CORRELATES OF CARE COSTS FOR HYSTERECTOMY AND UTERINE ARTERY EMBOLIZATION IN THE UNITED STATES

Journal Title: World Journal of Pharmaceutical and Medical Research - Year 2018, Vol 4, Issue 5

Abstract

Uterine gynecological procedure cost differences are important components of considerations for affordability, care access and quality. To achieve affordability, equity, and inclusion, reducing disparities, care distribution and cost correlates are important considerations for decision-making. This study determines and compares the distribution, cost and correlates, of Uterine Artery Embolization and classical Abdominal Hysterectomy by region, race, payor, complications, length of stay, and referral source. Study Design: The 2004 -2008 National Hospital Discharge data sets for Hysterecstomy and Uterine Artery Embolization were trimmed and categorized. Crosstabs determined cost distributions by region, place/location, age, race, income, education, length of stay, and payor. Multinomial Logistic Regression analyses determined correlates for all stratified factors. Results: Relationships between race, payor, length of stay, region, income, and care cost showed different regional patterns. All regions were less likely than the West to be more expensive. African Americans were more likely to pay below $20,000.00. White and Hispanic women were more likely to be on private, HMO or self-pay. One hospital day’s stay cost less than three or more days, Emergency room referrals were less likely to pay below $30,000.00. For hysterectomy, minor complications were more likely to cost below $20,000.00. UAE cost more than Hysterectomy (mean difference: $4,223.52). Conclusion: With significant disparity between regions, especially at low cost levels, and race, further research needs to determine cost correlates background/context for affordability, material hardship, multi-sectorial policy, workforce development, and other social determinants. A clear epidemiological picture of uterine fibroids, through appropriately vigilant surveillance, is needed.

Authors and Affiliations

Olúgbémiga T. Ekúndayò

Keywords

Related Articles

A REVIEW ON SHLESHMALA YONI VYAPAT(CANDIDA ALBICANS) IN AYURVEDIC PERSPECTIVE

Purpose: Shleshmala Yoni Vyapat is one among the twenty Yoni Vyapats which affects the reproductive health of women. The second most common infections among reproductive aged women with a single incidence of 75%, and two...

NEW HPLC TECHNIQUE ADVANCEMENT AND APPROVAL OF CEIPIME – A FOURTH ERA ANTIBIOTIC

A simple and sensitive method was developed for estimation of Cefepime in its bulk and Pharmaceutical formulations and the method is validated according to ICH guidelines for routine practice in the Pharmaceutical indust...

HAEMATOLOGICAL AND BIOCHEMICAL CHANGES IN PATIENTS TAKING ANTI -RETROVIRAL DRUGS IN UMUAHIA METROPOLIS

Background: Haematological and biochemical abnormalities are among the most common clinical pathological manifestation of HIV patients on HAART (Highly Antiretroviral therapy). Not only that the illness itself is fatal b...

PHARMACEUTICAL ANALYSIS OF ABHRAKA SHODHANA BY NIRVAPA IN DIFFERENT MEDIA

RasaShastra is the alchemy of Ayurveda where we find the use of metals and mineral compounds in treatment of diseases evidentially. It is the divine science which teaches to convert even Visha into edible medicine by the...

SCHIZOPHRENIA (UNMAD) AND ROLE OF AYURVEDA IN ITS MANAGEMENT

Worldwide about 1 percent of the population is diagnosed with schizophrenia. Schizophrenia is a mental disorder that is characterized by disturbances in thought (such as delusions), perception (such as hallucinations), a...

Download PDF file
  • EP ID EP660556
  • DOI -
  • Views 197
  • Downloads 0

How To Cite

Olúgbémiga T. Ekúndayò (2018). CORRELATES OF CARE COSTS FOR HYSTERECTOMY AND UTERINE ARTERY EMBOLIZATION IN THE UNITED STATES. World Journal of Pharmaceutical and Medical Research, 4(5), 1-13. https://www.europub.co.uk/articles/-A-660556