Uterine Fibroids Cost Billions in U.S. Health Care, Lost
TUESDAY, Dec. 20 (HealthDay News) -- Uterine fibroids are a
significant economic drain on the U.S. health care system, costing
anywhere from $5.9 billion to $34.4 billion a year, according to a
The costs come largely from lost work and disability but also
include medical treatment as well as obstetric complications, said
the report, which appears in the
American Journal of Obstetrics and Gynecology.
"Fibroids are one of the most costly conditions even at the lower limit of $5.1 billion, which is a considerable expense," said study senior author Dr. James Segars.
According to Segars, who is head of the Reproductive
Endocrinology and Infertility unit at the Eunice Kennedy Shriver
National Institute of Child Health and Human Development, uterine
fibroids are one of the most common reproductive disorders in
women, affecting about half of women before they reach
Fibroids -- which are benign tumors -- result in 30,000
myomectomies (removal of the fibroids) and 200,000 hysterectomies
(complete removal of the uterus) among U.S. women each year.
Even women who don't have surgery often are hospitalized or
require medications and other treatments. And the toll is
especially high among pregnant women, according to the report.
Although other studies have estimated the costs of fibroids,
none has included the cost of obstetric complications attributable
to uterine fibroids, said Segars, who spoke at a Tuesday
Looking at several sources of data, the study authors concluded
that about half a million American women seek treatment for
fibroids annually. That's about 1 percent of the nearly 64 million
women who have fibroids.
Pregnancy-related costs of fibroids were estimated at $238
million to $7.7 billion a year.
The annual direct costs -- including surgery, hospitalization,
medication and outpatient treatment -- ranged from $4.1 billion to
$9.1 billion a year.
The largest contributor was lost work, which ranged from $1.5
billion to $17.2 billion a year.
"If one could minimize the number of women undergoing hysterectomies, we would be able to save 25 percent annually due to lost work," Segars said.
"These results emphasize the importance of developing new, effective treatments and earlier diagnosis for fibroids," he said.
The U.S. National Library of Medicine has more on
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