Dysfunctional uterine bleeding cost-effectiveness of therapy: Difference between revisions
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==Overview== | ==Overview== | ||
Women are subjected to increased financial burden to treat underlying abnormal uterine bleeding. Annually, they loose USD $2000 on account of work absences. Hormonal medications range from USD $172 for contraceptive pills, USD $930 for levonorgestrel IUD and upwards of USD $30,000 for hysterectomies. | |||
==Cost-effectiveness of Therapy== | ==Cost-effectiveness of Therapy== | ||
Cost related to the treatment of abnormal uterine bleeding depends on the underlying cause. | Cost related to the treatment of abnormal uterine bleeding depends on the underlying cause. Studies show that women in the United States have lost more than USD $2000 annually due cyclical pain and resultant work absences. The annual cost of fibroids was calculated to be USD $4.1-$9.4 billion.<ref name="pmid26803558">{{cite journal| author=Whitaker L, Critchley HO| title=Abnormal uterine bleeding. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2016 | volume= 34 | issue= | pages= 54-65 | pmid=26803558 | doi=10.1016/j.bpobgyn.2015.11.012 | pmc=4970656 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26803558 }}</ref> | ||
{| class="wikitable" | |||
|+Treatment Costs for Dysfunctional Uterine Bleeding | |||
!Treatment modality | |||
!Cost-effectiveness | |||
|- | |||
|Contraceptive Pill<ref name="pmid66714792">{{cite journal| author=Torres A, Forrest JD| title=The costs of contraception. | journal=Fam Plann Perspect | year= 1983 | volume= 15 | issue= 2 | pages= 70-2 | pmid=6671479 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6671479 }}</ref> | |||
|USD $172 | |||
|- | |||
|Levonorgestrel IUD <ref name="pmid19041435">{{cite journal| author=Trussell J, Lalla AM, Doan QV, Reyes E, Pinto L, Gricar J| title=Cost effectiveness of contraceptives in the United States. | journal=Contraception | year= 2009 | volume= 79 | issue= 1 | pages= 5-14 | pmid=19041435 | doi=10.1016/j.contraception.2008.08.003 | pmc=3638200 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19041435 }}</ref> | |||
|USD $930; Copper-T IUD is a cheaper IUD but would exacerbate vaginal bleeding and is not recommended (USD $647) | |||
|- | |||
|Abdominal Hysterectomies <ref name="pmid23484557">{{cite journal| author=Wright KN, Jonsdottir GM, Jorgensen S, Shah N, Einarsson JI| title=Costs and outcomes of abdominal, vaginal, laparoscopic and robotic hysterectomies. | journal=JSLS | year= 2012 | volume= 16 | issue= 4 | pages= 519-24 | pmid=23484557 | doi=10.4293/108680812X13462882736736 | pmc=3558885 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23484557 }}</ref> | |||
|USD $43,622; costs vary depending on operative time, and length of stay | |||
|- | |||
|Vaginal Hysterectomies <ref name="pmid23484557" /> | |||
|USD $31,934; costs vary depending on operative time, and length of stay | |||
|- | |||
|Laparoscopic Hysterectomies <ref name="pmid23484557" /> | |||
|USD $38,312; costs vary depending on operative time, and length of stay | |||
|- | |||
|Robotic Hysterectomies <ref name="pmid23484557" /> | |||
|USD $49,526; costs vary depending on operative time, and length of stay | |||
|} | |||
==References== | ==References== | ||
Revision as of 08:38, 14 March 2022
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Differentiating Dysfunctional uterine bleeding from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz
Overview
Women are subjected to increased financial burden to treat underlying abnormal uterine bleeding. Annually, they loose USD $2000 on account of work absences. Hormonal medications range from USD $172 for contraceptive pills, USD $930 for levonorgestrel IUD and upwards of USD $30,000 for hysterectomies.
Cost-effectiveness of Therapy
Cost related to the treatment of abnormal uterine bleeding depends on the underlying cause. Studies show that women in the United States have lost more than USD $2000 annually due cyclical pain and resultant work absences. The annual cost of fibroids was calculated to be USD $4.1-$9.4 billion.[1]
| Treatment modality | Cost-effectiveness |
|---|---|
| Contraceptive Pill[2] | USD $172 |
| Levonorgestrel IUD [3] | USD $930; Copper-T IUD is a cheaper IUD but would exacerbate vaginal bleeding and is not recommended (USD $647) |
| Abdominal Hysterectomies [4] | USD $43,622; costs vary depending on operative time, and length of stay |
| Vaginal Hysterectomies [4] | USD $31,934; costs vary depending on operative time, and length of stay |
| Laparoscopic Hysterectomies [4] | USD $38,312; costs vary depending on operative time, and length of stay |
| Robotic Hysterectomies [4] | USD $49,526; costs vary depending on operative time, and length of stay |
References
- ↑ Whitaker L, Critchley HO (2016). "Abnormal uterine bleeding". Best Pract Res Clin Obstet Gynaecol. 34 ( ): 54–65. doi:10.1016/j.bpobgyn.2015.11.012. PMC 4970656. PMID 26803558.
- ↑ Torres A, Forrest JD (1983). "The costs of contraception". Fam Plann Perspect. 15 (2): 70–2. PMID 6671479.
- ↑ Trussell J, Lalla AM, Doan QV, Reyes E, Pinto L, Gricar J (2009). "Cost effectiveness of contraceptives in the United States". Contraception. 79 (1): 5–14. doi:10.1016/j.contraception.2008.08.003. PMC 3638200. PMID 19041435.
- ↑ 4.0 4.1 4.2 4.3 Wright KN, Jonsdottir GM, Jorgensen S, Shah N, Einarsson JI (2012). "Costs and outcomes of abdominal, vaginal, laparoscopic and robotic hysterectomies". JSLS. 16 (4): 519–24. doi:10.4293/108680812X13462882736736. PMC 3558885. PMID 23484557.