Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques
ABSTRACT Introduction Surgical treatment of urinary incontinence progressed significantly with the introduction of synthetic slings. However, in some public Brazilian hospitals, the costs of these materials prevent their routine use. Objective To compare the costs of ambulatory synthetic sling sur...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
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| Series: | International Brazilian Journal of Urology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000100109&lng=en&tlng=en |
| _version_ | 1818990673529929728 |
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| author | Leo Francisco Limberger Fernanda Pacheco Faria Luciana Silveira Campos Karin Marise Jaeger Anzolch Alexandre Fornari |
| author_facet | Leo Francisco Limberger Fernanda Pacheco Faria Luciana Silveira Campos Karin Marise Jaeger Anzolch Alexandre Fornari |
| author_sort | Leo Francisco Limberger |
| collection | DOAJ |
| description | ABSTRACT Introduction Surgical treatment of urinary incontinence progressed significantly with the introduction of synthetic slings. However, in some public Brazilian hospitals, the costs of these materials prevent their routine use. Objective To compare the costs of ambulatory synthetic sling surgery with an historical series of patients submitted to Burch surgery in a Brazilian public hospital. Materials and Methods Twenty nine incontinent patients were selected to synthetic sling surgery. Demographic data were prospectively collected and also the costs of the procedure, including drugs and materials, use of surgical and recovery wards, medical staff and hospitalization. These data were compared to the costs of 29 Burch surgeries performed before the introduction of synthetic slings. Results Demographic data were similar, although median age was lower in the group submitted to Burch surgery (46.3±8.6 versus 56.2±11.3 (p<0.001)). Cost was significantly lower in patients submitted to sling in all items, except for time spent in recovery ward. Total value of 29 Burch surgeries was R$ 217.766.12, and of R$ 68.049.92 of 29 patients submitted to sling surgery (p<0.001). Conclusion Burch surgery was more expensive than ambulatory synthetic transobturator sling surgery, even when the cost of the synthetic sling was considered. |
| first_indexed | 2024-12-20T19:58:07Z |
| format | Article |
| id | doaj.art-f334ea29efb1475f8c36de2b6b9280d5 |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-20T19:58:07Z |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-f334ea29efb1475f8c36de2b6b9280d52022-12-21T19:28:08ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-611944110911310.1590/s1677-5538.ibju.2017.0232S1677-55382018000100109Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniquesLeo Francisco LimbergerFernanda Pacheco FariaLuciana Silveira CamposKarin Marise Jaeger AnzolchAlexandre FornariABSTRACT Introduction Surgical treatment of urinary incontinence progressed significantly with the introduction of synthetic slings. However, in some public Brazilian hospitals, the costs of these materials prevent their routine use. Objective To compare the costs of ambulatory synthetic sling surgery with an historical series of patients submitted to Burch surgery in a Brazilian public hospital. Materials and Methods Twenty nine incontinent patients were selected to synthetic sling surgery. Demographic data were prospectively collected and also the costs of the procedure, including drugs and materials, use of surgical and recovery wards, medical staff and hospitalization. These data were compared to the costs of 29 Burch surgeries performed before the introduction of synthetic slings. Results Demographic data were similar, although median age was lower in the group submitted to Burch surgery (46.3±8.6 versus 56.2±11.3 (p<0.001)). Cost was significantly lower in patients submitted to sling in all items, except for time spent in recovery ward. Total value of 29 Burch surgeries was R$ 217.766.12, and of R$ 68.049.92 of 29 patients submitted to sling surgery (p<0.001). Conclusion Burch surgery was more expensive than ambulatory synthetic transobturator sling surgery, even when the cost of the synthetic sling was considered.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000100109&lng=en&tlng=enUrinary IncontinenceSuburethral SlingsCosts and Cost Analysis |
| spellingShingle | Leo Francisco Limberger Fernanda Pacheco Faria Luciana Silveira Campos Karin Marise Jaeger Anzolch Alexandre Fornari Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques International Brazilian Journal of Urology Urinary Incontinence Suburethral Slings Costs and Cost Analysis |
| title | Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques |
| title_full | Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques |
| title_fullStr | Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques |
| title_full_unstemmed | Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques |
| title_short | Costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital, comparing Burch and synthetic sling techniques |
| title_sort | costs analysis of surgical treatment of stress urinary incontinence in a brazilian public hospital comparing burch and synthetic sling techniques |
| topic | Urinary Incontinence Suburethral Slings Costs and Cost Analysis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382018000100109&lng=en&tlng=en |
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