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. 2018 Mar 12:52:25.
doi: 10.11606/S1518-8787.2018052000129.

Costs and mortality rates of surgical approaches to hysterectomy in Brazil

Kathiane Lustosa Augusto  1 , Aline Veras Morais Brilhante  2 , Gisele Cristine Duarte Modesto  3 , Dayana Maia Saboia  4 , Cássia Fernandes Coelho Rocha  4 , Sara Arcanjo Lino Karbage  1 , Thaís Fontes de Magalhães  5 , Leonardo Robson Pinheiro Sobreira Bezerra  1
Affiliations

Costs and mortality rates of surgical approaches to hysterectomy in Brazil

Kathiane Lustosa Augusto et al. Rev Saude Publica. .

Abstract

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.

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Conflict of interest statement

Conflict of Interest: The authors declare no conflict of interest.

Figures

Figure 1
Figure 1. Yearly number of hospital admissions related to each type of hysterectomy.
LV: videolaparoscopic hysterectomy VH: vaginal hysterectomies; SAH: subtotal abdominal hysterectomies; TAH: total abdominal hysterectomies
Figure 2
Figure 2. Mean cost per each patient that underwent each surgical approach, shown by year.
LV: videolaparoscopic hysterectomy; VH: vaginal hysterectomies; SAH: subtotal abdominal hysterectomies; TAH: total abdominal hysterectomies
Figure 3
Figure 3. Overall costs for each surgical technique, shown per year.
LV: videolaparoscopic hysterectomy VH: vaginal hysterectomies; SAH: subtotal abdominal hysterectomies; TAH: total abdominal hysterectomies
See this image and copyright information in PMC

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