The costs of treating miscarriage: a comparison of medical and surgical management

British Journal of Obstetrics and Gynaecology
J HughesA A Templeton

Abstract

To estimate and compare the costs of surgical and medical treatment of miscarriage to the National Health Service. A patient-centred, partially randomised trial. A teaching hospital in Scotland. Four hundred and thirty-seven women with a proven first trimester miscarriage. The cost per patient of surgical and medical management of miscarriage plus the extra cost per patient of introducing medical management of miscarriage under three different scenarios are calculated. The average cost of surgical treatment was Pounds 397 compared with Pounds 347 for medical treatment. Sensitivity analysis showed that the extra cost of introducing the medical management of miscarriage ranged from a cost saving of Pounds 71 per patient to an additional cost of Pounds 47 per patient. Our analysis showed that it may be possible to generate cost savings by introducing medical methods in the management of early miscarriage. However, the savings assume that costs associated with theatre use can be fully realised.

References

Dec 5, 1992·BMJ : British Medical Journal·H el-RefaeyA Templeton
Jan 1, 1990·Health Affairs·M E Rasell
Jul 29, 1989·BMJ : British Medical Journal·C R Brewin, C Bradley

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Citations

Oct 25, 2000·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·D Ayres-de-CamposB Patrício
Apr 1, 1998·The Australian & New Zealand Journal of Obstetrics & Gynaecology·T K ChungA M Chang
Apr 24, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·M NiinimäkiA Pouta
Aug 25, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·G C M GraziosiH W Bruinse
Jun 22, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ekachai Kovavisarach, Chanya Jamnansiri
Feb 26, 2004·American Journal of Obstetrics and Gynecology·Jerry M GillesUNKNOWN National Institute of Child Health and Human Development Management of Early Pregnancy Failure Trial
Aug 24, 2002·American Journal of Obstetrics and Gynecology·Patrick E MuffleyRobert B Gherman
Oct 8, 1998·British Journal of Obstetrics and Gynaecology·A Templeton
Oct 8, 1998·British Journal of Obstetrics and Gynaecology·S Zalányi
Jul 21, 2006·The Cochrane Database of Systematic Reviews·J P NeilsonJ Vazquez
Nov 22, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·P P SmithT J Clark
Aug 13, 2005·Human Reproduction·Wing Hung TamTony Kwok Hung Chung
Jun 18, 2019·The Cochrane Database of Systematic Reviews·Marike LemmersJames P Neilson
Feb 1, 2017·The Cochrane Database of Systematic Reviews·Caron KimLixia Dou
May 3, 2005·Obstetrics and Gynecology·Alexandros SotiriadisJohn P A Ioannidis
Mar 10, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·Z PandianA Templeton
Sep 10, 2008·Expert Opinion on Pharmacotherapy·Giuseppe BenagianoManuela Farris
Jun 2, 2021·The Cochrane Database of Systematic Reviews·Jay GhoshIoannis D Gallos

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