Cost effectiveness analysis of total laparoscopic hysterectomy compare with total abdominal hysterectomy in uterine myomas at Rajavithi Hospital

Abstract

The purpose of this study is to calculate the treatment cost on the perceptive of provider, to access short outcome of the patients with no complication as well as the cost- effectiveness of the surgical treatments for uterine myomas. This study aims to compare the 93 patients of total laparoscopic hysterectomy with 231 patients of total abdominal hysterectomy in Rajavithi Hospital during 2013-2015. The data source was from the medical records and hospital accounting bills. This result showed that the total direct cost per unit of total laparoscopic hysterectomy is 35,019.47 THB, the number no complication patients were 85 case (92.47 % ) patients. Therefore, the average cost of the operation that patients have no complication is 45,081.10 THB. Moreover the cost of total direct of Total abdominal hysterectomy is 34,739.5 THB, the number no complication patients were 178 cases. Hence, the average cost of the operation that patients have no complications 54,587.52 THB. The conclusion, from the provider perspective and based on the limited available database, the effectiveness of total laparoscopic hysterectomy seems to be more effective than the total abdominal hysterectomy. However, the interpretation of the study results should be with caution regarding the implementation of a surgical procedure to treat this disease further since this study employed only one hospital data base and compare only short-term outcome.