Cost-analysis comparison of outpatient see-and-treat hysteroscopy service with other hysteroscopy service models

Journal of Minimally Invasive Gynecology
Ertan SaridoganDhinagar Subramanian

Abstract

To conduct a cost analysis of 3 different hysteroscopy service models. Decision-analytic model constructed from the UK National Health Service perspective (Canadian Task Force classification III). Tertiary-care hospital. Women undergoing hysteroscopy (N=1109). Three hysteroscopy service models: outpatient see-and-treat service; outpatient diagnostic hysteroscopy followed by referral for operative hysteroscopy under general anesthesia (outpatient and referral service); and general anesthesia see-and-treat service. Costs were measured in 2008 UK pounds sterling. Of the 3 treatment arms, total costs were lowest with outpatient see-and-treat service. The lower cost of the outpatient see-and-treat service was observed across a number of patient subgroups (age, menopause status, and indication) and when subjected to sensitivity analyses. Outpatient see-and-treat hysteroscopy was associated with the lowest treatment costs. This service model may reduce the total cost of care in women referred for hysteroscopy.

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Citations

Aug 7, 2012·Archives of Gynecology and Obstetrics·Ranjit ManchandaUsha Menon
May 23, 2012·Gynecological Surgery·Lotte J E W van DijkAnne Timmermans
Mar 1, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·P Gambadauro
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Jul 5, 2015·Journal of Minimally Invasive Gynecology·Margit DueholmGitte Ørtoft
May 6, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Pietro GambadauroRafael Torrejón
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Mar 1, 2017·Journal of Obstetrics and Gynaecology of India·Ali Al Chami, Ertan Saridogan
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