AI Article Synopsis
- The study aimed to compare the resource use outcomes between two treatment options for women with abnormal uterine bleeding: expanded medical treatment and hysterectomy.
- Results showed that women who underwent hysterectomy incurred higher costs ($6,777) compared to those on medical treatment ($4,479), largely due to the surgical procedure itself.
- The conclusion indicates that while hysterectomy leads to higher resource use, it also provides better clinical results and quality-of-life outcomes within six months compared to expanded medical treatment.
Article Abstract
Objective: This study was undertaken to compare resource use outcomes for participants in the Medicine or Surgery (Ms) randomized trial.
Study Design: In a randomized controlled trial, we compared resources used during a 24-month follow-up period by women with abnormal uterine bleeding who were randomly assigned to either expanded medical treatment or hysterectomy.
Results: Women randomly assigned to hysterectomy used significantly more resources (medicine = $4479, hysterectomy = $6777; P = .03), with almost all the difference caused by the hysterectomy procedure. Fifty-three percent of women randomly assigned to medicine had a hysterectomy during the follow-up period; women who were able to continue on medical therapy had mean total resource use of $2595 compared with $6128 for medicine patients who eventually had surgery.
Conclusion: For women with abnormal uterine bleeding refractory to cyclic medroxyprogesterone acetate, compared with expanded medical treatment, hysterectomy increases resource use significantly and results in better clinical and 6-month quality-of-life outcomes.
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| http://dx.doi.org/10.1016/j.ajog.2005.08.014 | DOI Listing |
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