Cost-analysis comparison of outpatient see-and-treat hysteroscopy service with other hysteroscopy service models.
OBJECTIVE
To conduct a cost analysis of 3 different hysteroscopy service models.


METHODS
Decision-analytic model constructed from the UK National Health Service perspective (Canadian Task Force classification III).


METHODS
Tertiary-care hospital.


METHODS
Women undergoing hysteroscopy (N=1109).


METHODS
Three hysteroscopy service models: outpatient see-and-treat service; outpatient diagnostic hysteroscopy followed by referral for operative hysteroscopy under general anesthesia (outpatient and referral service); and general anesthesia see-and-treat service.


RESULTS
Costs were measured in 2008 UK pounds sterling. Of the 3 treatment arms, total costs were lowest with outpatient see-and-treat service. The lower cost of the outpatient see-and-treat service was observed across a number of patient subgroups (age, menopause status, and indication) and when subjected to sensitivity analyses.


CONCLUSIONS
Outpatient see-and-treat hysteroscopy was associated with the lowest treatment costs. This service model may reduce the total cost of care in women referred for hysteroscopy.
Saridogan
Ertan
E
University College London Hospital, London, UK.
Tilden
Dominic
D
Sykes
David
D
Davis
Neil
N
Subramanian
Dhinagar
D
D000328:Adult; D000553:Ambulatory Care / Q000191:economics*; D000768:Anesthesia, General; D017046:Cost Savings; D003365:Costs and Cost Analysis; D003663:Decision Trees; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D015907:Hysteroscopy / Q000191:economics*; D008875:Middle Aged; D012017:Referral and Consultation; D006113:United Kingdom