Cost-effectiveness of opportunistic salpingectomy vs tubal ligation at the time of cesarean delivery

American Journal of Obstetrics and Gynecology
Kartik K VenkateshDavid M Stamilio

Abstract

Removal of the fallopian tubes at the time of hysterectomy or interval sterilization has become routine practice to prevent ovarian cancer. While emerging as a strategy, uptake of this procedure at the time of cesarean delivery for pregnant women seeking permanent sterilization has not been widely adopted due to perceptions of increased morbidity and operative difficulty with a lack of available data in this setting. We sought to conduct a cost-effectiveness analysis comparing strategies for long-term sterilization and ovarian cancer risk reduction at the time of cesarean delivery, including bilateral tubal ligation, opportunistic salpingectomy, and long-acting reversible contraception. A decision-analytic and cost-effectiveness model was constructed for pregnant women undergoing cesarean delivery who desired permanent sterilization in the US population, comparing 3 strategies: (1) bilateral tubal ligation, (2) bilateral opportunistic salpingectomy, and (3) postpartum long-acting reversible contraception. This theoretic cohort consisted of 110,000 pregnant women desiring permanent sterilization at the time of cesarean delivery and ovarian cancer prevention at an average of 35 years who were monitored for an additional 40 years ...Continue Reading

Citations

Nov 23, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Miao YangYichao Hu
Aug 11, 2020·Applied Health Economics and Health Policy·Beena JoshiShahina Begum
Feb 23, 2020·Obstetrics and Gynecology·Jared T RoecknerJose R Duncan
Apr 24, 2020·Current Opinion in Anaesthesiology·Alexander IoscovichDaniel Shatalin
Feb 18, 2021·Obstetrics and Gynecology·Matthew K WagarMakeba Williams
Jun 29, 2021·American Journal of Obstetrics and Gynecology·Rachel S MandelbaumKoji Matsuo
Dec 15, 2020·Journal of Minimally Invasive Gynecology·Douglas LuchristtKimberly Kenton
Sep 24, 2021·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Helena M ObermairGregory B Gard

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Incidence & Mortality

Cancer has emerged as a global concern due to its increase in incidence and mortality. Efforts are underway to evaluate and develop action plans to reduce the global burden of cancer. Currently, lung cancer, breast cancer and prostate cancer are the leading causes of cancer mortality. Here is the latest research on cancer incidence and mortality.