tumors, including myomectomy, hysterectomy, and uterine artery embolization in a teaching hospital. Study Design: We reviewed the hospital database of 545 women with uterine fibroi...

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Veröffentlicht in:American journal of obstetrics and gynecology 2002-11, Vol.187 (5), p.1401-1404
Hauptverfasser: Al- Fozan, Haya, Dufort, Joanne, Kaplow, Marilyn, Valenti, David, Tulandi, Togas
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container_end_page 1404
container_issue 5
container_start_page 1401
container_title American journal of obstetrics and gynecology
container_volume 187
creator Al- Fozan, Haya
Dufort, Joanne
Kaplow, Marilyn
Valenti, David
Tulandi, Togas
description Objective: The purpose of this study was to compare inpatient hospital costs of different treatments of uterine fibroid tumors, including myomectomy, hysterectomy, and uterine artery embolization in a teaching hospital. Study Design: We reviewed the hospital database of 545 women with uterine fibroid tumors who were treated with abdominal myomectomy, total abdominal hysterectomy, vaginal hysterectomy, and uterine artery embolization between April 1997 and October 2001. Results: Women who underwent hysterectomies and uterine artery embolization were significantly older than the women who underwent myomectomy. Uterine artery embolization was associated with the shortest hospital stay, although the hospital stay in the vaginal hysterectomy group was shorter than in the abdominal myomectomy and the total abdominal hysterectomy groups. Compared with other groups, the inpatient cost of nursing in the uterine artery embolization group was the lowest. The total inpatient cost of uterine artery embolization ($1007.44 ± $60.65 [Canadian dollars]) was significantly lower than the cost of total abdominal hysterectomy ($1933.37 ± $47.68 [Canadian dollars]), abdominal myomectomy ($1781.73 ± $47.16 [Canadian dollars]), and vaginal hysterectomy ($1515.39 ± $66.72 [Canadian dollars]; P
doi_str_mv 10.1067/mob.2002.127374
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Study Design: We reviewed the hospital database of 545 women with uterine fibroid tumors who were treated with abdominal myomectomy, total abdominal hysterectomy, vaginal hysterectomy, and uterine artery embolization between April 1997 and October 2001. Results: Women who underwent hysterectomies and uterine artery embolization were significantly older than the women who underwent myomectomy. Uterine artery embolization was associated with the shortest hospital stay, although the hospital stay in the vaginal hysterectomy group was shorter than in the abdominal myomectomy and the total abdominal hysterectomy groups. Compared with other groups, the inpatient cost of nursing in the uterine artery embolization group was the lowest. The total inpatient cost of uterine artery embolization ($1007.44 ± $60.65 [Canadian dollars]) was significantly lower than the cost of total abdominal hysterectomy ($1933.37 ± $47.68 [Canadian dollars]), abdominal myomectomy ($1781.73 ± $47.16 [Canadian dollars]), and vaginal hysterectomy ($1515.39 ± $66.72 [Canadian dollars]; P &lt;.001). Sixteen of the 85 patients (18.8%) were hospitalized after uterine artery embolization, mainly for abdominal pain. Conclusion: Compared with abdominal myomectomy, abdominal hysterectomy, and vaginal hysterectomy, uterine artery embolization is associated with a lower hospital cost and a shorter hospital stay. Hospitalization after uterine artery embolization is mainly for abdominal pain after the procedure. A better method of pain control to reduce the rate of hospitalization and its cost is needed. (Am J Obstet Gynecol 2002;187:1401-4)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1067/mob.2002.127374</identifier><identifier>PMID: 12439538</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Arteries ; Biological and medical sciences ; Cost analysis ; Costs and Cost Analysis ; Embolization, Therapeutic - economics ; Female ; Genital system. Mammary gland ; Gynecologic Surgical Procedures - economics ; Hospital Costs ; Humans ; hysterectomy ; Hysterectomy - economics ; Leiomyoma - surgery ; Length of Stay ; Medical sciences ; Middle Aged ; myomectomy ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; uterine artery embolization ; uterine fibroid embolization ; Uterine