While we found relatively good st and ards of reporting the study ’s question , population , interventions , comparators and conclusions , the overall reporting was poor , and evidence of unfamiliarity with international guidelines was evident ( i.e. absence of incremental analysis , of discounting long-term costs and effects ) .
Analysis or description of place-to-place variability was infrequent .
Use and acceptance of health economic evaluations ( HEEs ) has been much greater in developed than in developing nations .
Nevertheless , while developing countries lag behind in the development of HEE methods , they could benefit from the progress made in other countries and concentrate on ways in which existing methods can be used or would need to be modified to fulfill their specific needs .
HEEs , as context -specific tools , are not easily generalizable from setting to setting .
Existing studies regarding generalizability and transferability of HEEs have primarily been conducted in developed countries .
Therefore , a legitimate question for policy makers in Latin America and the Caribbean region ( LAC ) is to what extent HEEs conducted in industrialized economies and in LAC are generalizable to LAC ( trans-regional ) and to other LAC countries ( intra-regional ) , respectively .
[Use of manual vacuum aspiration in reducing cost and duration of hospitalization due to incomplete abortion in an urban area of northeastern Brazil].
INTRODUCTION In most developed countries vacuum aspiration has been shown to be safer and less costly than sharp curettage ( SC ) for uterine evacuation . In many of the developing countries , including Brazil , sharp curettage ( SC ) is the most commonly used technique for treating cases of incomplete abortion admitted to hospital . The procedure often involves light to heavy sedation for pain control and an overnight hospital stay for patient recuperation and monitoring . Two hypotheses are examined : the first , that the use of manual vacuum aspiration (MVA)--a variation of the vacuum aspiration , would be less costly than SC for the treatment of cases of incomplete abortion admitted to hospital ; and the second , that the treatment of incomplete abortion with MVA would substantially reduce the length of hospital stay . METHODOLOGY Thirty women with diagnosis of first trimester incomplete abortion were r and omly allocated to the SC or MVA group . Rapid- assessment data collection techniques were used to identify factors that contributed to cost reduction and hospital stay . RESULTS AND CONCLUSION The results of the study show that , overall , patients treated for incomplete abortion with MVA spent 77 % less time in the hospital and consumed 41 % fewer re sources than similarly diagnosed patients treated with SC . Recommendations are made as to the need of certain changes in patient management . Particularly necessary is information regarding cultural perception and concepts of abortion treatment
While we found relatively good st and ards of reporting the study ’s question , population , interventions , comparators and conclusions , the overall reporting was poor , and evidence of unfamiliarity with international guidelines was evident ( i.e. absence of incremental analysis , of discounting long-term costs and effects ) .
Analysis or description of place-to-place variability was infrequent .
Use and acceptance of health economic evaluations ( HEEs ) has been much greater in developed than in developing nations .
Nevertheless , while developing countries lag behind in the development of HEE methods , they could benefit from the progress made in other countries and concentrate on ways in which existing methods can be used or would need to be modified to fulfill their specific needs .
HEEs , as context -specific tools , are not easily generalizable from setting to setting .
Existing studies regarding generalizability and transferability of HEEs have primarily been conducted in developed countries .
Therefore , a legitimate question for policy makers in Latin America and the Caribbean region ( LAC ) is to what extent HEEs conducted in industrialized economies and in LAC are generalizable to LAC ( trans-regional ) and to other LAC countries ( intra-regional ) , respectively .