Health Economic Burden of Deep Infiltrating Endometriosis Surgically Treated in a Referral Center

Katharina C. Koltermann, U Thiel-Moder, Stefan N. Willich, Thomas Reinhold, Andreas D. Ebert
In: Journal of Endometriosis and Pelvic Pain Disorders · 2016 · vol. 8(2) , pp. 46–54 · doi:10.5301/je.5000238 · W2511185975
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study analyzed 148 cases of surgically treated deep infiltrating endometriosis in Germany, finding substantial direct inpatient costs averaging €11,458, primarily driven by staff, infrastructure, and material expenses.

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Abstract

Purpose This retrospective study aimed to describe patient characteristics of women with deep infiltrating endometriosis [DIE] affecting the bowel and bladder treated in a referral center in Germany, and to calculate direct costs during inpatient stay for surgery. Methods Patient characteristics and cost-relevant factors of women with DIE of the bladder or bowel surgically treated during 2008-2012 in a referral center were gathered from medical records. Patient economic data were retrieved from the hospital's finance and accounts department. Results One hundred and forty-eight cases with clinical information and cost data were analyzed retrospectively. Most cases had bowel endometriosis (91%) and were classified as severe (66%). The women analyzed were in their reproductive peak years (34 years; SD 6.3 years), of normal weight (body mass index [BMI] 23; SD 4.0) and most of them were employed (80%). Nearly all women (95%) were affected by multiple symptoms at hospital admission and the majority had a prior diagnosis of endometriosis (76%). Mean total costs per case were €11,458 (95% CI: €10,589-€12,326). Forty-four percent of the total costs were mean staff costs (€5,039), 30% were mean infrastructure costs (€3,425) and 26% mean material costs (€2,993). Conclusions This study is the first to estimate the surgery-related direct costs of DIE in Germany from a hospital's perspective based on data from a specialized center. Resource utilization and total costs of DIE are substantial.

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Condition tags

endometriosisdie_deep_infiltratingbowel_endometriosis

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