Open Compared With Laparoscopic Approach to Burch Colposuspension: A Cost Analysis
Objective: To compare postoperative course and hospital charges of an open versus laparoscopic approach to Burch colposuspension for the treatment of genuine stress urinary incontinence. Methods: A retrospective chart review was performed to identify all patients undergoing open or laparoscopic Burc...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1997-09, Vol.90 (3), p.411-415 |
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| creator | Kohli, Neeraj Jacobs, Paul A Sze, Eddie H.M Roat, Todd W Karram, Mickey M |
| description | Objective: To compare postoperative course and hospital charges of an open versus laparoscopic approach to Burch colposuspension for the treatment of genuine stress urinary incontinence.
Methods: A retrospective chart review was performed to identify all patients undergoing open or laparoscopic Burch colposuspension by the same surgeon over a 2-year period. Patients undergoing additional surgical procedures at the time of colposuspension were excluded from the study. Twenty-one patients underwent open Burch colposuspension and 17 patients underwent laparoscopic colposuspension. Demographic data including age, parity, height, and weight were collected for each group. Both groups also were compared with regard to operative time, operating room charges, estimated blood loss, intraoperative complications, change in postoperative hematocrit, time required to resume normal voiding, length of hospital stay, and total hospital charges.
Results: The laparoscopic colposuspension group had significantly longer operative times (110 versus 66 minutes, P < .01) and increased operating room charges ($3479 versus $2138, P < .001). There was no statistical difference in estimated blood loss or change in postoperative hematocrit between the two groups. No major intraoperative complications occurred in either group. Mean length of hospital stay was 1.3 days for the laparoscopic group and 2.1 days for the open group (P < .005). However, total hospital charges for the laparoscopic group were significantly higher ($4960 versus $4079, P < .01).
Conclusion: Laparoscopic colposuspension has been described as a minimally invasive, cost-effective technique for the surgical correction of stress urinary incontinence. Although the laparoscopic approach was found to be associated with a reduction in length of hospital stay, it had significantly higher total hospital charges than the traditional open approach because of expenses associated with increased operative time and use of laparoscopic equipment. |
| doi_str_mv | 10.1016/S0029-7844(97)00267-6 |
| format | Article |
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Methods: A retrospective chart review was performed to identify all patients undergoing open or laparoscopic Burch colposuspension by the same surgeon over a 2-year period. Patients undergoing additional surgical procedures at the time of colposuspension were excluded from the study. Twenty-one patients underwent open Burch colposuspension and 17 patients underwent laparoscopic colposuspension. Demographic data including age, parity, height, and weight were collected for each group. Both groups also were compared with regard to operative time, operating room charges, estimated blood loss, intraoperative complications, change in postoperative hematocrit, time required to resume normal voiding, length of hospital stay, and total hospital charges.
Results: The laparoscopic colposuspension group had significantly longer operative times (110 versus 66 minutes, P < .01) and increased operating room charges ($3479 versus $2138, P < .001). There was no statistical difference in estimated blood loss or change in postoperative hematocrit between the two groups. No major intraoperative complications occurred in either group. Mean length of hospital stay was 1.3 days for the laparoscopic group and 2.1 days for the open group (P < .005). However, total hospital charges for the laparoscopic group were significantly higher ($4960 versus $4079, P < .01).
Conclusion: Laparoscopic colposuspension has been described as a minimally invasive, cost-effective technique for the surgical correction of stress urinary incontinence. Although the laparoscopic approach was found to be associated with a reduction in length of hospital stay, it had significantly higher total hospital charges than the traditional open approach because of expenses associated with increased operative time and use of laparoscopic equipment.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1016/S0029-7844(97)00267-6</identifier><identifier>PMID: 9277654</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Costs and Cost Analysis ; Humans ; Laparoscopy - economics ; Medical sciences ; Middle Aged ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Urinary Incontinence, Stress - surgery</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1997-09, Vol.90 (3), p.411-415</ispartof><rights>1997 The American College of Obstetricians and Gynecologists</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4348-f6ec65bd0bb7b08119c53c5de20345f094ebe80d0727a3e2b2f0362fc825cedb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2785880$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9277654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kohli, Neeraj</creatorcontrib><creatorcontrib>Jacobs, Paul A</creatorcontrib><creatorcontrib>Sze, Eddie H.M</creatorcontrib><creatorcontrib>Roat, Todd W</creatorcontrib><creatorcontrib>Karram, Mickey M</creatorcontrib><title>Open Compared With Laparoscopic Approach to Burch Colposuspension: A Cost Analysis</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>Objective: To compare postoperative course and hospital charges of an open versus laparoscopic approach to Burch colposuspension for the treatment of genuine stress urinary incontinence.
Methods: A retrospective chart review was performed to identify all patients undergoing open or laparoscopic Burch colposuspension by the same surgeon over a 2-year period. Patients undergoing additional surgical procedures at the time of colposuspension were excluded from the study. Twenty-one patients underwent open Burch colposuspension and 17 patients underwent laparoscopic colposuspension. Demographic data including age, parity, height, and weight were collected for each group. Both groups also were compared with regard to operative time, operating room charges, estimated blood loss, intraoperative complications, change in postoperative hematocrit, time required to resume normal voiding, length of hospital stay, and total hospital charges.
Results: The laparoscopic colposuspension group had significantly longer operative times (110 versus 66 minutes, P < .01) and increased operating room charges ($3479 versus $2138, P < .001). There was no statistical difference in estimated blood loss or change in postoperative hematocrit between the two groups. No major intraoperative complications occurred in either group. Mean length of hospital stay was 1.3 days for the laparoscopic group and 2.1 days for the open group (P < .005). However, total hospital charges for the laparoscopic group were significantly higher ($4960 versus $4079, P < .01).
