Dysfunctional uterine bleeding cost-effectiveness of therapy
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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.