Neoplasms - surgery ; Uterus - blood supply</subject><ispartof>American journal of obstetrics and gynecology, 2002-11, Vol.187 (5), p.1401-1404</ispartof><rights>2002</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-f78aa1cd38538460dbba6b6f79e01140f4ec9308f56b01c49342fd17886c30593</citedby><cites>FETCH-LOGICAL-c398t-f78aa1cd38538460dbba6b6f79e01140f4ec9308f56b01c49342fd17886c30593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mob.2002.127374$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14365193$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12439538$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al- Fozan, Haya</creatorcontrib><creatorcontrib>Dufort, Joanne</creatorcontrib><creatorcontrib>Kaplow, Marilyn</creatorcontrib><creatorcontrib>Valenti, David</creatorcontrib><creatorcontrib>Tulandi, Togas</creatorcontrib><title>Cost analysis of myomectomy, hysterectomy, and uterine artery embolization</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: The purpose of this study was to compare inpatient hospital costs of different treatments of uterine fibroid tumors, including myomectomy, hysterectomy, and uterine artery embolization in a teaching hospital. Study Design: We reviewed the hospital database of 545 women with uterine fibroid tumors who were treated with abdominal myomectomy, total abdominal hysterectomy, vaginal hysterectomy, and uterine artery embolization between April 1997 and October 2001. Results: Women who underwent hysterectomies and uterine artery embolization were significantly older than the women who underwent myomectomy. Uterine artery embolization was associated with the shortest hospital stay, although the hospital stay in the vaginal hysterectomy group was shorter than in the abdominal myomectomy and the total abdominal hysterectomy groups. Compared with other groups, the inpatient cost of nursing in the uterine artery embolization group was the lowest. The total inpatient cost of uterine artery embolization ($1007.44 ± $60.65 [Canadian dollars]) was significantly lower than the cost of total abdominal hysterectomy ($1933.37 ± $47.68 [Canadian dollars]), abdominal myomectomy ($1781.73 ± $47.16 [Canadian dollars]), and vaginal hysterectomy ($1515.39 ± $66.72 [Canadian dollars]; P &lt;.001). Sixteen of the 85 patients (18.8%) were hospitalized after uterine artery embolization, mainly for abdominal pain. Conclusion: Compared with abdominal myomectomy, abdominal hysterectomy, and vaginal hysterectomy, uterine artery embolization is associated with a lower hospital cost and a shorter hospital stay. Hospitalization after uterine artery embolization is mainly for abdominal pain after the procedure. A better method of pain control to reduce the rate of hospitalization and its cost is needed. (Am J Obstet Gynecol 2002;187:1401-4)</description><subject>Adult</subject><subject>Arteries</subject><subject>Biological and medical sciences</subject><subject>Cost analysis</subject><subject>Costs and Cost Analysis</subject><subject>Embolization, Therapeutic - economics</subject><subject>Female</subject><subject>Genital system. Mammary gland</subject><subject>Gynecologic Surgical Procedures - economics</subject><subject>Hospital Costs</subject><subject>Humans</subject><subject>hysterectomy</subject><subject>Hysterectomy - economics</subject><subject>Leiomyoma - surgery</subject><subject>Length of Stay</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>myomectomy</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>uterine artery embolization</subject><subject>uterine fibroid embolization</subject><subject>Uterine Neoplasms - surgery</subject><subject>Uterus - blood supply</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0EoqUws6EsMJHWjhN_jKjiU5VYYLYcxxZGSVzsBCn8ehwlqBOT79U9vjs9AFwiuEaQ0E3jynUGYbZGGcU0PwJLBDlNCSPsGCxh7KQcU7YAZyF8jjHj2SlYoCzHvMBsCV62LnSJbGU9BBsSZ5JmcI1WnWuG2-RjCJ32f0m2VdLHbFudSB-LIdFN6Wr7Izvr2nNwYmQd9MX8rsD7w_3b9indvT4-b-92qcKcdamhTEqkKsziATmBVVlKUhJDuYYI5dDkWnEMmSlICZHKOc4zUyHKGFEYFhyvwM00d-_dV69DJxoblK5r2WrXB0EzwjEmNIKbCVTeheC1EXtvG-kHgaAY9YmoT4z6xKQv_riaR_dlo6sDP_uKwPUMyKBkbbxslQ0HLsekQHH7CvCJ01HEt9VeBGV1q3RlR52icvbfI34BkmSLYg</recordid><startdate>20021101</startdate><enddate>20021101</enddate><creator>Al- Fozan, Haya</creator><creator>Dufort, Joanne</creator><creator>Kaplow, Marilyn</creator><creator>Valenti, David</creator><creator>Tulandi, Togas</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20021101</creationdate><title>Cost