Cargando…

Costs and mortality rates of surgical approaches to hysterectomy in Brazil

OBJECTIVE: To analyze the costs of hysterectomies performed in Brazil due to benign conditions, and to assess its hospital admittance and mortality rates. METHODS: A retrospective cohort was carried out from January 2010 to December 2014, analyzing all hysterectomies (n = 428,346) registered on the...

Descripción completa

Detalles Bibliográficos
Autores principales: Augusto, Kathiane Lustosa, Brilhante, Aline Veras Morais, Modesto, Gisele Cristine Duarte, Saboia, Dayana Maia, Rocha, Cássia Fernandes Coelho, Karbage, Sara Arcanjo Lino, de Magalhães, Thaís Fontes, Bezerra, Leonardo Robson Pinheiro Sobreira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Faculdade de Saúde Pública da Universidade de São Paulo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257415/
https://www.ncbi.nlm.nih.gov/pubmed/29561962
http://dx.doi.org/10.11606/S1518-8787.2018052000129
_version_ 1783374318955134976
author Augusto, Kathiane Lustosa
Brilhante, Aline Veras Morais
Modesto, Gisele Cristine Duarte
Saboia, Dayana Maia
Rocha, Cássia Fernandes Coelho
Karbage, Sara Arcanjo Lino
de Magalhães, Thaís Fontes
Bezerra, Leonardo Robson Pinheiro Sobreira
author_facet Augusto, Kathiane Lustosa
Brilhante, Aline Veras Morais
Modesto, Gisele Cristine Duarte
Saboia, Dayana Maia
Rocha, Cássia Fernandes Coelho
Karbage, Sara Arcanjo Lino
de Magalhães, Thaís Fontes
Bezerra, Leonardo Robson Pinheiro Sobreira
author_sort Augusto, Kathiane Lustosa
collection PubMed
description OBJECTIVE: To analyze the costs of hysterectomies performed in Brazil due to benign conditions, and to assess its hospital admittance and mortality rates. METHODS: A retrospective cohort was carried out from January 2010 to December 2014, analyzing all hysterectomies (n = 428,346) registered on the DATASUS database between January 2010 and December 2014. Data were collected through a structured questionnaire and analyzed using the SPSS 20.0 for Windows. RESULTS: Hospital admissions were 300,231 for total abdominal hysterectomies, 46,056 for vaginal hysterectomies, 29,959 for subtotal abdominal hysterectomies and 1,522 for laparoscopic hysterectomies. Mortality rates were 0.26%, 0.09%, 0.07% and 0.05% for subtotal, total abdominal, laparoscopic, and vaginal hysterectomies, respectively. Among the procedures studied, total abdominal hysterectomies had the most costs (R$217,802,574.77), followed by vaginal hysterectomies (R$24,173,490.00), subtotal abdominal hysterectomies (R$19.253.300,00) and laparoscopic hysterectomies (R$794,680.40). CONCLUSIONS: Total abdominal hysterectomies had the highest overall costs mainly because it was the most commonly performed technique. Mortality rates were greatest in subtotal abdominal hysterectomies; this, however, may be due to bias related to missing data in our database.
format Online
Article
Text
id pubmed-6257415
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Faculdade de Saúde Pública da Universidade de São Paulo
record_format MEDLINE/PubMed
spelling pubmed-62574152018-11-30 Costs and mortality rates of surgical approaches to hysterectomy in Brazil Augusto, Kathiane Lustosa Brilhante, Aline Veras Morais Modesto, Gisele Cristine Duarte Saboia, Dayana Maia Rocha, Cássia Fernandes Coelho Karbage, Sara Arcanjo Lino de Magalhães, Thaís Fontes Bezerra, Leonardo Robson Pinheiro Sobreira Rev Saude Publica Original Article OBJECTIVE: To analyze the costs of hysterectomies performed in Brazil due to benign conditions, and to assess its hospital admittance and mortality rates. METHODS: A retrospective cohort was carried out from January 2010 to December 2014, analyzing all hysterectomies (n = 428,346) registered on the DATASUS database between January 2010 and December 2014. Data were collected through a structured questionnaire and analyzed using the SPSS 20.0 for Windows. RESULTS: Hospital admissions were 300,231 for total abdominal hysterectomies, 46,056 for vaginal hysterectomies, 29,959 for subtotal abdominal hysterectomies and 1,522 for laparoscopic hysterectomies. Mortality rates were 0.26%, 0.09%, 0.07% and 0.05% for subtotal, total abdominal, laparoscopic, and vaginal hysterectomies, respectively. Among the procedures studied, total abdominal hysterectomies had the most costs (R$217,802,574.77), followed by vaginal hysterectomies (R$24,173,490.00), subtotal abdominal hysterectomies (R$19.253.300,00) and laparoscopic hysterectomies (R$794,680.40). CONCLUSIONS: Total abdominal hysterectomies had the highest overall costs mainly because it was the most commonly performed technique. Mortality rates were greatest in subtotal abdominal hysterectomies; this, however, may be due to bias related to missing data in our database. Faculdade de Saúde Pública da Universidade de São Paulo 2018-03-12 /pmc/articles/PMC6257415/ /pubmed/29561962 http://dx.doi.org/10.11606/S1518-8787.2018052000129 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Augusto, Kathiane Lustosa
Brilhante, Aline Veras Morais
Modesto, Gisele Cristine Duarte
Saboia, Dayana Maia
Rocha, Cássia Fernandes Coelho
Karbage, Sara Arcanjo Lino
de Magalhães, Thaís Fontes
Bezerra, Leonardo Robson Pinheiro Sobreira
Costs and mortality rates of surgical approaches to hysterectomy in Brazil
title Costs and mortality rates of surgical approaches to hysterectomy in Brazil
title_full Costs and mortality rates of surgical approaches to hysterectomy in Brazil
title_fullStr Costs and mortality rates of surgical approaches to hysterectomy in Brazil
title_full_unstemmed Costs and mortality rates of surgical approaches to hysterectomy in Brazil
title_short Costs and mortality rates of surgical approaches to hysterectomy in Brazil
title_sort costs and mortality rates of surgical approaches to hysterectomy in brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257415/
https://www.ncbi.nlm.nih.gov/pubmed/29561962
http://dx.doi.org/10.11606/S1518-8787.2018052000129
work_keys_str_mv AT augustokathianelustosa costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil
AT brilhantealineverasmorais costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil
AT modestogiselecristineduarte costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil
AT saboiadayanamaia costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil
AT rochacassiafernandescoelho costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil
AT karbagesaraarcanjolino costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil
AT demagalhaesthaisfontes costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil
AT bezerraleonardorobsonpinheirosobreira costsandmortalityratesofsurgicalapproachestohysterectomyinbrazil