Cost-Analysis Comparison of Outpatient See-and-Treat Hysteroscopy Service with Other Hysteroscopy Service Models

Study ObjectiveTo conduct a cost analysis of 3 different hysteroscopy service models.DesignDecision-analytic model constructed from the UK National Health Service perspective (Canadian Task Force classification III).SettingTertiary-care hospital.PatientsWomen undergoing hysteroscopy (N = 1109).InterventionsThree hysteroscopy service models: outpatient see-and-treat service; outpatient diagnostic hysteroscopy followed by referral for operative hysteroscopy under general anesthesia (outpatient and referral service); and general anesthesia see-and-treat service.Measurements and Main ResultsCosts were measured in 2008 UK pounds sterling. Of the 3 treatment arms, total costs were lowest with outpatient see-and-treat service. The lower cost of the outpatient see-and-treat service was observed across a number of patient subgroups (age, menopause status, and indication) and when subjected to sensitivity analyses.ConclusionsOutpatient see-and-treat hysteroscopy was associated with the lowest treatment costs. This service model may reduce the total cost of care in women referred for hysteroscopy.