scholarly journals Employer-Perspective Cost Comparison of Surgical Treatments for Abnormal Uterine Bleeding

2018 ◽  
Vol 21 ◽  
pp. S142
Author(s):  
JD Miller ◽  
MM Bonafede ◽  
Q Cai ◽  
SK Pohlman ◽  
KA Troeger
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Cost Comparison ◽  
Employer Perspective ◽  
Surgical Treatments

scholarly journals Employer-perspective cost comparison of surgical treatments for abnormal uterine bleeding

2020 ◽  
Vol 9 (1) ◽  
pp. 67-77
Author(s):  
Jeffrey D Miller ◽  
Machaon M Bonafede ◽  
Scott K Pohlman ◽  
Aarathi Cholkeri-Singh ◽  
Kathleen A Troeger
Keyword(s):  
Indirect Costs ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Cost Comparison ◽  
Short Term ◽  
Study Results ◽  
Insurance Claims Data ◽  
Employer Perspective ◽  
The Difference ◽  
Surgical Treatments

Aim: To estimate direct and indirect costs of surgical treatment of abnormal uterine bleeding (AUB) from a self-insured employer's perspective. Methods: Employer-sponsored insurance claims data were analyzed to estimate costs owing to absence and short-term disability 1 year following global endometrial ablation (GEA), outpatient hysterectomy (OPH) and inpatient hysterectomy (IPH). Results: Costs for women who had GEA are substantially less than costs for women who had either OPH or IPH, with the difference ranging from approximately $7700 to approximately $10,000 for direct costs and approximately $4200 to approximately $4600 for indirect costs. Women who had GEA missed 21.8–24.0 fewer works days. Conclusion: Study results suggest lower healthcare costs associated with GEA versus OPH or IPH from a self-insured employer perspective.

Abnormal Menstrual Bleeding

2018 ◽  
Author(s):  
Chu Hsiao ◽  
Leanne Dumeny ◽  
Candice P. Holliday ◽  
Lisa Spiryda
Keyword(s):  
Intrauterine Device ◽  
Age Groups ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Artery Embolization ◽  
Ovulatory Dysfunction ◽  
Menstrual History ◽  
Inflammatory Drugs ◽  
Medical Therapies ◽  
Surgical Treatments

Abnormal uterine bleeding (AUB) is a common presentation that can occur in all age groups. AUB is an umbrella term for any uterine bleeding that occurs outside a woman’s normal pattern in volume, regularity, and/or timing. AUB is described by using frequency, regularity, duration, and volume or by using PALM-COEIN (Polyp, Adenomyosis, Leiomyoma, Malignancy and premalignant conditions; Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not yet classified). Workup for AUB comprises a history (with a detailed menstrual history), physical examination (including a pelvic and bimanual examination), lab tests, and imaging (primarily transvaginal ultrasonography). For treatment, medical therapies should be considered before surgical therapies, especially when fertility is desired. The decisions for treatment are based on etiology, fertility concerns, contraindications, or patient preference. Of the medical therapies, there are hormonal and nonhormonal therapies. The most common treatments for AUB are levonorgestrel intrauterine device, tranexamic acid, oral contraceptives, and nonsteroidal anti-inflammatory drugs. The most common surgical treatments are myomectomy, endometrial ablation, uterine artery embolization, and hysterectomy.   This review contains 7 figures, 10 tables and 45 references Key words: abnormal uterine bleeding, adenomyosis, contraceptives, endometrial, fibroids, hysterectomy, menorrhagia

Abnormal Menstrual Bleeding

2020 ◽  
Author(s):  
Chu Hsiao ◽  
Leanne Dumeny ◽  
Candice P. Holliday ◽  
Lisa Spiryda
Keyword(s):  
Intrauterine Device ◽  
Age Groups ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Artery Embolization ◽  
Ovulatory Dysfunction ◽  
Menstrual History ◽  
Inflammatory Drugs ◽  
Medical Therapies ◽  
Surgical Treatments

Abnormal uterine bleeding (AUB) is a common presentation that can occur in all age groups. AUB is an umbrella term for any uterine bleeding that occurs outside a woman’s normal pattern in volume, regularity, and/or timing. AUB is described by using frequency, regularity, duration, and volume or by using PALM-COEIN (Polyp, Adenomyosis, Leiomyoma, Malignancy and premalignant conditions; Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not yet classified). Workup for AUB comprises a history (with a detailed menstrual history), physical examination (including a pelvic and bimanual examination), lab tests, and imaging (primarily transvaginal ultrasonography). For treatment, medical therapies should be considered before surgical therapies, especially when fertility is desired. The decisions for treatment are based on etiology, fertility concerns, contraindications, or patient preference. Of the medical therapies, there are hormonal and nonhormonal therapies. The most common treatments for AUB are levonorgestrel intrauterine device, tranexamic acid, oral contraceptives, and nonsteroidal anti-inflammatory drugs. The most common surgical treatments are myomectomy, endometrial ablation, uterine artery embolization, and hysterectomy. This review contains 7 figures, 11 tables and 49 references Key words: abnormal uterine bleeding, adenomyosis, contraceptives, endometrial, fibroids, hysterectomy, menorrhagia

Uterine arteriovenous malformation: a rare cause of abnormal uterine bleeding

2020 ◽  
Vol 179 (1-2) ◽  
Author(s):  
Joana Cominho ◽  
Inês Azevedo ◽  
Sofia Saramago ◽  
Ana Brandão ◽  
Isabel Serrano ◽  
...  
Keyword(s):  
Arteriovenous Malformation ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Uterine Arteriovenous Malformation

Etiological structure and diagnosis of abnormal uterine bleeding

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 14-17
Author(s):  
G E Chernukha ◽  
I A Ivanov ◽  
Z N Efendieva ◽  
M R Dumanovskaya ◽  
A V Asaturova
Keyword(s):  
Diagnostic Accuracy ◽  
Endometrial Hyperplasia ◽  
Ultrasound Examination ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Histological Diagnosis ◽  
Reproductive Age ◽  
Endometrial Polyps ◽  
Chronic Endometritis ◽  
Endometrial Pathology

Abnormal uterine bleeding (AUB) is one of the most common indications for hysteroscopy. Most of the AUB cases occur due to endometrial or myometrium pathology. Among it, endometrial polyps (EP) and chronic endometritis (CE) prevalent in reproductive age, while endometrial hyperplasia (EH) and EP dominate in perimenopause. It was determined that EP and CE are characterized with menorrhagia and metrorrhagia approximately equally, whereas EH reveals AUB with oligomenorrhoea. Verification of exact endometrial pathology by ultrasound examination is hindered, that results in deviations of ultrasound and histological diagnosis. The usage of ultrasound data and AUB’s characteristics may improve the diagnostic accuracy on preadmission period.

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