A cost-effectiveness analysis of different types of labor for singleton pregnancy - real life data
Апстракт
Oobjectives: To assess cost, clinical outcomes and cost-effectiveness of different
types of labor in singleton pregnancies. Methods: A decision model was used
to compare vaginal labor, induced labor and planned cesarean section. All data
were taken from the Book of Labor from the University Hospital for Gynecology
and Obstetrics “Narodni Front” in Serbia, for labors conducted during one month
period in 2011. Successful delivery, (i. e. labor that began up to 42 gestation weeks,
without maternal mortality and the newborn Apgar scores greater than or equal
to seven in the first and fifth minute of life) was considered as the outcome of the
cost effectiveness analysis. To test the robustness of this definition probabilistic
sensitivity analysis was performed. Results: From a total of 667 births, vaginal
labor was conducted in 98 cases, induced vaginal in 442, while planned caesarean
section was performed 127 times. Emergency caesarean section as a complication
was much higher ...in the vaginal labor cohort compared to the induced vaginal
cohort (OR = 17.374, 95% CI: 8.522 to 35.418, p < 0.001). The least costly type of labor
was induced vaginal labor: average cost 461 euro, with an effectiveness of 98.17%.
Both, vaginal and planned cesarean labor, were dominated by the induced labor.
The results were robust. ConClusions: Elective induction of labor was associated
with the lowest cost compared to other types of labor, with favorable maternal and
neonatal outcomes.
Извор:
Value in Health, 2014, 17, 7, A509-A509Издавач:
- Elsevier Inc.
DOI: 10.1016/j.jval.2014.08.1557
ISSN: 1098-3015
PubMed: 27201559
WoS: 000346917301296
[ Google Scholar ]Институција/група
PharmacyTY - CONF AU - Lakić, Dragana AU - Tadić, Ivana AU - Odalović, Marina AU - Petrović, B. AU - Petrova, Guenka PY - 2014 UR - https://farfar.pharmacy.bg.ac.rs/handle/123456789/2110 AB - Oobjectives: To assess cost, clinical outcomes and cost-effectiveness of different types of labor in singleton pregnancies. Methods: A decision model was used to compare vaginal labor, induced labor and planned cesarean section. All data were taken from the Book of Labor from the University Hospital for Gynecology and Obstetrics “Narodni Front” in Serbia, for labors conducted during one month period in 2011. Successful delivery, (i. e. labor that began up to 42 gestation weeks, without maternal mortality and the newborn Apgar scores greater than or equal to seven in the first and fifth minute of life) was considered as the outcome of the cost effectiveness analysis. To test the robustness of this definition probabilistic sensitivity analysis was performed. Results: From a total of 667 births, vaginal labor was conducted in 98 cases, induced vaginal in 442, while planned caesarean section was performed 127 times. Emergency caesarean section as a complication was much higher in the vaginal labor cohort compared to the induced vaginal cohort (OR = 17.374, 95% CI: 8.522 to 35.418, p < 0.001). The least costly type of labor was induced vaginal labor: average cost 461 euro, with an effectiveness of 98.17%. Both, vaginal and planned cesarean labor, were dominated by the induced labor. The results were robust. ConClusions: Elective induction of labor was associated with the lowest cost compared to other types of labor, with favorable maternal and neonatal outcomes. PB - Elsevier Inc. C3 - Value in Health T1 - A cost-effectiveness analysis of different types of labor for singleton pregnancy - real life data VL - 17 IS - 7 SP - A509 EP - A509 DO - 10.1016/j.jval.2014.08.1557 ER -
@conference{ author = "Lakić, Dragana and Tadić, Ivana and Odalović, Marina and Petrović, B. and Petrova, Guenka", year = "2014", abstract = "Oobjectives: To assess cost, clinical outcomes and cost-effectiveness of different types of labor in singleton pregnancies. Methods: A decision model was used to compare vaginal labor, induced labor and planned cesarean section. All data were taken from the Book of Labor from the University Hospital for Gynecology and Obstetrics “Narodni Front” in Serbia, for labors conducted during one month period in 2011. Successful delivery, (i. e. labor that began up to 42 gestation weeks, without maternal mortality and the newborn Apgar scores greater than or equal to seven in the first and fifth minute of life) was considered as the outcome of the cost effectiveness analysis. To test the robustness of this definition probabilistic sensitivity analysis was performed. Results: From a total of 667 births, vaginal labor was conducted in 98 cases, induced vaginal in 442, while planned caesarean section was performed 127 times. Emergency caesarean section as a complication was much higher in the vaginal labor cohort compared to the induced vaginal cohort (OR = 17.374, 95% CI: 8.522 to 35.418, p < 0.001). The least costly type of labor was induced vaginal labor: average cost 461 euro, with an effectiveness of 98.17%. Both, vaginal and planned cesarean labor, were dominated by the induced labor. The results were robust. ConClusions: Elective induction of labor was associated with the lowest cost compared to other types of labor, with favorable maternal and neonatal outcomes.", publisher = "Elsevier Inc.", journal = "Value in Health", title = "A cost-effectiveness analysis of different types of labor for singleton pregnancy - real life data", volume = "17", number = "7", pages = "A509-A509", doi = "10.1016/j.jval.2014.08.1557" }
Lakić, D., Tadić, I., Odalović, M., Petrović, B.,& Petrova, G.. (2014). A cost-effectiveness analysis of different types of labor for singleton pregnancy - real life data. in Value in Health Elsevier Inc.., 17(7), A509-A509. https://doi.org/10.1016/j.jval.2014.08.1557
Lakić D, Tadić I, Odalović M, Petrović B, Petrova G. A cost-effectiveness analysis of different types of labor for singleton pregnancy - real life data. in Value in Health. 2014;17(7):A509-A509. doi:10.1016/j.jval.2014.08.1557 .
Lakić, Dragana, Tadić, Ivana, Odalović, Marina, Petrović, B., Petrova, Guenka, "A cost-effectiveness analysis of different types of labor for singleton pregnancy - real life data" in Value in Health, 17, no. 7 (2014):A509-A509, https://doi.org/10.1016/j.jval.2014.08.1557 . .