Quality of life, health care utilization, and costs among women undergoing hysterectomy in a managed-care setting

S K van den Eeden, Van Den Eeden SK, Stephen K. Van Den Eeden, Mark Glasser, M Glasser, Glasser M, Susan D. Mathias, Mathias SD, S D Mathias, Colwell HH, H H Colwell, Hilary H. Colwell, D J Pasta, David J. Pasta, Kunz K, K Kunz, Kimberly Kunz
American journal of obstetrics and gynecology · 1998 · vol. 178(1) , pp. 91–100 · doi:10.1016/s0002-9378(98)70633-7 · PMID:9465810 · W2092194305
article OA: closed CC0 ⤵ 4 in-corpus citations
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This study examined quality of life, healthcare usage, and costs for women undergoing hysterectomy within a managed-care system.

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Abstract

ObjectiveWe compared quality of life, utilization, and costs for women undergoing elective abdominal, laparoscopically assisted vaginal, or vaginal hysterectomy within a managed-care organization.Study designA prospective study of 287 women who underwent an elective hysterectomy was performed.ResultsPatients undergoing a vaginal hysterectomy reported returning to normal activity levels sooner and had more favorable quality-of-life scores than did those undergoing laparoscopically assisted vaginal hysterectomy or abdominal hysterectomy. Laparoscopically assisted vaginal hysterectomy was often nearly as favorable as vaginal hysterectomy, particularly at 28 days after the operation, whereas the abdominal hysterectomy group consistently reported the poorest postoperative quality-of-life scores. No significant differences were noted in utilization or costs in the 60-day preoperative period, whereas hospitalization and postoperative costs were highest among the abdominal hysterectomy group and lowest for those undergoing a vaginal hysterectomy.ConclusionsVaginal hysterectomy resulted in better quality-of-life outcomes and lower utilization and costs compared with laparoscopically assisted vaginal or abdominal hysterectomy.

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Condition tags

endometriosis

MeSH descriptors

Hysterectomy Hysterectomy, Vaginal Laparoscopy Managed Care Programs Quality of Life Women's Health Services Adult Cost-Benefit Analysis Educational Status Endometriosis Endometriosis Endometriosis Female Fibroma Fibroma Fibroma Health Care Costs Humans Hysterectomy Hysterectomy

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License: CC0 · commercial use OK