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The inpatient burden of abdominal and gynecological adhesiolysis in the US

This study of a large, nationally representative sample of Australian women who had recently given birth provides the first examination of consultancy patterns across conventional maternity care providers and CAM practitioners during pregnancy. The study presents four key findings. First, the study reveals a substantial level of CAM practitioner use with nearly half of the pregnant women consulting a CAM practitioner concurrent to conventional maternity care. This finding highlights the supplementary nature of CAM use during pregnancy, in line with results from previous studies of CAM consumption both specific to women [4] and in the wider population [8,9]. . | Sikirica et al. BMC Surgery 2011 11 13 http www.biomedcentral.com 1471-2482 11 13 BMC Surgery RESEARCH ARTICLE Open Access The inpatient burden of abdominal and gynecological adhesiolysis in the US 1 2 2 2 3 4 Vanja Sikirica Bela Bapat Sean D Candrilli Keith L Davis Malcolm Wilson and Alan Johns Abstract Background Adhesions are fibrous bands of scar tissue often a result of surgery that form between internal organs and tissues joining them together abnormally. Postoperative adhesions frequently occur following abdominal surgery and are associated with a large economic burden. This study examines the inpatient burden of adhesiolysis in the United States i.e. number and rate of events cost length of stay LOS . Methods Hospital discharge data for patients with primary and secondary adhesiolysis were analyzed using the 2005 Healthcare Cost and Utilization Project s Nationwide Inpatient Sample. Procedures were aggregated by body system. Results We identified 351 777 adhesiolysis-related hospitalizations 23.2 for primary and 76.8 for secondary adhesiolysis. The average LOS was 7.8 days for primary adhesiolysis. We found that 967 332 days of care were attributed to adhesiolysis-related procedures with inpatient expenditures totaling 2.3 billion 1.4 billion for primary adhesiolysis 926 million for secondary adhesiolysis . Hospitalizations for adhesiolysis increased steadily by age and were higher for women. Of secondary adhesiolysis procedures 46.3 involved the female reproductive tract resulting in 57 005 additional days of care and 220 million in attributable costs. Conclusions Adhesiolysis remain an important surgical problem in the United States. Hospitalization for this condition leads to high direct surgical costs which should be of interest to providers and payers. Keywords Adhesions adhesiolysis abdominal gynecological burden of illness hospitalizations Background Adhesions are fibrous bands of scar tissue often result of surgery that form between internal organs