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Comparison of health care costs for open Burch colposuspension, laparoscopic colposuspension and tension-free vaginal tape in the treatment of female urinary incontinence.
Neurourol Urodyn. 2007; 26(6):761-6.NU

Abstract

AIMS

To compare direct health care costs of treatment for stress urinary incontinence in Sweden with four different procedures: (i) open Burch colposuspension (OBC); (ii) laparoscopic colposuspension with sutures (LCS); (iii) laparoscopic colposuspension with mesh and staples (LCM), and (iv) Tension-free Vaginal Tape (TVT).

MATERIAL AND METHODS

A model was constructed representing a hospital with standardized surgical equipment, staff and average unit costs in 2003 Euros. The time used for anesthesia and surgery was calculated. Clinical data was collected from three different sources, a multicenter, randomized, prospective study comparing OBC with LCM with 1 year follow-up, a three-armed, prospective study where women were randomized to either OBC, LCM, or LCS with 1 year follow-up and a descriptive study reporting results of TVT with 5 year follow-up. Data collected from the studies and hospital cost data were put into the model to create the different cost elements.

RESULTS

The total cost per individual, showed a lower cost for TVT compared to the other alternatives. The direct costs for a TVT, euro1,366 were only 56% of the costs for an OBC, euro2,431 (P < 0.001) and 59% of the costs for a LCS, euro2,310 (P < 0.001).

CONCLUSIONS

When using a model and comparing health care costs for surgical treatment of female stress urinary incontinence in Sweden, the TVT procedure generated a lower direct cost than both open and laparoscopic colposuspension.

Authors+Show Affiliations

Ankardal M
Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Göteborg Sweden. maud.ankardal@obgyn.gu.se
Järbrink K
No affiliation info available
Milsom I
No affiliation info available
Heiwall B
No affiliation info available
Lausten-Thomsen N
No affiliation info available
Ellström-Engh M
No affiliation info available

MeSH

Clinical Trials as TopicColposcopyCost of IllnessFemaleHumansLaparoscopyPostoperative PeriodSuburethral SlingsSwedenUrinary Incontinence, StressUrogenital Surgical Procedures

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17610271

Citation

Ankardal, Maud, et al. "Comparison of Health Care Costs for Open Burch Colposuspension, Laparoscopic Colposuspension and Tension-free Vaginal Tape in the Treatment of Female Urinary Incontinence." Neurourology and Urodynamics, vol. 26, no. 6, 2007, pp. 761-6.
Ankardal M, Järbrink K, Milsom I, et al. Comparison of health care costs for open Burch colposuspension, laparoscopic colposuspension and tension-free vaginal tape in the treatment of female urinary incontinence. Neurourol Urodyn. 2007;26(6):761-6.
Ankardal, M., Järbrink, K., Milsom, I., Heiwall, B., Lausten-Thomsen, N., & Ellström-Engh, M. (2007). Comparison of health care costs for open Burch colposuspension, laparoscopic colposuspension and tension-free vaginal tape in the treatment of female urinary incontinence. Neurourology and Urodynamics, 26(6), 761-6.
Ankardal M, et al. Comparison of Health Care Costs for Open Burch Colposuspension, Laparoscopic Colposuspension and Tension-free Vaginal Tape in the Treatment of Female Urinary Incontinence. Neurourol Urodyn. 2007;26(6):761-6. PubMed PMID: 17610271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of health care costs for open Burch colposuspension, laparoscopic colposuspension and tension-free vaginal tape in the treatment of female urinary incontinence. AU - Ankardal,Maud, AU - Järbrink,Krister, AU - Milsom,Ian, AU - Heiwall,Bengt, AU - Lausten-Thomsen,Niels, AU - Ellström-Engh,Marie, PY - 2007/7/5/pubmed PY - 2008/2/7/medline PY - 2007/7/5/entrez SP - 761 EP - 6 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 26 IS - 6 N2 - AIMS: To compare direct health care costs of treatment for stress urinary incontinence in Sweden with four different procedures: (i) open Burch colposuspension (OBC); (ii) laparoscopic colposuspension with sutures (LCS); (iii) laparoscopic colposuspension with mesh and staples (LCM), and (iv) Tension-free Vaginal Tape (TVT). MATERIAL AND METHODS: A model was constructed representing a hospital with standardized surgical equipment, staff and average unit costs in 2003 Euros. The time used for anesthesia and surgery was calculated. Clinical data was collected from three different sources, a multicenter, randomized, prospective study comparing OBC with LCM with 1 year follow-up, a three-armed, prospective study where women were randomized to either OBC, LCM, or LCS with 1 year follow-up and a descriptive study reporting results of TVT with 5 year follow-up. Data collected from the studies and hospital cost data were put into the model to create the different cost elements. RESULTS: The total cost per individual, showed a lower cost for TVT compared to the other alternatives. The direct costs for a TVT, euro1,366 were only 56% of the costs for an OBC, euro2,431 (P < 0.001) and 59% of the costs for a LCS, euro2,310 (P < 0.001). CONCLUSIONS: When using a model and comparing health care costs for surgical treatment of female stress urinary incontinence in Sweden, the TVT procedure generated a lower direct cost than both open and laparoscopic colposuspension. SN - 0733-2467 UR - https://www.unboundmedicine.com/medline/citation/17610271/Comparison_of_health_care_costs_for_open_Burch_colposuspension_laparoscopic_colposuspension_and_tension_free_vaginal_tape_in_the_treatment_of_female_urinary_incontinence_ L2 - https://doi.org/10.1002/nau.20417 DB - PRIME DP - Unbound Medicine ER -