Intended Conservative Management Versus Caesarean Hysterectomy for Known or Suspected Placenta Accreta Spectrum: A Cost-Effectiveness Analysis.

ABSTRACT:

Objective

We examined the cost-effectiveness of conservative management (CM) compared to planned caesarean hysterectomy (CH) for placenta accreta spectrum (PAS).

Design

A cost-effectiveness analysis in a theoretical cohort of patients.

Setting

A decision analytic model.

Population

A theoretical cohort of 1000 pregnant patients with PAS greater than 20 weeks gestation.

Methods

In base case analysis, we assumed that between 20% and 40% of individuals would be eligible for CM. Model inputs were derived from the literature. Analysis was conducted from a healthcare system perspective with a 1 year analytic horizon. Outcomes included hysterectomy, surgical site infection (SSI), length of hospitalisation, intensive care unit (ICU) admission and death. An increm

SUBMITTER: Morgan JC 

PROVIDER: S-EPMC12137794 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature