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International Urogynecology Journal

Published in:

01-04-2011 | Original Article

Mesh kits for anterior vaginal prolapse are not cost effective

Authors: Sunshine Murray, Rashel M. Haverkorn, Yair Lotan, Gary E. Lemack

Published in: International Urogynecology Journal | Issue 4/2011

Abstract

Introduction and hypothesis

To analyze the cost-effectiveness of traditional anterior colporrhaphy (AC), hand-cut mesh, and mesh kit anterior vaginal prolapse (AVP) repair.

Methods

A decision analysis model was built using mean operating room (OR) times, mesh extrusion rates, and recurrence rates obtained from a meta-analysis along with Medicare reimbursement for surgeon fees and office visits, and hospital costs of supplies, OR time, and room and board.

Results

Non-kit mesh repair was $3,380, AC $3,461, and mesh kit $4,678. One-way sensitivity analyses demonstrated recurrence rate of AC would need to be 28% to be equally cost effective. Mesh kit repair did not reach cost equivalence even at 0 min OR time. Two-way sensitivity analysis comparing mesh extrusion and AC recurrence demonstrated AC is more cost effective if recurrence is <20% or extrusion >25%.

Conclusions

Mesh kits for AVP repair are not cost effective, regardless of the OR time saved.

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Title: Mesh kits for anterior vaginal prolapse are not cost effective
Authors: Sunshine Murray
Rashel M. Haverkorn
Yair Lotan
Gary E. Lemack
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 4/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1291-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mesh kits for anterior vaginal prolapse are not cost effective

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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