Journal of Vascular and Interventional Radiology
Volume 18, Issue 10 , Pages 1207-1213 , October 2007

Payer Costs in Patients Undergoing Uterine Artery Embolization, Hysterectomy, or Myomectomy for Treatment of Uterine Fibroids

From the SIR 2006 Annual Meeting.

  • Carole J. Dembek, MS

      Affiliations

    • Health Economics & Reimbursement, Boston Scientific Corporation, Natick
    • C.J.D. and E.M.P. were paid employees and shareholders of Boston Scientific Corporation (Natick, Mass) at the time of this study.
    • ,
  • Elise M. Pelletier, MS

      Affiliations

    • Health Economics & Reimbursement, Boston Scientific Corporation, Natick
    • C.J.D. and E.M.P. were paid employees and shareholders of Boston Scientific Corporation (Natick, Mass) at the time of this study.
    • ,
  • Keith B. Isaacson, MD

      Affiliations

    • Center for Minimally Invasive Gynecological Surgery, Newton Wellesley Hospital, Newton, Massachusetts
    • ,
  • James B. Spies, MD

      Affiliations

    • Department of Radiology, Georgetown University Medical Center, Washington, DC.
    • J.B.S. is a consultant for Boston Scientific Corporation and BioSphere Medical (Rockland, Mass).
    • Corresponding Author InformationAddress correspondence to J.B.S., Department of Radiology, Georgetown University Medical Center, Washington, DC

Received 8 February 2007 ,Revised 9 July 2007 ,Accepted 15 July 2007.

References 

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  2. Day Baird D, Dunson D, Hill M, et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol. 2003;188:100–107
  3. Hehenkamp WJ, Volkers NA, Birnie E, et al. Pain and return to daily activities after uterine artery embolization and hysterectomy in the treatment of symptomatic uterine fibroids: results from the randomized EMMY trial. Cardiovasc Intervent Radiol. 2006;29:179–187
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  6. Pron G, Bennett J, Common A, et al. The Ontario Uterine Fibroid Embolization Trial (Part 2: uterine fibroid reduction and symptom relief after uterine artery embolization for fibroids). Fertil Steril. 2003;79:120–127
  7. Spies J, Ascher S, Roth AR, et al. Uterine artery embolization for leiomyomata. Obstet Gynecol. 2001;98:29–34
  8. Spies J, Spector A, Roth A, et al. Complications after uterine artery embolization for leiomyomata. Obstet Gynecol. 2002;100:873–880
  9. Walker WJ, Pelage J. Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up. Br J Obstet Gynaecol. 2002;109:1262–1272
  10. Bruno J, Allison S, McCullough M, et al. Recovery after uterine artery embolization for leiomyomas: a detailed analysis of its duration and severity. J Vasc Interv Radiol. 2004;15:801–807
  11. Worthington-Kirsch R, Spies JB, Myers ER, et al. The Fibroid Registry for Outcomes Data (FIBROID) for uterine embolization: short-term outcomes. Obstet Gynecol. 2005;106:52–59
  12. Al-Fozan H, Dufort J, Kaplow M, et al. Cost analysis of myomectomy, hysterectomy, and uterine artery embolization. Am J Obstet Gynecol. 2002;187:1401–1404
  13. Baker CM, Winkel CA, Subramanian S, et al. Estimated costs for uterine artery embolization and abdominal myomectomy for uterine leiomyomata: a comparative study at a single institution. J Vasc Interv Radiol. 2002;13:1207–1210
  14. Beinfeld MT, Bosch JL, Gazelle GS. Hospital costs of uterine artery embolization and hysterectomy for uterine fibroid tumors. Acad Radiol. 2002;9:1300–1304
  15. Goldberg J, Bussard A, McNeil J, et al. Cost and reimbursement for three fibroid treatments: abdominal hysterectomy, abdominal myomectomy, and uterine fibroid embolization. Cardiovasc Intervent Radiol. 2007;30:54–58
  16. Subramanian S, Clark MA, Isaacson K. Outcome and resource use associated with myomectomy. Obstet Gynecol. 2001;98:583–587
  17. The REST Investigators. Uterine-artery embolization versus surgery for symptomatic uterine fibroids. N Engl J Med. 2007;356:360–370
  18. Omary R, Vasireddy S, Chrisman H, et al. The effect of pelvic MR imaging on the diagnosis and treatment of women with presumed symptomatic uterine fibroids. J Vasc Interv Radiol. 2002;13:1149–1153
  19. Ascher S, Arnold L, Schruefer J. Adenomyosis: prospective comparison of MR imaging and transvaginal sonography. Radiology. 1994;190:803–806
  20. Kim MD, Kim S, Kim NK, et al. Long-term results of uterine artery embolization for symptomatic adenomyosis. AJR Am J Roentgenol. 2007;188:176–181
  21. Pelage JP, Jacob D, Fazel A, et al. Midterm results of uterine artery embolization for symptomatic adenomyosis: initial experience. Radiology. 2005;234:948–953
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  23. Razavi MK, Hwang G, Jahed A, et al. Abdominal myomectomy versus uterine fibroid embolization in the treatment of symptomatic uterine leiomyomas. AJR Am J Roentgenol. 2003;180:1571–1575
  24. Pinto I, Chimeno P, Romo A, et al. Uterine fibroids: uterine artery embolization versus abdominal hysterectomy for treatment—a prospective, randomized, and controlled clinical trial. Radiology. 2003;226:425–431
  25. United States Bureau of Labor. Median weekly earnings of full-time wage and salary workers by selected characteristics. 2007;Available at ftp://ftp.bls.gov/pub/special.requests/lf/aat37.txt. Accessed June 27.

 Boston Scientific manufacturers and sells products used in uterine artery embolization.

PII: S1051-0443(07)01019-6

doi: 10.1016/j.jvir.2007.07.007

Journal of Vascular and Interventional Radiology
Volume 18, Issue 10 , Pages 1207-1213 , October 2007

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