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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2018
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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 |
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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 |
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