![](/images/graphics-bg.png)
Does Probability Guided Hysteroscopy Reduce Costs in Women Investigated for Postmenopausal Bleeding?
Joint Authors
Breijer, M. C.
Mol, Ben Willem J.
van Hanegem, N.
Visser, N. C. M.
Pijnenborg, J. M. A.
Timmermans, A.
Opmeer, B. C.
Verheijen, René H. M.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Objective.
To evaluate whether a model to predict a failed endometrial biopsy in women with postmenopausal bleeding (PMB) and a thickened endometrium can reduce costs without compromising diagnostic accuracy.
Design, Setting, and Population.
Model based cost-minimization analysis.
Methods.
A decision analytic model was designed to compare two diagnostic strategies for women with PMB: (I) attempting office endometrial biopsy and performing outpatient hysteroscopy after failed biopsy and (II) predicted probability of a failed endometrial biopsy based on patient characteristics to guide the decision for endometrial biopsy or immediate hysteroscopy.
Robustness of assumptions regarding costs was evaluated in sensitivity analyses.
Main Outcome Measures.
Costs for the different strategies.
Results.
At different cut-offs for the predicted probability of failure of an endometrial biopsy, strategy I was generally less expensive than strategy II.
The costs for strategy I were always € 460; the costs for strategy II varied between € 457 and € 475.
At a 65% cut-off, a possible saving of € 3 per woman could be achieved.
Conclusions.
Individualizing the decision to perform an endometrial biopsy or immediate hysteroscopy in women presenting with postmenopausal bleeding based on patient characteristics does not increase the efficiency of the diagnostic work-up.
American Psychological Association (APA)
Breijer, M. C.& van Hanegem, N.& Visser, N. C. M.& Verheijen, René H. M.& Mol, Ben Willem J.& Pijnenborg, J. M. A.…[et al.]. 2015. Does Probability Guided Hysteroscopy Reduce Costs in Women Investigated for Postmenopausal Bleeding?. The Scientific World Journal،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1078920
Modern Language Association (MLA)
Breijer, M. C.…[et al.]. Does Probability Guided Hysteroscopy Reduce Costs in Women Investigated for Postmenopausal Bleeding?. The Scientific World Journal No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1078920
American Medical Association (AMA)
Breijer, M. C.& van Hanegem, N.& Visser, N. C. M.& Verheijen, René H. M.& Mol, Ben Willem J.& Pijnenborg, J. M. A.…[et al.]. Does Probability Guided Hysteroscopy Reduce Costs in Women Investigated for Postmenopausal Bleeding?. The Scientific World Journal. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1078920
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1078920