Variation in Operative Time and Work Relative Value Units in Gynecologic Surgery

Rosa M. Polan*, Emma L. Barber

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


The RVU (relative value unit) is designed to represent three components of care: physician work, practice expense, and malpractice costs. Physician work represents the amount of effort required for preoperative evaluation, intraoperative performance of surgery, and postoperative care. Operative time is used in this formulation. Surveys are administered to physicians asking them to reflect on the amount of time they spend performing specific procedures, which may be subject to recall bias.1,2 Since its inception, procedures for women have been undervalued by the RVU system.3-5 However, it is unknown whether gynecologic subspecialists spend different amounts of time in the operating room, operating on distinct patient populations, to generate the same RVUs. To study this, we compared patient population characteristics, operative time, and per-hour and per-procedure RVUs stratified by gynecologic subspecialty.

Original languageEnglish (US)
Pages (from-to)1145-1148
Number of pages4
JournalObstetrics and gynecology
Issue number6
StatePublished - Jun 1 2022

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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