analysis of myomectomy, hysterectomy, and uterine artery embolization</title><author>Al- Fozan, Haya ; Dufort, Joanne ; Kaplow, Marilyn ; Valenti, David ; Tulandi, Togas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-f78aa1cd38538460dbba6b6f79e01140f4ec9308f56b01c49342fd17886c30593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Arteries</topic><topic>Biological and medical sciences</topic><topic>Cost analysis</topic><topic>Costs and Cost Analysis</topic><topic>Embolization, Therapeutic - economics</topic><topic>Female</topic><topic>Genital system. Mammary gland</topic><topic>Gynecologic Surgical Procedures - economics</topic><topic>Hospital Costs</topic><topic>Humans</topic><topic>hysterectomy</topic><topic>Hysterectomy - economics</topic><topic>Leiomyoma - surgery</topic><topic>Length of Stay</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>myomectomy</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>uterine artery embolization</topic><topic>uterine fibroid embolization</topic><topic>Uterine Neoplasms - surgery</topic><topic>Uterus - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al- Fozan, Haya</creatorcontrib><creatorcontrib>Dufort, Joanne</creatorcontrib><creatorcontrib>Kaplow, Marilyn</creatorcontrib><creatorcontrib>Valenti, David</creatorcontrib><creatorcontrib>Tulandi, Togas</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al- Fozan, Haya</au><au>Dufort, Joanne</au><au>Kaplow, Marilyn</au><au>Valenti, David</au><au>Tulandi, Togas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost analysis of myomectomy, hysterectomy, and uterine artery embolization</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>187</volume><issue>5</issue><spage>1401</spage><epage>1404</epage><pages>1401-1404</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: The purpose of this study was to compare inpatient hospital costs of different treatments of uterine fibroid tumors, including myomectomy, hysterectomy, and uterine artery embolization in a teaching hospital. Study Design: We reviewed the hospital database of 545 women with uterine fibroid tumors who were treated with abdominal myomectomy, total abdominal hysterectomy, vaginal hysterectomy, and uterine artery embolization between April 1997 and October 2001. Results: Women who underwent hysterectomies and uterine artery embolization were significantly older than the women who underwent myomectomy. Uterine artery embolization was associated with the shortest hospital stay, although the hospital stay in the vaginal hysterectomy group was shorter than in the abdominal myomectomy and the total abdominal hysterectomy groups. Compared with other groups, the inpatient cost of nursing in the uterine artery embolization group was the lowest. The total inpatient cost of uterine artery embolization ($1007.44 ± $60.65 [Canadian dollars]) was significantly lower than the cost of total abdominal hysterectomy ($1933.37 ± $47.68 [Canadian dollars]), abdominal myomectomy ($1781.73 ± $47.16 [Canadian dollars]), and vaginal hysterectomy ($1515.39 ± $66.72 [Canadian dollars]; P &lt;.001). Sixteen of the 85 patients (18.8%) were hospitalized after uterine artery embolization, mainly for abdominal pain. Conclusion: Compared with abdominal myomectomy, abdominal hysterectomy, and vaginal hysterectomy, uterine artery embolization is associated with a lower hospital cost and a shorter hospital stay. Hospitalization after uterine artery embolization is mainly for abdominal pain after the procedure. A better method of pain control to reduce the rate of hospitalization and its cost is needed. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Arteries
Biological and medical sciences
Cost analysis
Costs and Cost Analysis
Embolization, Therapeutic - economics
Female
Genital system. Mammary gland
Gynecologic Surgical Procedures - economics
Hospital Costs
Humans
hysterectomy
Hysterectomy - economics
Leiomyoma - surgery
Length of Stay
Medical sciences
Middle Aged
myomectomy
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
uterine artery embolization
uterine fibroid embolization
Uterine Neoplasms - surgery
Uterus - blood supply
title Cost analysis of myomectomy, hysterectomy, and uterine artery embolization
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