Laparoscopic hysterectomy is not cost effective compared with vaginal hysterectomy - 24/08/11
Abstract |
Question |
What is the cost effectiveness of laparoscopic hysterectomy compared with conventional (vaginal or abdominal) hysterectomy?
Study design |
Two parallel multicentre randomised controlled trials.
Main results Vaginal hysterectomy: |
Laparoscopic hysterectomy was significantly more expensive than vaginal hysterectomy, however there were no differences in quality adjusted life years (QALYs; see Table 1).
Abdominal hysterectomy: |
There were no significant differences between abdominal and laparoscopic hysterectomy for cost or QALYs. For each additional QALY, laparoscopic hysterectomy was estimated to cost £267,333 more than vaginal hysterectomy, and £26,571 more than abdominal hysterectomy.
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Authors’ conclusions |
Laparoscopic hysterectomy does not offer any cost-effectiveness benefit over vaginal hysterectomy. Laparoscopic hysterectomy was similarly cost effective to abdominal hysterectomy.
Le texte complet de cet article est disponible en PDF.Keywords : Hysterectomy, Laparoscopy, Quality of life, Cost-benefit analysis, Hospital costs, Randomised controlled trial
Plan
 | Abstracted from: Sculpher M, Manca A, Abbott J et al. Cost effectiveness analysis of laparoscopic hysterectomy compared with standard hysterectomy: results from a randomised trial. BMJ 2004; 328: 134–137. |
Vol 8 - N° 4
P. 197-199 - août 2004 Retour au numéro
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