Conclusion: Laparoscopic colposuspension has been described as a minimally invasive, cost-effective technique for the surgical correction of stress urinary incontinence. Although the laparoscopic approach was found to be associated with a reduction in length of hospital stay, it had significantly higher total hospital charges than the traditional open approach because of expenses associated with increased operative time and use of laparoscopic equipment.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Costs and Cost Analysis</subject><subject>Humans</subject><subject>Laparoscopy - economics</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Urinary Incontinence, Stress - surgery</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2P0zAQhi0EWsrCT1gpB4TgEJjYcWxzQaXiS6q0Eh-Cm-U4E9WQxlk7YbX_num26pWTPZ73mY_XjF1V8LqCqnnzDYCbUum6fmnUKwoaVTYP2KrSSpRciF8P2eosecye5PwbgEAjLtiF4Uo1sl6xr9cTjsUm7ieXsCt-hnlXbB0FMfs4BV-spylF53fFHIv3S6LLJg5TzEsmMIc4vi3W9JTnYj264S6H_JQ96t2Q8dnpvGQ_Pn74vvlcbq8_fdmst6WvRa3LvkHfyLaDtlUt6KoyXgovO-QgatmDqbFFDR0orpxA3vIeRMN7r7n02LXikr041qUBbxbMs92H7HEY3IhxyVYZLgkQJJRHoaetcsLeTinsXbqzFdiDl_beS3swyhpl7720DXFXpwZLu8fuTJ3Mo_zzU95l74Y-udGHfJZxpaXWQLL6KLuNw4wp_xmWW0x2h26Yd9QMoOESysoYBYai8vBNmrB3RwzJw7-BiOwDjrR6SOhn28Xwn_n_AZjGn-8</recordid><startdate>199709</startdate><enddate>199709</enddate><creator>Kohli, Neeraj</creator><creator>Jacobs, Paul A</creator><creator>Sze, Eddie H.M</creator><creator>Roat, Todd W</creator><creator>Karram, Mickey M</creator><general>Elsevier Inc</general><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</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>199709</creationdate><title>Open Compared With Laparoscopic Approach to Burch Colposuspension: A Cost Analysis</title><author>Kohli, Neeraj ; Jacobs, Paul A ; Sze, Eddie H.M ; Roat, Todd W ; Karram, Mickey M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4348-f6ec65bd0bb7b08119c53c5de20345f094ebe80d0727a3e2b2f0362fc825cedb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Costs and Cost Analysis</topic><topic>Humans</topic><topic>Laparoscopy - economics</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Urinary Incontinence, Stress - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kohli, Neeraj</creatorcontrib><creatorcontrib>Jacobs, Paul A</creatorcontrib><creatorcontrib>Sze, Eddie H.M</creatorcontrib><creatorcontrib>Roat, Todd W</creatorcontrib><creatorcontrib>Karram, Mickey M</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>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kohli, Neeraj</au><au>Jacobs, Paul A</au><au>Sze, Eddie H.M</au><au>Roat, Todd W</au><au>Karram, Mickey M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Open Compared With Laparoscopic Approach to Burch Colposuspension: A Cost Analysis</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1997-09</date><risdate>1997</risdate><volume>90</volume><issue>3</issue><spage>411</spage><epage>415</epage><pages>411-415</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>Objective: To compare postoperative course and hospital charges of an open versus laparoscopic approach to Burch colposuspension for the treatment of genuine stress urinary incontinence.
Methods: A retrospective chart review was performed to identify all patients undergoing open or laparoscopic Burch colposuspension by the same surgeon over a 2-year period. Patients undergoing additional surgical procedures at the time of colposuspension were excluded from the study. Twenty-one patients underwent open Burch colposuspension and 17 patients underwent laparoscopic colposuspension. Demographic data including age, parity, height, and weight were collected for each group. Both groups also were compared with regard to operative time, operating room charges, estimated blood loss, intraoperative complications, change in postoperative hematocrit, time required to resume normal voiding, length of hospital stay, and total hospital charges.
Results: The laparoscopic colposuspension group had significantly longer operative times (110 versus 66 minutes, P < .01) and increased operating room charges ($3479 versus $2138, P < .001). There was no statistical difference in estimated blood loss or change in postoperative hematocrit between the two groups. No major intraoperative complications occurred in either group. Mean length of hospital stay was 1.3 days for the laparoscopic group and 2.1 days for the open group (P < .005). However, total hospital charges for the laparoscopic group were significantly higher ($4960 versus $4079, P < .01).
Conclusion: Laparoscopic colposuspension has been described as a minimally invasive, cost-effective technique for the surgical correction of stress urinary incontinence. Although the laparoscopic approach was found to be associated with a reduction in length of hospital stay, it had significantly higher total hospital charges than the traditional open approach because of expenses associated with increased operative time and use of laparoscopic equipment.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9277654</pmid><doi>10.1016/S0029-7844(97)00267-6</doi><tpages>5</tpages></addata></record> |
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| ispartof | Obstetrics and gynecology (New York. 1953), 1997-09, Vol.90 (3), p.411-415 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Costs and Cost Analysis Humans Laparoscopy - economics Medical sciences Middle Aged Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Urinary Incontinence, Stress - surgery |
| title | Open Compared With Laparoscopic Approach to Burch Colposuspension: A Cost Analysis |
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