Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2012 Sep;19(9):402-413
Heavy menstrual bleeding treatment patterns and associate health care utilization and costs
Copher R, Nestour EL, Zampaglione E, Prezioso AN, Pocoski J, Law A

ABSTRACT Objective: To evaluate health care resource utilization and costs associated with heavy menstrual bleeding (HMB) treatment and to compare outcomes between patients without an identified underlying condition (idiopathic HMB) and patients with an identified cause (organic HMB). Design: Retrospective claims analysis. Participants: Commercially insured female enrollees aged 18-49 years with newly diagnosed HMB. Measurements: The index date was the first claim date with an HMB diagnosis; patients were followed from 6 months prior to index date (pre-index period) to 18 months following index date (post-index period). Treatment patterns, health care resource utilization, and cost outcomes were evaluated post-index and stratified by cohort and age-group. Variables were descriptively analyzed with comparisons across cohorts. Results: Newly diagnosed HMB patients (n = 34,941; mean age 40.5 years) included 21,362 idiopathic and 13,579 organic HMB patients. Among idiopathic HMB patients, over 30% did not receive any evaluated treatments; 68.8% received at least 1 treatment episode (57.6% received only 1 treatment episode and 10.9% only 2). More than half (55.7%) underwent surgery as their initial treatment. Among single-episode treatments, hysterectomy was associated with the highest HMB-related costs for both cohorts (idiopathic: mean $9089 [SD $5940], median $8493; organic: mean $9395 [SD $6291], median $8634). GLM analysis revealed predicted HMB-related costs of $3858.59 for the idiopathic cohort and $5788.64 for the organic cohort. Conclusions: HMB is associated with increased health care resource utilization and costs.

Original Research

Free Download

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2018, Turner White Communications
Updated 1/20/14 • jdw