Cost-effectiveness of general anesthesia versus spinal anesthesia in fast track abdominal benign hysterectomy
2011 (English)In: American Journal of Obstetrics and Gynecology, ISSN 0002-9378, E-ISSN 1097-6868, Vol. 205, no 4, 043- p.Article in journal (Refereed) Published
Objective: The study objective was to compare total costs for hospital stay and postoperative recovery for two groups of women who underwent fast track abdominal benign hysterectomy, one group under general anesthesia, the other under spinal anesthesia. Costs were evaluated in relation to health related quality of life.
Study Design: Costs of treatment using data from a randomized multicenter study at five hospitals in Sweden were analyzed retrospectively. Of 180 women scheduled for benign abdominal hysterectomy; 162 were randomized for the study, 80 allocated to general anesthesia and 82 to spinal anesthesia.
Results: Total costs (hospital costs plus costs reduced productivity costs) were lower for the spinal anesthesia group. Women who had spinal anesthesia had a faster recovery measured by health related quality of life and QALYs gained in postoperative month one.
Conclusion: Use of spinal anesthesia for fast track benign abdominal hysterectomy was more cost-effective than general anesthesia.
Place, publisher, year, edition, pages
Elsevier , 2011. Vol. 205, no 4, 043- p.
Cost-effectiveness; Fast track hysterectomy; General anesthesia; Health economy; Spinal anesthesia
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-70468DOI: 10.1016/j.ajog.2011.05.043ISI: 000296084600022OAI: oai:DiVA.org:liu-70468DiVA: diva2:439810
Funding agencies|Medical Research Council of South East Sweden||Linkoping University||County Council of Ostergotland||multicenter study group||2011-09-092011-09-092015-06-08Bibliographically approved