Factors associated with increased charges for hysterectomy

Obstetrics and Gynecology
Kristen A MattesonRoxanne M Jamshidi

Abstract

To evaluate factors associated with increased hospital charges for hysterectomy with specific attention to differences based on surgical approach. We performed a retrospective cohort study of 686 patients who underwent hysterectomy between January 1997 and September 1997 using medical chart review and hospital financial information. Demographic information, surgical approach (abdominal, vaginal, or laparoscopic), and surgical and postoperative factors were extracted from the medical record. Hospital charges were obtained from the hospital billing database. Relationships between charges and various clinical and demographic variables were examined using chi(2), Fisher exact test, t tests, or analysis of variance, where appropriate. Logistic regression was used to estimate odds ratios while controlling for important confounding variables. In our logistic regression model, blood loss greater than 1,000 mL (odds ratio [OR] 11.8, 95% confidence interval [CI] 4.2-33.2) and operative time 105 minutes or more (OR 14.2, CI 5.8-34.5) were strongly associated with higher charges for hysterectomy. Other factors associated with higher charges included: postoperative fever (OR 2.2, CI 1.1-4.5), increasing length of hospitalization (OR 5.3, CI...Continue Reading

References

Nov 1, 1993·American Journal of Obstetrics and Gynecology·R MittendorfT C Chalmers
Aug 15, 1996·The New England Journal of Medicine·J H DorseyE P Steinberg
Feb 18, 1998·American Journal of Obstetrics and Gynecology·S K van den EedenK Kunz
Jan 6, 2004·Obstetrics and Gynecology·Jeffrey F PeipertKate Lapane
Jul 31, 2004·American Journal of Obstetrics and Gynecology·John P LenihanClare Cammarano

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Citations

Oct 23, 2012·Journal of Minimally Invasive Gynecology·Matthew T SiedhoffJohn F Steege
Jun 19, 2010·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Richard L Heaton, M Sami Walid
Jul 13, 2016·American Journal of Obstetrics and Gynecology·Sara R C DriessenFrank Willem Jansen
Dec 10, 2015·Obstetrics and Gynecology·Amin Sanei-MoghaddamFaina Linkov

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