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Rate,type, and cost of pelvic organ prolapse surgery in Germany,France, and England
Authors:Dhinagar Subramanian  Karine Szwarcensztein  Josephine A. Mauskopf  Mark C. Slack
Affiliation:1. European Health Economics, Ethicon, Livingston EH54 7AT, United Kingdom;2. Health Economics Outcomes Department, Johnson & Johnson, MD&D France, 92787 Issy-Les-Moulineaux Cédex 9, France;3. RTI Health Solutions, RTI International, Research Triangle Park, NC 27709, USA;4. Department of Urogynaecology and Pelvic Reconstructive Surgery, Addenbrookes Hospital, University of Cambridge Teaching Hospitals Trust, Cambridge CB2 0QQ, United Kingdom
Abstract:

Objective

To estimate the rate, type and costs of surgical interventions for pelvic organ prolapse (POP) in Germany, France, and England.

Study design

We identified the number, rate, and type of hospital admissions for pelvic floor surgery in 2005 from national hospital activity databases in each country: the German Hospital Episode, the French Medical Care Program Information System, and the National Health Service England Hospital Episode Statistics. Costs to the payer were estimated using the Diagnosis-Related Group reimbursement rates for each country.

Results

In 2005, the number (rate) of admissions for POP surgery was 36,854 (0.87 per 1000 women) in Germany, 36,679 (1.14 per 1000 women) in France, and 28,959 (1.13 per 1000 women) in England. Admissions for POP surgery constituted 10.4%, 16.7% and 16.9% of all admissions for female genital tract therapeutic interventions in Germany, France and England, respectively. At least 20% of hysterectomies were performed for the primary indication of POP. 57.4%, 45.0%, and 40.1% of all admissions for POP surgery included a hysterectomy. The costs to payers were €144,236,557, €83,067,825, and €81,030,907 in Germany, France, and England, respectively.

Conclusion

Burden and costs associated with POP surgery are substantial in the three countries studied. Thus, programs aimed at reducing the burden of this disease are desirable.
Keywords:Pelvic organ prolapse   Surgery   Cost   Europe
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