Cost-effectiveness analysis of the treatment of large leiomyomas: laparoscopic assisted vaginal hysterectomy versus abdominal hysterectomy.

Title

Cost-effectiveness analysis of the treatment of large leiomyomas: laparoscopic assisted vaginal hysterectomy versus abdominal hysterectomy.

Creator

Mittapalli Raja; Fanning James; Flora Robert; Fenton Bradford W

Publisher

American journal of obstetrics and gynecology

Date

2007
2007-05

Description

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.

Subject

80 and over; Adult; Aged; Cost-Benefit Analysis; Female; Humans; Hysterectomy; Hysterectomy/*economics; Laparoscopy/economics; Leiomyoma/*surgery; Middle Aged; Uterine Neoplasms/*surgery; Vaginal/economics

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

e19–21

Issue

5

Volume

196

Citation

Mittapalli Raja; Fanning James; Flora Robert; Fenton Bradford W, “Cost-effectiveness analysis of the treatment of large leiomyomas: laparoscopic assisted vaginal hysterectomy versus abdominal hysterectomy.,” NEOMED Bibliography Database, accessed January 23, 2022, https://neomed.omeka.net/items/show/3437.

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