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Costs of Hysterectomy: Does Surgical Approach Make a Difference?

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  • Additional Information
    • Publication Year:
      1998
    • Subject Terms:
    • NAICS/Industry Codes:
      NAICS/Industry Codes 622110 General Medical and Surgical Hospitals
      622111 General (except paediatric) hospitals
    • Abstract:
      We wanted to determine the direct cost of hysterectomies by surgical approach and to estimate the impact on costs if more vaginal hysterectomies were substituted for abdominal hysterectomies for women under 50 years of age. Eleven Ontario (Canada) hospitals provided 1994 cost data based on 1376 hysterectomies. These data were applied to all hysterectomies performed in the province for women under 50 to estimate the cost of subtotal, vaginal (VH), or laparoscopically assisted vaginal hysterectomy (LAVH) relative to total abdominal hysterectomy (TAH). We determined the change in costs if TAHs in Ontario in 1994-1995 had been substituted by VH or LAVH. Teaching and community hospitals were considered separately. VH was less costly than TAH, subtotal, or LAVH The direct cost for TAH at teaching hospitals was much higher than at community hospitals. Costs relative to TAB were higher for LAVH at community but not at teaching hospitals. From the population baseline rate of 25% VH, 5% LAVI-L, 10% subtotal, and 60% TAH, we estimated that increasing VH to 45% would lower costs by 2.4%; increasing LAVH to 25% would increase costs by 4.4%. VH is associated with lower costs than TAH or LAVH. However, the magnitude of the substitution and the extent of cost savings should ultimately be based on evaluation of patient outcomes. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of Women's Health is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      10597115
    • Accession Number:
      5862778
  • Citations
    • ABNT:
      COHEN, M. M.; YOUNG, W. Costs of Hysterectomy: Does Surgical Approach Make a Difference? Journal of Women’s Health, [s. l.], v. 7, n. 7, p. 885, 1998. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=5862778. Acesso em: 27 nov. 2020.
    • AMA:
      Cohen MM, Young W. Costs of Hysterectomy: Does Surgical Approach Make a Difference? Journal of Women’s Health. 1998;7(7):885. Accessed November 27, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=5862778
    • APA:
      Cohen, M. M., & Young, W. (1998). Costs of Hysterectomy: Does Surgical Approach Make a Difference? Journal of Women’s Health, 7(7), 885.
    • Chicago/Turabian: Author-Date:
      Cohen, Marsha M., and Wendy Young. 1998. “Costs of Hysterectomy: Does Surgical Approach Make a Difference?” Journal of Women’s Health 7 (7): 885. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=5862778.
    • Harvard:
      Cohen, M. M. and Young, W. (1998) ‘Costs of Hysterectomy: Does Surgical Approach Make a Difference?’, Journal of Women’s Health, 7(7), p. 885. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=5862778 (Accessed: 27 November 2020).
    • Harvard: Australian:
      Cohen, MM & Young, W 1998, ‘Costs of Hysterectomy: Does Surgical Approach Make a Difference?’, Journal of Women’s Health, vol. 7, no. 7, p. 885, viewed 27 November 2020, .
    • MLA:
      Cohen, Marsha M., and Wendy Young. “Costs of Hysterectomy: Does Surgical Approach Make a Difference?” Journal of Women’s Health, vol. 7, no. 7, Sept. 1998, p. 885. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=5862778.
    • Chicago/Turabian: Humanities:
      Cohen, Marsha M., and Wendy Young. “Costs of Hysterectomy: Does Surgical Approach Make a Difference?” Journal of Women’s Health 7, no. 7 (September 1998): 885. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=5862778.
    • Vancouver/ICMJE:
      Cohen MM, Young W. Costs of Hysterectomy: Does Surgical Approach Make a Difference? Journal of Women’s Health [Internet]. 1998 Sep [cited 2020 Nov 27];7(7):885. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=5862778