The cost of out-patient culdoscopy compared to in-patient laparoscopy in women with infertility

Amena Khouri, Adam Magos
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2005 · vol. 25(2) , pp. 160–165 · doi:10.1080/01443610500051551 · PMID:15814396 · W2010162767
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Out-patient culdoscopy under local anesthesia for infertile women resulted in significant cost savings for the healthcare system compared to in-patient laparoscopy.

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Abstract

Diagnostic laparoscopy is a common procedure performed in many hospitals worldwide to investigate infertile women. However, morbidity and cost prevent it being considered a first-line diagnostic tool. If out-patient culdoscopy could replace in-patient laparoscopy then a major component of the cost of investigations could be avoided. We studied ten consecutive infertile patients who had laparoscopy under general anaesthesia and another ten patients who had culdoscopy under local anaesthesia in The One Stop Fertility Clinic (OSFC) in The Royal Free Hospital in London. The costs for each patient from both groups was calculated and compared. We found that out-patient investigation in an OSFC produced a saving of over 350 pounds sterling per case or 28% to the hospital compared with in-patient investigation. Although there were other factors which may influence the costs of out-patient culdoscopy, it did provide noticeable savings to the healthcare system.

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Condition tags

infertility

MeSH descriptors

Culdoscopy Hospitalization Infertility, Female Laparoscopy Outpatient Clinics, Hospital Adult Culdoscopy Culdoscopy Female Hospital Costs Hospitalization Hospitals, Public Humans Infertility, Female Laparoscopy Laparoscopy London Medical Records Outpatient Clinics, Hospital Outpatient Clinics, Hospital

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