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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Factors associated with increased charges for hysterectomy
Kristen A Matteson1, Jeffrey F Peipert, Priya Hirway
1Division of Research and the George Anderson Outcomes Unit, Department of Obstetrics and Gynecology, Women and Infants Hospital, Brown Medical School, Providence, Rhode Island 02905, USA. KMatteson@CareNE.org
Obstetrics and Gynecology
|May 2, 2006
Summary
Surgical factors like operative time and blood loss significantly increase hysterectomy hospital charges. Laparoscopic hysterectomy also showed higher costs compared to vaginal approaches.
Area of Science:
- Healthcare Economics
- Surgical Outcomes
- Gynecology
Background:
- Hospital charges for hysterectomy vary significantly.
- Understanding cost drivers is crucial for resource management and patient counseling.
Purpose of the Study:
- To identify factors associated with increased hospital charges for hysterectomy.
- To specifically examine differences in charges based on surgical approach (abdominal, vaginal, laparoscopic).
Main Methods:
- Retrospective cohort study of 686 patients undergoing hysterectomy.
- Data collected via medical chart review and hospital financial records.
- Statistical analyses included chi-squared, Fisher exact test, t-tests, ANOVA, and logistic regression.
Main Results:
- Blood loss >1,000 mL (OR 11.8) and operative time ≥105 minutes (OR 14.2) strongly correlated with higher charges.
- Postoperative fever (OR 2.2), longer hospitalization (OR 5.3), prophylactic antibiotics (OR 3.0), and laparoscopic approach (OR 2.7) also increased costs.
- Laparoscopic hysterectomy was associated with higher charges compared to vaginal hysterectomy.
Conclusions:
- Operative time and blood loss are key surgical factors driving increased hysterectomy costs.
- Several clinical and procedural factors contribute to elevated hospital charges.
- Surgical approach impacts overall hospital charges for hysterectomy.
