Hospital Cost Savings Associated with the Use of an Adhesion Barrier During Cesarean Delivery
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Objective: The aim of this study was to model the budget impact on a hospital that incorporated use of an adhesion barrier in cesarean section (CS) surgery. Design: The study used an economic model assuming 1000 CS births in the model year, incorporating Gynecare Interceed as the standard of care. Materials and Methods: The base case model included the following assumptions (derived from literature and publically available information): presence of adhesions=50%; $50/minute of operating room time; average increase in length of stay of 1.4 days for a CS with complications; mean cost/stay of $7,600 for CS with complications, compared to $5,700 for a CS without complications; cost of Gynecare Interceed (Ethicon, West Somerville, NJ)=$250. A two-way sensitivity analysis was performed to test the base case model. Results: Assuming 1000 CS births took place in the model year, with 500 complicated by adhesions, the total cost of adhesions to the facility was $1,807,500/year. The cost of Gynecare Interceed/year was $250,000. Therefore, the cost savings of using Gynecare Interceed was $837,500/year. The results of the sensitivity analysis upheld the original model results. Even using conservative estimates, hospitals would still realize a cost savings of $37,999/year using Gynecare Interceed. Conclusions: This model demonstrates the cost savings to a hospital of incorporating the use of Gynecare Interceed as a standard of care in CS. Even applying conservative view, the results of the model clearly demonstrated the role of Gynecare Interceed as a cost-saving mechanism. Copyright 2012, Mary Ann Liebert, Inc.
