Comparative analysis of overall cost and rate of healthcare utilization among apical prolapse procedures
| Autor: | Prathamesh Pathak, Vani Dandolu, Lannah L. Lua, Erika D. Vicente, Daniel Lybbert |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Emergency Medical Services medicine.medical_specialty Urology medicine.medical_treatment 030232 urology & nephrology Patient Readmission Pelvic Organ Prolapse 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine Humans Medicine Laparoscopic sacrocolpopexy Aged Retrospective Studies Gynecology 030219 obstetrics & reproductive medicine Abdominal sacrocolpopexy Hysterectomy business.industry Obstetrics and Gynecology Health resource Middle Aged Patient Acceptance of Health Care Outpatient visits Healthcare utilization Apical prolapse Sacrospinous fixation Female sense organs business |
| Zdroj: | International Urogynecology Journal. 28:1481-1488 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | The annual cost of prolapse surgeries is expected to grow at twice the rate of population growth. Understanding the economic impact of apical prolapse procedures, including sacrospinous fixation (SSF), abdominal sacrocolpopexy (ASC), and laparoscopic sacrocolpopexy (LSC), is crucial. We aimed to compare overall cost of SSF versus ASC and LSC, as well as health resource utilization, up to 90-day follow-up. Truven Marketscan Commercial Claims and Encounter databases 2008–2012 were used to calculate index and 90-day follow-up costs for SSF, ASC, and LSC with/without hysterectomy. Rates of inpatient readmissions, outpatient visits, and emergency room (ER) visits were also calculated during the follow-up period. Statistical analyses were performed using SAS 9.3. There were 17,549 SSF, 6126 ASC, and 10,708 LSC procedures. Mean index cost was lower for SSF (US$10,993) than ASC ($12,763, p |
| Databáze: | OpenAIRE |
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