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: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000100220
• topic: Hysterectomy, economics; Hysterectomy, mortality; Health Care Costs; Neoplasms, prevention & control; Women's Health Services; Public Health

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.