title: Comparison of direct and indirect costs of abnormal uterine bleeding treatment with global endometrial ablation and hysterectomy.
abstract: OBJECTIVE
  The objective was to compare abnormal uterine bleeding (AUB) direct healthcare costs and indirect work absence or short-term disability costs associated with treatment with second-generation global endometrial ablation (GEA) or hysterectomy.
  
  
  METHODS
  Women aged 30-55 years with AUB who underwent GEA or hysterectomy during 2006-2010 were identified in the Truven Health MarketScan(®) Commercial and Health and Productivity Management databases.
  
  
  CONCLUSIONS
  Two-thirds (66.3%) of the 61,602 study patients underwent GEA compared with hysterectomy (33.7%). Hysterectomy patients had higher treatment costs (US$12,147 vs 5837; p < 0.001), higher annual absenteeism costs (US$7543 vs 5621; p < 0.001), were four-times more likely to have a short-term disability claim (84 vs 21%; p < 0.001) and had higher per-patient short-term disability costs (US$5744 vs 1361; p < 0.001). Overall hysterectomy costs were approximately twice those of GEA.
authors.affiliation: Truven Health Analytics, 150 Cambridge Park Drive, 2nd Floor, Cambridge, MA 02140, USA.
authors.forename: Machaon M
authors.initials: MM
authors.lastname: Bonafede
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Miller
authors.forename: Andrea
authors.initials: A
authors.lastname: Lukes
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Meyer
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Lenhart
mesh_terms: D000328:Adult; D055356:Endometrial Ablation Techniques / Q000191:economics*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007044:Hysterectomy / Q000191:economics*; D008875:Middle Aged; D018582:Sick Leave / Q000191:economics*; D014592:Uterine Hemorrhage / Q000191:economics / Q000601:surgery*
keywords: AUB; abnormal uterine bleeding; endometrial ablation; hysterectomy; menorrhagia