E-Posters-10261

10261_Wyman

Pdf Summary

This study aimed to evaluate the cost-effectiveness and clinical utility of routine pre-operative pelvic MRIs in identifying women at high risk of surgical failure for symptomatic pelvic organ prolapse. The study utilized the 2008-2014 National Inpatient Sample database and previously published literature data. A decision tree model comparing surgical outcomes and costs was created, with one arm involving the use of pre-operative pelvic MRIs and surgical outcomes based on levator ani subtended volume (eLASV) predictors, and another arm not utilizing pre-operative MRI and using outcomes from historical literature. Sensitivity analysis was conducted to assess cost-effectiveness. <br /><br />The results showed that a pre-operative pelvic MRI was cost-effective when the cost was $545, representing the break-even point between expected costs with and without the MRI. Furthermore, utilizing pre-operative MRIs to calculate eLASV as a predictor for surgical outcomes resulted in significantly higher expected success rates for patients stratified to surgical procedures (94% compared to 65% without MRI). The model suggested that routine use of pre-operative pelvic MRIs could be cost-effective when used as a surgical prediction model to optimize patient outcomes. <br /><br />Overall, this study concluded that pre-operative pelvic MRIs can be valuable in identifying patients at high risk of surgical failure and improving surgical outcomes.

Keywords

cost-effectiveness

clinical utility

pre-operative pelvic MRIs

surgical failure

symptomatic pelvic organ prolapse

levator ani subtended volume

eLASV predictors

surgical outcomes

cost analysis

patient outcomes