Menorrhagia, or heavy regular menstrual bleeding, represents a major health burden to women.
Trials comparing abdominal hysterectomy (AH) with transcervical resection of the endometrium (TCRE) for the condition have shown that, although the duration and severity of convalescence is less with TCRE, AH produces a permanent solution to heavy bleeding while TCRE fails in a proportion of women by 2 years.
However, by 2 years, TCRE costs only 71% that of AH.
This paper presents a cost-utility analysis to assess which procedure is more cost-effective overall.
Under most plausible parameter values and on the basis of health state values elicited from a sample of women with menorrhagia, AH is likely to be considered more cost-effective than TCRE if purchasers are willing to pay an additional cost of at least £6,500 per extra quality-adjusted life-year generated by AH.
Mots-clés Pascal : Ménorragie, Hystérectomie, Résection, Endomètre, Etude comparative, Analyse coût efficacité, Economie santé, Analyse décision, Homme, Femelle, Traitement, Hémorragie, Appareil génital femelle pathologie, Utérus pathologie, Cycle menstruel pathologie, Chirurgie, Quality adjusted life years
Mots-clés Pascal anglais : Menorrhagia, Hysterectomy, Resection, Endometrium, Comparative study, Cost efficiency analysis, Health economy, Decision analysis, Human, Female, Treatment, Hemorrhage, Female genital diseases, Uterine diseases, Menstruation disorders, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0306494
Code Inist : 002B25K. Création : 27/11/1998.