Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy

Background and ObjectivesThe aim of this study was to analyze indirect costs of vaginal and laparoscopic routes for hysterectomy to determine whether this makes a difference in total costs when considering route for surgery. MethodsA five-year observational retrospective cohort study was conducted i...

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Published in:Journal of the Society of Laparoendoscopic Surgeons 2022-07, Vol.26 (3), p.e2022.00048
Main Authors: Martínez-Maestre, María Ángeles, Jódar-Sánchez, Francisco, Calderón-Cabrera, Ana María, González-Cejudo, Carmen, Silván-Alfaro, José Manuel, Melero-Cortés, Lidia María
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container_issue 3
container_start_page e2022.00048
container_title Journal of the Society of Laparoendoscopic Surgeons
container_volume 26
creator Martínez-Maestre, María Ángeles
Jódar-Sánchez, Francisco
Calderón-Cabrera, Ana María
González-Cejudo, Carmen
Silván-Alfaro, José Manuel
Melero-Cortés, Lidia María
description Background and ObjectivesThe aim of this study was to analyze indirect costs of vaginal and laparoscopic routes for hysterectomy to determine whether this makes a difference in total costs when considering route for surgery. MethodsA five-year observational retrospective cohort study was conducted in an academic tertiary care center. A total of 517 patients scheduled for total laparoscopic hysterectomy (n = 137) and vaginal hysterectomy (n = 380) for benign conditions between January 1, 2008 and December 31, 2012 meeting inclusion criteria were reviewed. ResultsIndirect costs were higher in the vaginal hysterectomy group compared to the laparoscopic hysterectomy group (mean cost €3,239.86 vs. €1,371.58; cost increase of €1,868.28; p 
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MethodsA five-year observational retrospective cohort study was conducted in an academic tertiary care center. A total of 517 patients scheduled for total laparoscopic hysterectomy (n = 137) and vaginal hysterectomy (n = 380) for benign conditions between January 1, 2008 and December 31, 2012 meeting inclusion criteria were reviewed. ResultsIndirect costs were higher in the vaginal hysterectomy group compared to the laparoscopic hysterectomy group (mean cost €3,239.86 vs. €1,371.58; cost increase of €1,868.28; p &lt; .001). Indirect costs due to lost-work-productivity were the most important, represented by 97.7% in the vaginal group and 93.6% in the laparoscopic group. ConclusionAmong women undergoing hysterectomy for benign disease, laparoscopic hysterectomy appears to be superior to vaginal hysterectomy when indirect costs are analyzed in a five-year temporal horizon. Laparoscopic hysterectomy is a good alternative to vaginal hysterectomy when technically feasible as both present comparable advantages. The surgical approach to hysterectomy should be decided in light of the relative benefits and hazards, which will depend on clinical circumstances and surgical expertise.</description><identifier>ISSN: 1086-8089</identifier><identifier>EISSN: 1938-3797</identifier><identifier>DOI: 10.4293/JSLS.2022.00048</identifier><language>eng</language><ispartof>Journal of the Society of Laparoendoscopic Surgeons, 2022-07, Vol.26 (3), p.e2022.00048</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c315t-aa748e17455f661681a8613808f4f0b632e8b5bb7cb7103a84337b17273aa7ef3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Martínez-Maestre, María Ángeles</creatorcontrib><creatorcontrib>Jódar-Sánchez, Francisco</creatorcontrib><creatorcontrib>Calderón-Cabrera, Ana María</creatorcontrib><creatorcontrib>González-Cejudo, Carmen</creatorcontrib><creatorcontrib>Silván-Alfaro, José Manuel</creatorcontrib><creatorcontrib>Melero-Cortés, Lidia María</creatorcontrib><title>Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy</title><title>Journal of the Society of Laparoendoscopic Surgeons</title><description>Background and ObjectivesThe aim of this study was to analyze indirect costs of vaginal and laparoscopic routes for hysterectomy to determine whether this makes a difference in total costs when considering route for surgery. MethodsA five-year observational retrospective cohort study was conducted in an academic tertiary care center. A total of 517 patients scheduled for total laparoscopic hysterectomy (n = 137) and vaginal hysterectomy (n = 380) for benign conditions between January 1, 2008 and December 31, 2012 meeting inclusion criteria were reviewed. ResultsIndirect costs were higher in the vaginal hysterectomy group compared to the laparoscopic hysterectomy group (mean cost €3,239.86 vs. €1,371.58; cost increase of €1,868.28; p &lt; .001). Indirect costs due to lost-work-productivity were the most important, represented by 97.7% in the vaginal group and 93.6% in the laparoscopic group. ConclusionAmong women undergoing hysterectomy for benign disease, laparoscopic hysterectomy appears to be superior to vaginal hysterectomy when indirect costs are analyzed in a five-year temporal horizon. Laparoscopic hysterectomy is a good alternative to vaginal hysterectomy when technically feasible as both present comparable advantages. The surgical approach to hysterectomy should be decided in light of the relative benefits and hazards, which will depend on clinical circumstances and surgical expertise.</description><issn>1086-8089</issn><issn>1938-3797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNotkD1PwzAQhi0EEqUws3pkSeqvxM5YKmiLIjEUmJCsi-u0Rmkc4hSp_x6HMt0Nz71670HonpJUsILPXjblJmWEsZQQItQFmtCCq4TLQl7Gnag8UUQV1-gmhK9IZIxkE_S5stAMewO9xdBu8brdut6aAS98GLCv8bC3uIQOeh-M75zBPyHFH7BzLTR43nW9B7PHrsWPtnW7Fq9OYbBjgj-cbtFVDU2wd_9zit6fn94Wq6R8Xa4X8zIxnGZDAiCFslSKLKvznOaKgsopj21rUZMq58yqKqsqaSpJCQclOJcVlUzyeGprPkUP59zY5vtow6APLhjbNNBafwyaScaFyhhXEZ2dURMfCr2tdde7A_QnTYkePerRox496j-P_BeXs2Ud</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Martínez-Maestre, María Ángeles</creator><creator>Jódar-Sánchez, Francisco</creator><creator>Calderón-Cabrera, Ana María</creator><creator>González-Cejudo, Carmen</creator><creator>Silván-Alfaro, José Manuel</creator><creator>Melero-Cortés, Lidia María</creator><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20220701</creationdate><title>Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy</title><author>Martínez-Maestre, María Ángeles ; Jódar-Sánchez, Francisco ; Calderón-Cabrera, Ana María ; González-Cejudo, Carmen ; Silván-Alfaro, José Manuel ; Melero-Cortés, Lidia María</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-aa748e17455f661681a8613808f4f0b632e8b5bb7cb7103a84337b17273aa7ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martínez-Maestre, María Ángeles</creatorcontrib><creatorcontrib>Jódar-Sánchez, Francisco</creatorcontrib><creatorcontrib>Calderón-Cabrera, Ana María</creatorcontrib><creatorcontrib>González-Cejudo, Carmen</creatorcontrib><creatorcontrib>Silván-Alfaro, José Manuel</creatorcontrib><creatorcontrib>Melero-Cortés, Lidia María</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Society of Laparoendoscopic Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martínez-Maestre, María Ángeles</au><au>Jódar-Sánchez, Francisco</au><au>Calderón-Cabrera, Ana María</au><au>González-Cejudo, Carmen</au><au>Silván-Alfaro, José Manuel</au><au>Melero-Cortés, Lidia María</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy</atitle><jtitle>Journal of the Society of Laparoendoscopic Surgeons</jtitle><date>2022-07-01</date><risdate>2022</risdate><volume>26</volume><issue>3</issue><spage>e2022.00048</spage><pages>e2022.00048-</pages><issn>1086-8089</issn><eissn>1938-3797</eissn><abstract>Background and ObjectivesThe aim of this study was to analyze indirect costs of vaginal and laparoscopic routes for hysterectomy to determine whether this makes a difference in total costs when considering route for surgery. MethodsA five-year observational retrospective cohort study was conducted in an academic tertiary care center. A total of 517 patients scheduled for total laparoscopic hysterectomy (n = 137) and vaginal hysterectomy (n = 380) for benign conditions between January 1, 2008 and December 31, 2012 meeting inclusion criteria were reviewed. ResultsIndirect costs were higher in the vaginal hysterectomy group compared to the laparoscopic hysterectomy group (mean cost €3,239.86 vs. €1,371.58; cost increase of €1,868.28; p &lt; .001). Indirect costs due to lost-work-productivity were the most important, represented by 97.7% in the vaginal group and 93.6% in the laparoscopic group. ConclusionAmong women undergoing hysterectomy for benign disease, laparoscopic hysterectomy appears to be superior to vaginal hysterectomy when indirect costs are analyzed in a five-year temporal horizon. Laparoscopic hysterectomy is a good alternative to vaginal hysterectomy when technically feasible as both present comparable advantages. The surgical approach to hysterectomy should be decided in light of the relative benefits and hazards, which will depend on clinical circumstances and surgical expertise.</abstract><doi>10.4293/JSLS.2022.00048</doi><oa>free_for_read</oa></addata></record>
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title Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy
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