Hospital-Associated Cost of Endometriosis in Canada: A Population-Based Study

Innie Chen, Kednapa Thavorn, Paul J Yong, Choudhry AJ, Abdul Jamil Choudhry, Catherine Allaire, Allaire C
Journal of minimally invasive gynecology · 2019 · vol. 27(5) , pp. 1178–1187 · doi:10.1016/j.jmig.2019.09.771 · PMID:31521859 · W2973082303
article OA: closed CC0 ⤵ 16 in-corpus citations
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This population-based study examined the hospital-associated costs of endometriosis in Canada, quantifying the economic burden of the disease within the Canadian healthcare system.

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Abstract

Study objectiveTo describe the hospital-associated cost of endometriosis in Canada from April 2008 to March 2013.DesignPopulation-based descriptive study.SettingCanada, with the exception of the province of Quebec.PatientsAll women aged 15 to 59 years discharged with endometriosis between April 2008 and March 2013.InterventionsNone.Measurements and main resultsOver 5 years, 47 021 women were admitted for endometriosis, resulting in a total hospital cost of Canadian dollars (CaD) $152.21 million (US dollars [US $] 147.79 million) and per-case cost of CaD $3237 (US $3143). Uterine endometriosis accounted for 28.29% of cases, ovarian endometriosis 27.44%, and other endometriosis 44.27%. Cost for uterine endometriosis was the highest at CaD $4137 (US $4017) per case, followed by ovarian endometriosis (CaD $3506; US $3404) and other endometriosis (CaD $2495; US $2422). The highest number of cases were in the groups aged 35 to 39 years (20.77%) and 40 to 44 years (20.44%). Hysterectomy accounted for 29.57% of surgical procedures. Encounters with hysterectomy were the costliest at CaD $5062 (US $4915) per case, followed by the ones with other surgical procedures at CaD $2477 (US $2405) per case, and admissions with no surgical procedure at CaD $2164 (US $2101) per case.ConclusionThe hospital cost associated with endometriosis was approximately CaD $30 million (US $29.56 million) per year, whereas uterine endometriosis, hysterectomy, and older age were found to have a higher average cost per case. Although this study focuses specifically on hospital admission and does not account for outpatient costs or indirect costs, it nonetheless highlights the economic burden of this debilitating disease on Canadian society during the study period.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Hospital Costs Adolescent Adult Canada Canada Endometriosis Endometriosis Female Hospital Costs Hospitalization Hospitalization Hospitalization Humans Hysterectomy Hysterectomy Hysterectomy Hysterectomy Intestinal Diseases

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