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• W1979918325 abstract "OBJECTIVE: To determine the incidence and risk of operative complications, operative time, length of hospital stay, operative cost, and overall cost of different methods of hysterectomy including abdominal, vaginal, laparoscopic and robotic techniques.DESIGN: Retrospective analysis of 1075 consecutive cases of all patients who underwent a hysterectomy by any method in the year 2009.MATERIALS AND METHODS: Hospital billing data was used to identify patients and obtain charges. Electronic medical records were used to obtain patient characteristics. Categorical analysis was used to compare differences in the complications, operative time, length of stay, operative cost, and overall cost between methods of hysterectomy.RESULTS: 1075 women were identified (ages 18-91). 385 (35.8%) were abdominal, 147 (13.7%) were vaginal, 480 (44.7%) were laparoscopic, and 63 (5.9%) were robotic. The following differences were found between abdominal, vaginal, laparoscopic, and robotic hysterectomies, respectively. Rate of intraoperative complication was 7.8%, 2.7%, 2.1%, and 1.6% (p < 0.001). The mean operative time was 196, 164, 188, and 267 minutes (p < 0.001). The mean length of inpatient stay was 3.35, 1.24, 1.03, and 1.35 days (p < 0.001). The mean operative cost was $33,458, $28,310, $34,047, and $46,183 (p < 0.001). The mean overall cost was $48,720, $41,143, $41,436, and $50,758 (p < 0.001). Multivariate linear regression analysis confirmed the independent effect of method of hysterectomy on length of stay (p < 0.001), complication rate (p = 0.003), operative cost (p = 0.004), and overall cost of stay (p = 0.014). BMI was found to be the most important predictor of operative time and operative cost (p < 0.001) regardless of method of hysterectomy.CONCLUSION: Method of hysterectomy is an important factor on the length of stay, complication rate, operative cost, and overall cost of stay. Operative time and operative cost were most strongly associated with BMI rather than method of hysterectomy. OBJECTIVE: To determine the incidence and risk of operative complications, operative time, length of hospital stay, operative cost, and overall cost of different methods of hysterectomy including abdominal, vaginal, laparoscopic and robotic techniques. DESIGN: Retrospective analysis of 1075 consecutive cases of all patients who underwent a hysterectomy by any method in the year 2009. MATERIALS AND METHODS: Hospital billing data was used to identify patients and obtain charges. Electronic medical records were used to obtain patient characteristics. Categorical analysis was used to compare differences in the complications, operative time, length of stay, operative cost, and overall cost between methods of hysterectomy. RESULTS: 1075 women were identified (ages 18-91). 385 (35.8%) were abdominal, 147 (13.7%) were vaginal, 480 (44.7%) were laparoscopic, and 63 (5.9%) were robotic. The following differences were found between abdominal, vaginal, laparoscopic, and robotic hysterectomies, respectively. Rate of intraoperative complication was 7.8%, 2.7%, 2.1%, and 1.6% (p < 0.001). The mean operative time was 196, 164, 188, and 267 minutes (p < 0.001). The mean length of inpatient stay was 3.35, 1.24, 1.03, and 1.35 days (p < 0.001). The mean operative cost was $33,458, $28,310, $34,047, and $46,183 (p < 0.001). The mean overall cost was $48,720, $41,143, $41,436, and $50,758 (p < 0.001). Multivariate linear regression analysis confirmed the independent effect of method of hysterectomy on length of stay (p < 0.001), complication rate (p = 0.003), operative cost (p = 0.004), and overall cost of stay (p = 0.014). BMI was found to be the most important predictor of operative time and operative cost (p < 0.001) regardless of method of hysterectomy. CONCLUSION: Method of hysterectomy is an important factor on the length of stay, complication rate, operative cost, and overall cost of stay. Operative time and operative cost were most strongly associated with BMI rather than method of hysterectomy." @default.
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• W1979918325 date "2010-09-01" @default.
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• W1979918325 title "A comparison of abdominal, vaginal, laparoscopic, and robotic hysterectomies: surgical outcomes and operative cost in a single institution" @default.
• W1979918325 doi "https://doi.org/10.1016/j.fertnstert.2010.07.879" @default.
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