Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Operative management of ectopic pregnancy: a cost analysis

R A Foulk1, R M Steiger

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco 94143, USA.

American Journal of Obstetrics and Gynecology
|July 1, 1996
PubMed
Summary

The least costly surgical management for ectopic pregnancy involves laparotomy with a postoperative day 1 discharge. Laparoscopy offers no significant cost savings over laparotomy for stable patients, especially with shorter hospital stays.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

From fertilization to implantation.

Early pregnancy·2001
Same author

Bilateral pheochromocytoma in pregnancy heralding multiple endocrine neoplasia syndrome IIA. A case report.

The Journal of reproductive medicine·2001
Same author

Does human chorionic gonadotropin have human thyrotropic activity in vivo?

Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology·1997
Same author

Hyperreactio luteinalis differentiated from severe ovarian hyperstimulation syndrome in a spontaneously conceived pregnancy.

American journal of obstetrics and gynecology·1997
Same author

Decrease in fibronectin occurs coincident with the increased expression of its integrin receptor alpha5beta1 in stress-deprived ligaments.

The Iowa orthopaedic journal·1997
Same author

Angiogenesis in the human female reproductive tract.

Obstetrical & gynecological survey·1995

Area of Science:

  • Reproductive Health
  • Surgical Management
  • Health Economics

Background:

  • Ectopic pregnancy management involves significant hospital costs.
  • Determining the most cost-effective surgical approach is crucial for resource allocation.

Purpose of the Study:

  • To analyze hospital-based service costs for surgical ectopic pregnancy management.
  • To identify the most cost-conscious surgical approach by examining constituent components.

Main Methods:

  • Retrospective comparative review of surgically managed ectopic pregnancies.
  • Utilized unit cost estimates from a cost accounting system.
  • Compared resource utilization across different surgical procedures and services.

Main Results:

Related Experiment Videos

  • Hemodynamic instability significantly increases length of stay and laboratory costs.
  • Laparoscopic excision is ~25% cheaper than laparotomy for stable patients (p < 0.001).
  • Cost savings for laparoscopy diminish when conversion to laparotomy occurs; laparotomy with a postoperative day 1 discharge is the least costly.

Conclusions:

  • Operative cost is not a primary driver for choosing laparoscopy over laparotomy in stable patients.
  • Shorter postoperative stays, particularly for laparotomy patients discharged on postoperative day 1, are the most cost-effective strategy.