BOOKS OF RtfiDIfGS - PAHO/WHO

# 23
Morgan N. Jickson
Jarnie, P. .>oGierfo
Paula i)ichr
Carolyn A. Watit
Williamni Richardson
- 394 -
Hylv,,erecinomn t% one of ihe mol I'requentll
performed major surgical procedurec in ¡he
United State,, tloda)' l he facl thal incidence
rate% var, t.onidcrahly heit4een l*ngland and
the Uniled Stales." and vary even wilhin the
iamne geographic area of the U .S .:' ha caused
1i Io be ciled a, an example of a procedure
which is ofien performed unneee.e,.armly. Although
the surgery obviale,, . woatiitn'\ concern
abhult he risks of an unplanned pregnanyv
or cancer of ihe cervix or uterus and freec
her from nienstruaion. it may expoNe her unneceNrily
Iu i .¡.o:. , ,r nl..idlil) annd morhidity
from the %u,.gery or it, complication,.
Thi, study wUs undertaken ¡o an;^d/e the direil
coti and direel hbnefti of electlive sirmple
hytercciomy. Cosl of aliernaltive melhod, of
contraception and their compliciilotn,, v cre
not included in the analysi,.
Rice4- ha, invetigated ¡he determination ol'
indirect io.st of ilne,%. However. an ana.l) >1
of elective hyntercctomy uNing direct co,,t.
i.e.. charge, paid for inpatient and amhulaltor>
ecrvices. hae not been reportedJ 11,, ui,,iumed
thai .uch :a report 'would provide informatiton
uNelful in making the deiiimon au %u twhether ur,
nol the proccdltire should he d.loul.ged.
Anal> /n onlg direct i cor i ,¡void' the conirooer>)
%urrounding an appropriaite .uiIluti(n of
1. ,*hr." lfi.1 f, S, holio .0. ,hc ?!i r%1 s '3 4 .¡*hllí,lq.
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