The costs of treating miscarriage: a comparison of medical and surgical management
Abstract
OBJECTIVES: To estimate and compare the costs of surgical and medical treatment of miscarriage to the National Health Service. DESIGN: A patient-centred, partially randomised trial. SETTING: A teaching hospital in Scotland. PARTICIPANTS: Four hundred and thirty-seven women with a proven first trimester miscarriage. MAIN OUTCOME MEASURES: The cost per patient of surgical and medical management of miscarriage plus the extra cost per patient of introducing medical management of miscarriage under three different scenarios are calculated. RESULTS: The average cost of surgical treatment was Pounds 397 compared with Pounds 347 for medical treatment. Sensitivity analysis showed that the extra cost of introducing the medical management of miscarriage ranged from a cost saving of Pounds 71 per patient to an additional cost of Pounds 47 per patient. CONCLUSIONS: Our analysis showed that it may be possible to generate cost savings by introducing medical methods in the management of early miscarriage. However, the savings assume that costs associated with theatre use can be fully realised.
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Events in early pregnancy have a significant impact on pregnancy outcomes.
“It is increasingly clear that events in early pregnancy have a significant impact on pregnancy outcomes. 97-100”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [100]
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Patient preferences and randomised clinical trials.
Brewin, C. R., & Bradley, C. (1989) · BMJ · doi:10.1136/bmj.299.6694.313 · Cited by 503 · see citing works
Henshaw, R. C., Cooper, K., el-Refaey, H., Smith, N. C., & Templeton, A. A. (1993) · BMJ · doi:10.1136/bmj.306.6882.894 · Cited by 118 · see citing works
Self-citationSpontaneous, Threatened and Habitual Abortion: Their Pathogenesis and Treatment
Hertig, A. T., & Livingstone, R. G. (1944) · New England Journal of Medicine · doi:10.1056/nejm194406292302604 · Cited by 107 · see citing works
Medical management of missed abortion and anembryonic pregnancy.
El‐Refaey, H., Hinshaw, K., Henshaw, R. C., et al. (1992) · BMJ · doi:10.1136/bmj.305.6866.1399 · Cited by 104 · see citing works
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Quenby, S., Gallos, I. D., Dhillon-Smith, R. K., Podesek, M., Stephenson, M. D., Fisher, J., Brosens, J. J., Brewin, J., Ramhorst, R., Lucas, E. S., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00682-6 · Cited by 1,560 · see citing works
You, J. H. S., & Chung, T. K. H. (2005) · Human Reproduction · doi:10.1093/humrep/dei163 · Cited by 80 · see citing works
Early intrauterine pregnancy failure: A randomized trial of medical versus surgical treatment
Muffley, P. E., Stitely, M. L., & Gherman, R. B. (2002) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2002.126205 · Cited by 70 · see citing works
Graziosi, G. C. M., van der Steeg, J. W., Reuwer, P. H. W., Drogtrop, A. P., Bruinse, H. W., & Mol, B. W. J. (2005) · Human Reproduction · doi:10.1093/humrep/deh709 · Cited by 58 · see citing works
Lemmers, M., Verschoor, M. A. C., Bossuyt, P. M., Huirne, J. A. F., Spinder, T., Nieboer, T. E., Bongers, M. Y., Janssen, I. A. H., Van Hooff, M. H. A., Mol, B. W. J., et al. (2018) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/aogs.13283 · Cited by 23 · see citing works
- Authors
- Hughes, J., Ryan, M., Hinshaw, K., Henshaw, R., Rispin, R., & Templeton, A.
- Affiliations
- University College Dublin (IE)
- University of Aberdeen (GB)
- The University of Adelaide (AU)
- Aberdeen Maternity Hospital (GB)
- Corresponding author
- Hughes, Jenny
- ORCID
- Hinshaw, Kim
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 1996-12
- Volume
- 103
- Issue
- 12
- Pages
- 1217-1221
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2145846523
- Cited by
- 58
- References
- 4
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 3 · 2013: 1 · 2012: 1
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- miscarriage, first-trimester miscarriage, treatment costs, medical management of miscarriage, cost comparison, National Health Service, cost reduction
- MeSH terms
- Abortion, Spontaneous, Abortion, Induced, Female, Humans, Pregnancy, Scotland, Cost Savings, Health Care Costs, Patient-Centered Care
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