首页> 美国政府科技报告 >The Implications of Cost-Effectiveness Analysis of Medical Technology. Background Paper No. 2: Case Studies of Medical Technologies. Cast Study No. 15: Elective Hysterectomy: Costs, Risks, and Benefits
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The Implications of Cost-Effectiveness Analysis of Medical Technology. Background Paper No. 2: Case Studies of Medical Technologies. Cast Study No. 15: Elective Hysterectomy: Costs, Risks, and Benefits

机译:医疗技术成本效益分析的启示。背景文件第2号:医疗技术案例研究。演讲研究第15号:选择性子宫切除术:成本,风险和益处

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The National Center for Health Statistics (NCHS) estimates that in 1977 704,800 hysterectomies were performed in the United States (57). This represents a rate of 817.3 per 100,000 females 15 years old and over. It is frequently alleged that many hysterectomies are performed 'unnecessarily', an allegation that leads to unresolved controversies over the definition of 'necessary care'. A more useful approach, which is adopted in this case study, is to consider hysterectomies that are performed for indications that could be treated by alternative therapies or by no therapy at all, with fewer resultant health risks to the woman and lower economic costs in general. In this category, special attention is focused on hysterectomies carried out for sterilization and cancer prophylaxis.

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