Hospital care pathway of women treated for Bartholin’s gland abscess and budget impact analysis of outpatient management: A national hospital database analysis - 21/03/20
, Solène Schirr-Bonnans a, Claire Cardaillac b, Aurélie Le Thuaut c, Cécile Dert a, Nicolas Mauduit d, Norbert Winer b, e, Thibault Thubert b, eBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Introduction |
Bartholin's gland abscesses cause severe pain and are a source of frequent emergency room visits. The most widespread treatment in France is incision-drainage during hospitalisation. A Word catheter, whose efficiency and safety would be identical, could be used without the need for hospitalisation, thus reducing the costs of Bartholin's gland abscess management.
Design |
Retrospective cohort study.
Setting |
French hospital (PMSI) database 2016-2017.
Population |
3539 women with Bartholin's gland abscess.
Method |
From the PMSI database, we identified the population that was treated for incision-drainage of a Bartholin's gland abscess in 2016. We also looked for secondary hospitalisations occurring within 12 months of initial treatment of Bartholin's gland abscess using 2016 and 2017 PMSI database data.
Main outcome(s) |
The identified population was described in terms of age, hospitalisation, length of stay and readmissions within 12 months and provided a 5-year budget impact analysis of the use of the Word catheter in France from a National Health Insurance perspective.
Results |
In 2016, 3539 women (36 +/- 11.8 years) were hospitalised for 3646 incisions of the major vestibular gland linked to a Bartholin's gland abscess. 11.38 % (403/3,539) underwent at least one new Bartholin's gland procedure during the following year. The use of the Word catheter would allow potential savings over 5 years of €7.4 million.
Conclusion |
The use of the Word catheter could be cost-saving. These results must be validated by a clinical research step evaluating efficiency in the French context, comparing the Word catheter and incision-drainage side-by-side.
Le texte complet de cet article est disponible en PDF.Keywords : Bartholin’s gland abscess, Incision-drainage, Word catheter, Budget impact analysis
Plan
Vol 49 - N° 4
Article 101689- avril 2020 Retour au numéro
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