OBJECTIVE: The study objective was to compare total costs for hospital stay and postoperative recovery for 2 groups of women who underwentfast-track abdominal benign hysterectomy: 1 group under general anesthesia; 1 group under spinal anesthesia. Costs were evaluated in relation to health-related quality of life. STUDY DESIGN: Costs of treatment were analyzed retrospectively with data from a randomized multicenter study at 5 hospitals in Sweden. Of 180 women who were scheduled for benign abdominal hysterectomy, 162 women were assigned randomly for the study: 80 women allocated to general anesthesia and 82 women to spinal anesthesia. RESULTS:Total costs (hospital costs plus cost-reduced productivity costs) were lower for the spinal anesthesia group. Women who had spinal anesthesia had a faster recovery that was measured by health-related quality of life and quality adjusted life-years gained in postoperative month 1. CONCLUSION: The use of spinal anesthesia for fast-track benign abdominal hysterectomy was more cost-effective than general anesthesia.
RCT Entities:
OBJECTIVE: The study objective was to compare total costs for hospital stay and postoperative recovery for 2 groups of women who underwent fast-track abdominal benign hysterectomy: 1 group under general anesthesia; 1 group under spinal anesthesia. Costs were evaluated in relation to health-related quality of life. STUDY DESIGN: Costs of treatment were analyzed retrospectively with data from a randomized multicenter study at 5 hospitals in Sweden. Of 180 women who were scheduled for benign abdominal hysterectomy, 162 women were assigned randomly for the study: 80 women allocated to general anesthesia and 82 women to spinal anesthesia. RESULTS: Total costs (hospital costs plus cost-reduced productivity costs) were lower for the spinal anesthesia group. Women who had spinal anesthesia had a faster recovery that was measured by health-related quality of life and quality adjusted life-years gained in postoperative month 1. CONCLUSION: The use of spinal anesthesia for fast-track benign abdominal hysterectomy was more cost-effective than general anesthesia.
Authors: Manzoor Ahmad Dar; Sajad Ahmad Malik; Yaser Ahmed Dar; Prince Muzafer Wani; Mohammad Saleem Wani; Arif Hamid; Abdul Rouf Khawaja; Khalid Parvez Sofi Journal: Urol Ann Date: 2021-07-14
Authors: Quincy K Tran; Natalie M Mark; Lia I Losonczy; Michael T McCurdy; James H Lantry; Marc E Augustin; Lovely N Colas; Richard Skupski; Arthur S Toth; Bhavesh M Patel; Donald F Zimmer; Rebecca Tracy; Mark Walsh Journal: Heliyon Date: 2020-06-18