Document Detail

Cost minimization analysis of laparoscopic sacral colpopexy and total vaginal mesh.
MedLine Citation:
PMID:  22285170     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of the study was a cost minimization analysis of the laparoscopic sacral colpopexy (LSC) and total vaginal mesh (TVM).
STUDY DESIGN: Primary clinical costs were derived from our randomized control trial comparing LSC and TVM and were compared using prices from privately- and publicly-conducted procedures. Womens' opportunity cost of time were added to these estimates to produce estimates of the primary economic costs of the procedures. Reoperation costs were added to estimate the economic cost per subject.
RESULTS: LSC has lower mean primary clinical cost as compared with the TVM in both the public (mean difference, $1102.96; 95% confidence interval [CI], 468.52-1737.385) and private models (mean difference, $1176.68; 95% CI, 1116.85-1236.51), respectively. Mean total economic costs were significantly lower in the LSC group as compared with the TVM ($4013.07; 95% CI, 3107.77-4918.37). Labor costs were significantly greater in the LSC but were offset by lower consumable, inpatient, opportunity, and reoperation costs as compared with the TVM.
CONCLUSION: The LSC has lower economic cost than TVM.
Christopher F Maher; Luke B Connelly
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2011-12-16
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  206     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-30     Completed Date:  2012-07-27     Revised Date:  2012-09-26    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  433.e1-7     Citation Subset:  AIM; IM    
Copyright Information:
Crown Copyright © 2012. Published by Mosby, Inc. All rights reserved.
Wesley, Royal Brisbane, and Mater Urogynecology, University of Queensland, Brisbane, QLD, Australia.
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MeSH Terms
Cost of Illness
Costs and Cost Analysis
Gynecologic Surgical Procedures / economics*,  instrumentation,  methods
Health Care Costs / statistics & numerical data*
Laparoscopy / economics*
Reoperation / economics
Surgical Mesh / economics*
Uterine Prolapse / economics,  surgery*
Vagina / surgery*
Comment In:
Am J Obstet Gynecol. 2012 Aug;207(2):e11; author reply e11-2   [PMID:  22520650 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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