{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:02:38Z","timestamp":1777899758316,"version":"3.51.4"},"reference-count":6,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2004,11,1]],"date-time":"2004-11-01T00:00:00Z","timestamp":1099267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scott Med J"],"published-print":{"date-parts":[[2004,11]]},"abstract":"<jats:p>Background and aims: To conduct a profile audit of three surgical treatments for urinary stress incontinence through the application of an episode costing process. Methods: Four stage methodology: (1) construction or a profile of care for each of the surgical approaches (setting the standard); 2) calculation of a theoretical profile cost; (3) calculation of the observed costs from real patient episodes; (4) comparison of observed costs with profile costs, (comparing present practice with established standard). Results: Profiles of care were constructed and compared with 39 actual in~patient episodes. Tension free vaginal tape (TVT\u2122 Gynecare) is the cheapest modality of treatment in terms of both the expected profile cost and also observed (real patient) cost. Colposuspension is the most expensive form of treatment with real costs significantly greater than the expected profile. Clinical issues such as length of stay, duration of surgery, patient selection and complication rates were revealed through the exception reporting process. Length of stay is the main determinant of overall cost. Conclusion: It is possible to construct a costed and auditable standard of care for a surgical procedure. This standard can be compared with real patient costs calculated using the same methodology. Exception reporting based on differences between expected and real costs can be used to facilitate the audit of clinical practice. The technique is limited, however, by the need to collect accurate and detailed activity data.<\/jats:p>","DOI":"10.1177\/003693300404900405","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T22:09:37Z","timestamp":1484086177000},"page":"133-136","source":"Crossref","is-referenced-by-count":1,"title":["A Costed Profile Audit of the Surgical Management of Female Stress Incontinence"],"prefix":"10.1177","volume":"49","author":[{"given":"J P","family":"Tierney","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J B","family":"Robins","sequence":"additional","affiliation":[{"name":"Department of Gynaecology, Inverclyde Royal Hospital, Greenock"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G S","family":"Anthony","sequence":"additional","affiliation":[{"name":"Department of Gynaecology, Inverclyde Royal Hospital, Greenock"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Bjornsson","sequence":"additional","affiliation":[{"name":"Department of Gynaecology, Victoria Infirmary, Glasgow"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Orr","sequence":"additional","affiliation":[{"name":"Department of Urology, Inverclyde Royal Infirmary, Greenock"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,11,1]]},"reference":[{"key":"bibr1-003693300404900405","volume-title":"Surgical Treatment of Urodynamic Stress Incontinence","author":"Royal College of Obstetricians &amp; Gynaecologists","year":"2003"},{"key":"bibr2-003693300404900405","unstructured":"National Institute for Clinical Excellence. Guidance on the use of tension-free vaginal tape (Gynaecare TVT) for stress incontinence. Technology Appraisal No. 56. London: NICE; 2003."},{"key":"bibr3-003693300404900405","first-page":"345","volume":"106","author":"Uimsten U","year":"1999","journal-title":"A 3 year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence"},{"key":"bibr4-003693300404900405","first-page":"386","volume":"19","author":"Ward KL","year":"2000","journal-title":"A randomised trial of colposuspension and tension free tape for primary genuine stress incontinence"},{"issue":"6","key":"bibr5-003693300404900405","first-page":"97","volume":"19","author":"Robins J.B.","year":"1993","journal-title":"Resource Management: Profiles of patient care"},{"issue":"1","key":"bibr6-003693300404900405","first-page":"2","volume":"6","author":"Robins J.B.","year":"1997","journal-title":"Costing patient care & using costed data in audit"}],"container-title":["Scottish Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003693300404900405","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003693300404900405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:13:58Z","timestamp":1777630438000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/003693300404900405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,11]]},"references-count":6,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2004,11]]}},"alternative-id":["10.1177\/003693300404900405"],"URL":"https:\/\/doi.org\/10.1177\/003693300404900405","relation":{},"ISSN":["0036-9330","2045-6441"],"issn-type":[{"value":"0036-9330","type":"print"},{"value":"2045-6441","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,11]]}}}