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Vol. 41. Issue 2.
Pages 117-122 (March 2017)
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Vol. 41. Issue 2.
Pages 117-122 (March 2017)
Original article
Cost analysis of surgical treatment for pelvic organ prolapse by laparoscopic sacrocolpopexy or transvaginal mesh
Análisis de costes del tratamiento del prolapso de órganos pélvicos mediante colposacropexia laparoscópica o malla transvaginal
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D. Carracedo
Corresponding author
davidcarracedocalvo@gmail.com

Corresponding author.
, L. López-Fando, M.D. Sánchez, M.Á. Jiménez, J.M. Gómez, I. Laso, M.Á. Rodríguez, F.J. Burgos
Servicio de Urología, Hospital Universitario Ramón y Cajal, Universidad de Alcalá de Henares, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain
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Tables (3)
Table 1. Cost model established for each section.
Table 2. Characteristics of the sample.
Table 3. Average cost per procedure of both groups.
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Abstract
Objectives

The objective of this study is to compare direct costs of repairing pelvic organ prolapse by laparoscopic sacrocolpopexy (LS) against vaginal mesh (VM). Our hypothesis is the correction of pelvic organ prolapse by LS has a similar cost per procedure compared to VM.

Material and methods

We made a retrospective comparative analysis of medium cost per procedure of first 69 consecutive LS versus first 69 consecutive VM surgeries. We calculate direct cost for each procedure: structural outlays, personal, operating room occupation, hospital stay, perishable or inventory material and prosthetic material. Medium cost per procedure were calculated for each group, with a 95% confidence interval.

Results

LS group has a higher cost related to a longer length of surgery, higher operating room occupation and anesthesia; VM group has a higher cost due to longer hospital stay and more expensive prosthetic material. Globally, LS has a lower medium cost per procedure in comparison to VM (5985.7±1550.8€ vs. 6534.3±1015.5€), although it did not achieve statistical signification.

Conclusions

In our midst, pelvic organ prolapse surgical correction by LS has at least similar cost per procedure compared to VM.

Keywords:
Pelvic organ prolapse
Cost analysis
Laparoscopic sacrocolpopexy
Vaginal mesh
Resumen
Objetivos

El objetivo del estudio es realizar un análisis comparativo de los costes directos de la reparación del prolapso de órganos pélvicos mediante colposacropexia laparoscópica (CL) o malla transvaginal (MTV). La hipótesis inicial es que la corrección del prolapso de órganos pélvicos mediante CL presentaría al menos un coste por procedimiento similar a la corrección mediante MTV.

Material y métodos

Análisis retrospectivo comparativo del coste medio por procedimiento de los primeros 69 procedimientos consecutivos de CL frente a los primeros 69 procedimientos consecutivos de MTV. Para cada procedimiento, se determinaron los costes directos: gastos estructurales, personal, ocupación de quirófano, estancia hospitalaria, material fungible e inventariable y el material protésico implantado. Se determinó el coste medio por procedimiento para cada uno de los grupos, con el intervalo de confianza al 95%.

Resultados

Mientras que el grupo de CL incurrió en un mayor gasto en relación con un mayor tiempo quirúrgico, ocupación de quirófano y anestesia, el grupo de MTV incurrió en un mayor gasto en relación con una mayor estancia hospitalaria y un coste mayor del material protésico implantado. De forma global, si bien el grupo de CL presentó un coste medio por procedimiento menor que el grupo de MTV (5.985,7 €±1.550,8 € vs. 6.534,3 €±1.015,5 €), esta diferencia no alcanzó la significación estadística.

Conclusiones

En nuestro medio, la corrección del prolapso de órganos pélvicos mediante CL presenta al menos, un coste por procedimiento similar a la corrección del mismo mediante MTV.

Palabras clave:
Prolapso de órganos pélvicos
Análisis de costes
Colposacropexia laparoscópica
Malla transvaginal

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