Hospital care pathway of women treated for Bartholin’s gland abscess and budget impact analysis of outpatient management: A national hospital database analysis

• Published in: Journal of gynecology obstetrics and human reproduction Vol. 49; no. 4; p. 101689
• Main Authors: Riche, Valéry-Pierre, Schirr-Bonnans, Solène, Cardaillac, Claire, Le Thuaut, Aurélie, Dert, Cécile, Mauduit, Nicolas, Winer, Norbert, Thubert, Thibault
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01-04-2020; Elsevier
• Subjects: Abscess - surgery; Ambulatory Care - economics; Bartholin's Glands - surgery; Bartholin’s gland abscess; Budget impact analysis; Budgets; Catheters - economics; Databases, Factual; Drainage - economics; Economics, Hospital; Female; France; Gynecology and obstetrics; Hospital Costs; Hospitalization - economics; Human health and pathology; Humans; Incision-drainage; Life Sciences; National Health Programs; Vulvar Diseases - surgery; Word catheter; France; Incision-drainage; Word catheter; Budget impact analysis; Bartholin’s gland abscess
• ISSN: 2468-7847; 2468-8495; 2468-7847
• DOI: 10.1016/j.jogoh.2020.101689

Bartholin's gland abscesses cause severe pain and are a source of frequent emergency room visits. The most widespread treatment in France is incision-drainage during hospitalisation. A Word catheter, whose efficiency and safety would be identical, could be used without the need for hospitalisation, thus reducing the costs of Bartholin's gland abscess management.
Retrospective cohort study.
French hospital (PMSI) database 2016-2017.
3539 women with Bartholin's gland abscess.
From the PMSI database, we identified the population that was treated for incision-drainage of a Bartholin's gland abscess in 2016. We also looked for secondary hospitalisations occurring within 12 months of initial treatment of Bartholin's gland abscess using 2016 and 2017 PMSI database data.
The identified population was described in terms of age, hospitalisation, length of stay and readmissions within 12 months and provided a 5-year budget impact analysis of the use of the Word catheter in France from a National Health Insurance perspective.
In 2016, 3539 women (36 +/- 11.8 years) were hospitalised for 3646 incisions of the major vestibular gland linked to a Bartholin's gland abscess. 11.38 % (403/3,539) underwent at least one new Bartholin's gland procedure during the following year. The use of the Word catheter would allow potential savings over 5 years of €7.4 million.
The use of the Word catheter could be cost-saving. These results must be validated by a clinical research step evaluating efficiency in the French context, comparing the Word catheter and incision-drainage side-by-side.