An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy
Background. Laparoscopy has generally replaced open surgery in the treatment of ectopic pregnancy. This study assesses the impact of the introduction of laparoscopy in the surgical treatment of tubal pregnancy on costs. Methods. Consecutive patients undergoing primary surgery for tubal pregnancy bet...
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| Format: | Article |
| Language: | English |
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Wiley
1997-06-01
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| Series: | Acta Obstetricia et Gynecologica Scandinavica |
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| Online Access: | https://doi.org/10.3109/00016349709024591 |
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| author | Ben W.J Mol Petra J. Hajenius Simone Engelsbel Willem M. Ankum Fulco Van derVeen Douwe J. Hemrika Patrick M.M. Bossuyt |
| author_facet | Ben W.J Mol Petra J. Hajenius Simone Engelsbel Willem M. Ankum Fulco Van derVeen Douwe J. Hemrika Patrick M.M. Bossuyt |
| author_sort | Ben W.J Mol |
| collection | DOAJ |
| description | Background. Laparoscopy has generally replaced open surgery in the treatment of ectopic pregnancy. This study assesses the impact of the introduction of laparoscopy in the surgical treatment of tubal pregnancy on costs. Methods. Consecutive patients undergoing primary surgery for tubal pregnancy between January 1992 and December 1995 were included in the study. Surgery was performed laparo‐scopically or by open surgery. Cost for each treatment was calculated by multiplying resources used with calculated resource unit prices. The analysis was stratified for radical and conservative surgery. Results. Data of 255 patients were analysed. Tubal pregnancy was successfully treated in all patients. Costs per patient were US$ 3,490 for radical open surgery, US$ 1,872 for radical laparoscopic surgery, US$ 3,420 for conservative open surgery and US$ 2,125 for conservative laparoscopic surgery. Differences in costs were caused by a decreased duration of hospital stay after laparoscopy, and, in case of conservative surgery, by an increased persistent tropho‐blast rate after laparoscopy. Conclusions. Laparoscopy is equally effective as open surgery in the treatment of tubal pregnancy, and considerably reduces costs |
| format | Article |
| id | doaj-art-425f81c68fe641f3b697aecbe88ee4be |
| institution | Kabale University |
| issn | 0001-6349 1600-0412 |
| language | English |
| publishDate | 1997-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acta Obstetricia et Gynecologica Scandinavica |
| spelling | doaj-art-425f81c68fe641f3b697aecbe88ee4be2025-08-20T03:29:10ZengWileyActa Obstetricia et Gynecologica Scandinavica0001-63491600-04121997-06-0176659660010.3109/00016349709024591An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancyBen W.J Mol0Petra J. Hajenius1Simone Engelsbel2Willem M. Ankum3Fulco Van derVeen4Douwe J. Hemrika5Patrick M.M. Bossuyt6Departments of Clinical Epidemiology and Biostatistics, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Obstetrics and Gynecology, Academic Medical Center, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The NetherlandsDepartment of Obstetrics and Gynecology, Academic Medical Center, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Obstetrics and Gynecology, Academic Medical Center, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The NetherlandsDepartments of Clinical Epidemiology and Biostatistics, University of Amsterdam, Amsterdam, The NetherlandsBackground. Laparoscopy has generally replaced open surgery in the treatment of ectopic pregnancy. This study assesses the impact of the introduction of laparoscopy in the surgical treatment of tubal pregnancy on costs. Methods. Consecutive patients undergoing primary surgery for tubal pregnancy between January 1992 and December 1995 were included in the study. Surgery was performed laparo‐scopically or by open surgery. Cost for each treatment was calculated by multiplying resources used with calculated resource unit prices. The analysis was stratified for radical and conservative surgery. Results. Data of 255 patients were analysed. Tubal pregnancy was successfully treated in all patients. Costs per patient were US$ 3,490 for radical open surgery, US$ 1,872 for radical laparoscopic surgery, US$ 3,420 for conservative open surgery and US$ 2,125 for conservative laparoscopic surgery. Differences in costs were caused by a decreased duration of hospital stay after laparoscopy, and, in case of conservative surgery, by an increased persistent tropho‐blast rate after laparoscopy. Conclusions. Laparoscopy is equally effective as open surgery in the treatment of tubal pregnancy, and considerably reduces costshttps://doi.org/10.3109/00016349709024591conservative surgeryeconomic evaluationlaparoscopyopen surgeryradical surgeryLubal pregnancy |
| spellingShingle | Ben W.J Mol Petra J. Hajenius Simone Engelsbel Willem M. Ankum Fulco Van derVeen Douwe J. Hemrika Patrick M.M. Bossuyt An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy Acta Obstetricia et Gynecologica Scandinavica conservative surgery economic evaluation laparoscopy open surgery radical surgery Lubal pregnancy |
| title | An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy |
| title_full | An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy |
| title_fullStr | An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy |
| title_full_unstemmed | An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy |
| title_short | An economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy |
| title_sort | economic evaluation of laparoscopy and open surgery in the treatment of tubal pregnancy |
| topic | conservative surgery economic evaluation laparoscopy open surgery radical surgery Lubal pregnancy |
| url | https://doi.org/10.3109/00016349709024591 |
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