Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study
We aimed to determine the surgical output for patients from Nunavik undergoing transfer to an urban centre for hysteroscopy, and associated costs. We performed a retrospective chart review of all patients from the 14 villages of Nunavik transferred for hysteroscopic surgery from 2016 to 2021. Diagno...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Circumpolar Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/22423982.2024.2359162 |
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| author | Andrew Zakhari Dong Bach Nguyen Jessica Papillon Smith Fady W. Mansour Srinivasan Krishnamurthy |
| author_facet | Andrew Zakhari Dong Bach Nguyen Jessica Papillon Smith Fady W. Mansour Srinivasan Krishnamurthy |
| author_sort | Andrew Zakhari |
| collection | DOAJ |
| description | We aimed to determine the surgical output for patients from Nunavik undergoing transfer to an urban centre for hysteroscopy, and associated costs. We performed a retrospective chart review of all patients from the 14 villages of Nunavik transferred for hysteroscopic surgery from 2016 to 2021. Diagnoses, surgical intervention, and nature of the procedure were all extracted from the patient charts, and costs/length of stay obtained from logisticians and administrators servicing the Nunavik region. Over a 5-year period, 22 patients were transferred from Nunavik for hysteroscopy, of which all were elective save one. The most common diagnosis was endometrial or cervical polyp and the most common procedure was diagnostic hysteroscopy. The average cost for patient transfer and lodging to undergo hysteroscopy in Montreal ranged from $6,000 to $15,000 CDN. On average, 4–5 patient transfers occur annually for hysteroscopy, most commonly for management of endometrial polyps, at a cost of $6,000 to $15,000 CDN, suggesting the need to investigate local capacity building in Nunavik and assess cost-effectiveness. |
| format | Article |
| id | doaj-art-12ca30644c2b4b569743153f40c3bb67 |
| institution | DOAJ |
| issn | 2242-3982 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Circumpolar Health |
| spelling | doaj-art-12ca30644c2b4b569743153f40c3bb672025-08-20T02:49:06ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822024-12-0183110.1080/22423982.2024.2359162Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort studyAndrew Zakhari0Dong Bach Nguyen1Jessica Papillon Smith2Fady W. Mansour3Srinivasan Krishnamurthy4Department of Obstetrics and Gynecology, Royal Victoria Hospital – Glen Site, McGill University Health Center (MUHC), Montreal CanadaDepartment of Obstetrics and Gynecology, Royal Victoria Hospital – Glen Site, McGill University Health Center (MUHC), Montreal CanadaDepartment of Obstetrics and Gynecology, Royal Victoria Hospital – Glen Site, McGill University Health Center (MUHC), Montreal CanadaDepartment of Obstetrics and Gynecology, Royal Victoria Hospital – Glen Site, McGill University Health Center (MUHC), Montreal CanadaDepartment of Obstetrics and Gynecology, Royal Victoria Hospital – Glen Site, McGill University Health Center (MUHC), Montreal CanadaWe aimed to determine the surgical output for patients from Nunavik undergoing transfer to an urban centre for hysteroscopy, and associated costs. We performed a retrospective chart review of all patients from the 14 villages of Nunavik transferred for hysteroscopic surgery from 2016 to 2021. Diagnoses, surgical intervention, and nature of the procedure were all extracted from the patient charts, and costs/length of stay obtained from logisticians and administrators servicing the Nunavik region. Over a 5-year period, 22 patients were transferred from Nunavik for hysteroscopy, of which all were elective save one. The most common diagnosis was endometrial or cervical polyp and the most common procedure was diagnostic hysteroscopy. The average cost for patient transfer and lodging to undergo hysteroscopy in Montreal ranged from $6,000 to $15,000 CDN. On average, 4–5 patient transfers occur annually for hysteroscopy, most commonly for management of endometrial polyps, at a cost of $6,000 to $15,000 CDN, suggesting the need to investigate local capacity building in Nunavik and assess cost-effectiveness.https://www.tandfonline.com/doi/10.1080/22423982.2024.2359162Global healthhysteroscopyrural health servicesindigenous health servicescost evaluation |
| spellingShingle | Andrew Zakhari Dong Bach Nguyen Jessica Papillon Smith Fady W. Mansour Srinivasan Krishnamurthy Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study International Journal of Circumpolar Health Global health hysteroscopy rural health services indigenous health services cost evaluation |
| title | Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study |
| title_full | Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study |
| title_fullStr | Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study |
| title_full_unstemmed | Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study |
| title_short | Hysteroscopy needs of indigenous communities in Northern Quebec: a retrospective cohort study |
| title_sort | hysteroscopy needs of indigenous communities in northern quebec a retrospective cohort study |
| topic | Global health hysteroscopy rural health services indigenous health services cost evaluation |
| url | https://www.tandfonline.com/doi/10.1080/22423982.2024.2359162 |
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