Costs and mortality rates of surgical approaches to hysterectomy in Brazil

• Autor(a) principal: Augusto, Kathiane Lustosa
• Data de Publicação: 2018
• Outros Autores: Brilhante, Aline Veras Morais, Modesto, Gisele Cristine Duarte, Saboia, Dayana Maia, Rocha, Cássia Fernandes Coelho, karbage, Sara Arcanjo Lino, Magalhães, Thaís Fontes de, Bezerra, Leonardo Robson Pinheiro Sobreira
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/143850
• topic: Hysterectomy; economics. Hysterectomy; mortality. Health Care Costs. Neoplasms; prevention & control. Women’s Health Services. Public Health.

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.