Cost comparison between uterine-sparing fibroid treatments one year following treatment

Bijan J Borah, Ginger S. Carls, Brian J. Moore, Teresa B. Gibson, James P. Moriarty, Elizabeth A Stewart

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: To compare one-year all-cause and uterine fibroid (UF)-related direct costs in patients treated with one of the following three uterine-sparing procedures: magnetic resonance-guided focused ultrasound (MRgFUS), uterine artery embolization (UAE) and myomectomy.Methods: This retrospective observational cohort study used healthcare claims for several million individuals with healthcare coverage from employers in the MarketScan Database for the period 2003-2010. UF patients aged 25-54 on their first UF procedure (index) date with 366-day baseline experience, 366-day follow-up period, continuous health plan enrollment during baseline and follow-up, and absence of any baseline UF procedures were included in the final sample. Cost outcomes were measured by allowed charges (sum of insurer-paid and patient-paid amounts). UF-related cost was defined as difference in mean cost between study cohorts and propensity-score-matched control cohorts without UF. Multivariate adjustment of cost outcomes was conducted using generalized linear models.Results: The study sample comprised 14,426 patients (MRgFUS = 14; UAE = 4,092; myomectomy = 10,320) with a higher percent of older patients in MRgFUS cohort (71% vs. 50% vs. 12% in age-group 45-54, P < 0.001). Adjusted all-cause mean cost was lowest for MRgFUS ($19,763; 95% CI: $10,425-$38,694) followed by myomectomy ($20,407; 95% CI: $19,483-$21,381) and UAE ($25,019; 95% CI: $23,738-$26,376) but without statistical significance. Adjusted UF-related costs were also not significantly different between the three procedures.Conclusions: Adjusted all-cause and UF-related costs at one year were not significantly different between patients undergoing MRgFUS, myomectomy and UAE.

Original languageEnglish (US)
Article number7
JournalJournal of Therapeutic Ultrasound
Volume2
Issue number1
StatePublished - Mar 31 2014

Keywords

  • Healthcare costs
  • Magnetic resonance-guided focused ultrasound (MRgFUS)
  • Myomectomy
  • Uterine artery embolization (UAE)
  • Uterine fibroids

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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