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Text
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<a href="http://doi.org/10.1016/j.ajog.2006.12.029" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajog.2006.12.029</a>
Pages
e19–21
Issue
5
Volume
196
Dublin Core
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Title
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Cost-effectiveness analysis of the treatment of large leiomyomas: laparoscopic assisted vaginal hysterectomy versus abdominal hysterectomy.
Publisher
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American Journal of Obstetrics & Gynecology
Date
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2007
2007-05
Subject
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Adult; Female; Aged; Hysterectomy; Costs and Cost Analysis; Human; Middle Age; Cost Benefit Analysis; Visual Analog Scaling; Health Facility Costs; 80 and Over; Leiomyoma – Surgery; Hysterectomy – Economics; Laparoscopy – Economics; Uterine Neoplasms – Surgery; Vaginal – Economics
Creator
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Mittapalli R; Fanning J; Flora R; Fenton BW
Description
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OBJECTIVE: The purpose of this study was to perform a cost-effectiveness analysis comparing the treatment of large leiomyomas by laparoscopic assisted vaginal hysterectomy (LAVH) versus abdominal hysterectomy (AH). STUDY DESIGN: Twenty consecutive LAVH were compared to 20 consecutive AH for leiomyoma \textgreater or = 250 g. Hospital costs were obtained through Healthcare cost accounting system. The 6 principles of cost-effectiveness analysis were used. RESULTS: The groups were similar in respect to age, weight, race, medical comorbidities, blood loss, and operative time. Median uterine weight (513 g) was approximately 20% \textgreater for LAVH. Length of stay and pain was significantly less for LAVH. Total hospital cost for AH was approximately 12% less expensive ($4394 vs $5023, P = .18). CONCLUSION: Because of multiple benefits of LAVH versus AH and no significant difference in cost, we believe LAVH is an acceptable treatment for large leiomyoma.
Identifier
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<a href="http://doi.org/10.1016/j.ajog.2006.12.029" target="_blank" rel="noreferrer noopener">10.1016/j.ajog.2006.12.029</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2007
80 and over
Adult
Aged
American Journal of Obstetrics & Gynecology
Cost Benefit Analysis
Costs and Cost Analysis
Fanning J
Female
Fenton BW
Flora R
Health Facility Costs
Human
Hysterectomy
Hysterectomy – Economics
Laparoscopy – Economics
Leiomyoma – Surgery
Middle Age
Mittapalli R
Uterine Neoplasms – Surgery
Vaginal – Economics
Visual Analog Scaling