The cost-effectiveness of total laparoscopic hysterectomy compared to total abdominal hysterectomy for the treatment of early stage endometrial cancer

N Graves; M Janda; Katharina Merollini; V Gebski; A Obermair

doi:10.1136/bmjopen-2012-001884

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The cost-effectiveness of total laparoscopic hysterectomy compared to total abdominal hysterectomy for the treatment of early stage endometrial cancer

Journal article

Open access

Peer reviewed

The cost-effectiveness of total laparoscopic hysterectomy compared to total abdominal hysterectomy for the treatment of early stage endometrial cancer

N Graves, M Janda, Katharina Merollini, V Gebski and A Obermair

BMJ Open, Vol.3(4), e001884

2013

DOI: https://doi.org/10.1136/bmjopen-2012-001884

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Abstract

Objective: To summarise how costs and health benefits will change with the adoption of total laparoscopic hysterectomy compared to total abdominal hysterectomy for the treatment of early stage endometrial cancer. Design: Cost-effectiveness modelling using the information from a randomised controlled trial. Participants: Two hypothetical modelled cohorts of 1000 individuals undergoing total laparoscopic hysterectomy and total abdominal hysterectomy. Outcome measures: Surgery costs; hospital bed days used; total healthcare costs; quality-adjusted life years; and net monetary benefits. Results: For 1000 individuals receiving total laparoscopic hysterectomy surgery, the costs were 509 575 higher, 3548 hospital fewer bed days were used and total health services costs were reduced by 3 746 221. There were 39.13 more quality-adjusted life years for a 5 year period following surgery. Conclusions: The adoption of total laparoscopic hysterectomy is almost certainly a good decision for health services policy makers. There is 100% probability that it will be cost saving to health services, a 86.8% probability that it will increase health benefits and a 99.5% chance that it returns net monetary benefits greater than zero.

Details

Title: The cost-effectiveness of total laparoscopic hysterectomy compared to total abdominal hysterectomy for the treatment of early stage endometrial cancer
Authors: N Graves (Author) - Queensland University of Technology
M Janda (Author) - Queensland University of Technology
Katharina Merollini (Author) - Queensland University of Technology
V Gebski (Author) - University of Sydney
A Obermair (Author) - Royal Brisbane and Women's Hospital
Publication details: BMJ Open, Vol.3(4), e001884
Publisher: B M J Group
Date published: 2013
DOI: 10.1136/bmjopen-2012-001884
ISSN: 2044-6055
Copyright note: Copyright © 2013 The Authors. This final article is availablefor use under the terms of the Creative Commons Attribution Non-Commercial 2.0 Licence; see http://bmjopen.bmj.com
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99451175602621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Obstetrics & Gynecology

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