Three-Year Comparison of Thermal Balloon and Rollerball Ablation in Treatment of Menorrhagia

Loffer, Franklin D.

doi:10.1016/s1074-3804(05)60548-8

Cited by 86 publications

(62 citation statements)

References 4 publications

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“…We found that second-generation techniques, such as thermal balloon ablation (ThermaChoice and Cavaterm), [51][52][53] the NovaSure device 56 or microwave (Microsulis), 54,68 were not significantly different to first-generation techniques in terms of patient dissatisfaction. Moreover, they are simpler and quicker, require less skill on the part of the operator and can be attempted under local anaesthetic.…”

Section: Discussionmentioning

confidence: 80%

“…The guideline development group felt that ablative surgery could be offered as the initial surgical treatment for HMB after full discussion about the risks and benefits of other options. 15 Incidence of surgical operations for heavy menstrual bleeding Of 51,858 hysterectomies in the public sector in England in 1999-2000, it is likely that half were for HMB. 29 Between 1999-2000 and 2004-5, 6500 fewer hysterectomies were performed.…”

Section: Surgical Treatmentmentioning

confidence: 99%

“…Examples of second-generation ablative techniques are fluid-filled thermal balloon EA (TBEA), radiofrequency (thermoregulated) balloon endometrial ablation, hydrothermal EA, 3D bipolar radiofrequency EA, microwave endometrial ablation (MEA), diode laser hyperthermy, cryoablation and photodynamic therapy. The most common techniques in the UK are TBEA Very common (> 1 in 10) Common (> 1 in 100, < 1 in 10) Uncommon (> 1 in 1000, < 1 in 100) [51][52][53] and MEA, 54,55 while the NovaSure  (Hologic Inc., Bedford, MA, USA) device 56 is becoming more widely used.…”

Section: Endometrial Ablationmentioning

confidence: 99%

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Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis

Bhattacharya

Middleton²,

Tsourapas³

et al. 2011

Health Technol Assess

100

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Section: Discussionmentioning

confidence: 80%

Section: Surgical Treatmentmentioning

confidence: 99%

Section: Endometrial Ablationmentioning

confidence: 99%

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Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis

Bhattacharya

Middleton²,

Tsourapas³

et al. 2011

Health Technol Assess

100

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“…Three were of MEA [86][87][88] and 11 were of TBEA. [82][83][84][85][89][90][91][92][93][94] However, two of the MEA papers report on the same trial at 12 (Cooper and colleagues) 86 and 24 months (Bain and colleagues) 87 of follow-up. In this report, these papers will be referred to by the first and main trial publication, Cooper and colleagues (1999).…”

Section: Controlled Trials Of Secondgeneration Ea Techniquesmentioning

confidence: 99%

The effectiveness and cost-effectiveness of microwave and thermal balloon endometrial ablation for heavy menstrual bleeding: a systematic review and economic modelling

Garside

Stein²,

Wyatt³

et al. 2004

Health Technol Assess

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“…Women with periodic uterine blood loss of >80 ml and a normal uterine cavity are said to have dysfunctional uterine bleeding. Ablation of the endometrium is an effective treatment in women with dysfunctional uterine bleeding [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Thermal endometrial ablation in dysfunctional uterine bleeding: an economic comparison of bipolar ablation and balloon ablation

et al. 2005

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Objective: A bipolar radio-frequency impedance-controlled endometrial ablation system is more effective than balloon ablation in the treatment of dysfunctional uterine bleeding. The aim of the present study was to compare the costs of both treatments, and to perform a cost-effectiveness analysis. Study design: An economic evaluation was set up alongside a randomised clinical trial comparing bipolar radio-frequency endometrial ablation and balloon ablation in 126 patients with dysfunctional uterine bleeding. Data on resources used for treatment and lost production time were prospectively collected, and costs of both treatments were calculated. Results: Mean direct medical costs per patient were €1638 for bipolar ablation and €1545 for thermal balloon ablation with a mean difference of €93 (95% CI €45-140, P-value 0.01). Mean indirect medical costs were just over €200 in each group. Incorporation of the costs of post-ablation hysterectomies resulted in mean costs of €2006 and €2053 in the balloon group (P-value 0.01). In the balloon group, the cost per satisfied patient was €2333 compared to €2112 in the bipolar group. Similarly, in the bipolar group the cost per amenorrhoeic patient was €4361 and in the balloon group €12831. Conclusions: The direct costs of bipolar ablation were higher than the costs of balloon ablation. However, after inclusion of the retreatment costs, bipolar ablation was less expensive than balloon ablation.

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Three-Year Comparison of Thermal Balloon and Rollerball Ablation in Treatment of Menorrhagia

Cited by 86 publications

References 4 publications

Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis

Hysterectomy, endometrial ablation and Mirena® for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis

The effectiveness and cost-effectiveness of microwave and thermal balloon endometrial ablation for heavy menstrual bleeding: a systematic review and economic modelling

Thermal endometrial ablation in dysfunctional uterine bleeding: an economic comparison of bipolar ablation and balloon ablation

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