Micro-Costing Analysis Demonstrates Comparable Costs for LithoVue Compared to Reusable Flexible Fiberoptic Ureteroscopes
Autor: | Manint Usawachintachit, Thomas Chi, Dylan Isaacson, Kazumi Taguchi, Ian Metzler, Benjamin A. Sherer, Marshall L. Stoller, David T. Tzou |
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Rok vydání: | 2018 |
Předmět: |
Operating Rooms
Consumables Urologists Urology 030232 urology & nephrology 03 medical and health sciences 0302 clinical medicine Equipment Reuse Ureteroscopy Fiber Optic Technology Humans Medicine Operations management Prospective Studies Clinical care Disposable Equipment URETEROSCOPE business.industry Equipment Design Workflow 030220 oncology & carcinogenesis Micro costing Costs and Cost Analysis Ureteroscopes business |
Zdroj: | Journal of Endourology. 32:267-273 |
ISSN: | 1557-900X 0892-7790 |
DOI: | 10.1089/end.2017.0523 |
Popis: | Reusable ureteroscope durability and need for repair are significant sources of expense and inefficiency for patients and urologists. Utilization of LithoVue™, a disposable flexible digital ureteroscope, may address some of these concerns. To identify its economic impact on clinical care, we performed a micro-cost comparison between flexible reusable fiberoptic ureteroscopes (URF-P6™) and LithoVue.For this prospective, single-center micro-costing study, all consecutive ureteroscopies performed during 1 week each in July and August 2016 utilized either URF-P6 or LithoVue ureteroscopes respectively. Workflow data were collected, including intraoperative events, postoperative reprocessing cycle timing, consumables usage, and ureteroscope cost data.Intraoperative data analysis showed mean total operating room time for URF-P6 and LithoVue cases were 93.4 ± 32.3 and 73.6 ± 17.4 minutes, respectively (p = 0.093). Mean cost of operating room usage per case was calculated at $1618.72 ± 441.39 for URF-P6 and $1348.64 ± 237.40 for LithoVue based on institutional cost rates exclusive of disposables. Postoperative data analysis revealed costs of $107.27 for labor and consumables during reprocessing for URF-P6 cases. The costs of ureteroscope repair and capital acquisition for each URF-P6 case were $957.71 and $116.02, respectively. The total ureteroscope cost per case for URF-P6 and LithoVue were $2799.72 and $2852.29, respectively.Micro-cost analysis revealed that the cost of LithoVue acquisition is higher per case compared to reusable fiberoptic ureteroscopes, but savings are realized in labor, consumables, and repair. When accounting for these factors, the total cost per case utilizing these two ureteroscopes were comparable. |
Databáze: | OpenAIRE |
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