Open AccessSafety Warning about Laparoscopic Power Morcellation in Hysterectomy: A Cost-Effectiveness Analysis of National Impact
Author(s) -
Xiao Xu,
Vrunda B. Desai,
Peter E. Schwartz,
Cary P. Gross,
Haiqun Lin,
Maria J. Schymura,
Jason D. Wright
Publication year - 2022
Publication title -
women's health reports
Language(s) - English
Resource type - Journals
ISSN - 2688-4844
DOI - 10.1089/whr.2021.0101
Subject(s) - medicine , hysterectomy , occult , population , general surgery , quality adjusted life year , surgery , cost effectiveness , environmental health , risk analysis (engineering) , alternative medicine , pathology
Following a 2014 safety warning (that laparoscopic power morcellation may increase tumor dissemination if patients have occult uterine cancer), hysterectomy practice shifted from laparoscopic to abdominal approach. This avoided morcellating occult cancer, but increased perioperative complications. To inform the national impact of this practice change, we examined the cost-effectiveness of hysterectomy practice in the postwarning period, in comparison to counterfactual hysterectomy practice had there been no morcellation warning.