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
- EP ID EP660556
- DOI -
- Views 181
- Downloads 0
PALPEBRAL METASTASIS OF BREAST CANCER. A CASE REPORT AND LITERATURE REVIEW
Ocular metastases (OM) have become less rare since systemic treatments for certain cancers can prolong patient survival. The cancers most frequently involved are breast cancers, for which the incidence of ophthalmic loca...
THE TOXIC EFFECTS OF VARIOUS CONCENTRATION OF NICKEL ON SEED GERMINATION AND GROWTH OF COW PEA (VIGNA UNGUICULATA L. WALP
Nickel is available in the environment in various chemical forms due to geological, industrial and anthropogenic activities and accumulated in plants. Nickel is a trace element for normal plant growth. The high level of...
NIFEDIPINE SUBLINGUAL TABLETS: FABRICATION USING SUPER DISINTEGRANTS AND THEIR EVALUATION
The aim of present research was to develop sublingual tablets of nifedipine (a calcium channel blocker used as an antianginal and antihypertensive drug) by complexing with β-cyclodextrin and drug-carrier solid dispersion...
HIPPOCRATIC CONCEPT OF TUMORS "A SOURCE STUDY"
The aim of this study is to evaluate Theories related to etiology of different Tumors and their natures in Hippocratic Corpus as their relation to what modern and advanced medicine found.
COMPARATIVE STUDY OF AYURVEDIC NIDANA OF PRATISHYAYA WITH MODERN MEDICINE
Ayurveda is a science that is completely based on its eternal and consistent principles and concepts. Even with the changing era these principles have stood their ground. The literature on some of these concepts shows si...