Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy
| Autor: | Franck Bruyère, Benjamin Pradere, Martine Le Verger, Sophie Dubnitskiy-Robin, Emmanuel Rusch, Julien Ramillon, Benjamin Faivre d’Arcier, S. Brunet-Houdard, Tanguy Le Fol, Fanny Monmousseau |
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| Přispěvatelé: | Éducation Éthique Santé EA 7505 (EES), Université de Tours (UT), Laboratoire Traitement du Signal et de l'Image (LTSI), Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), CHU Trousseau [Tours], Department of Urology, Comprehensive Cancer Center, Medical University of Vienna |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Cost effectiveness
single-use ureteroscopes stone 030232 urology & nephrology cut-off values Article [SHS]Humanities and Social Sciences medical devices 03 medical and health sciences 0302 clinical medicine Order (exchange) cost analysis Medicine Operations management Ureteroscopy medicine.diagnostic_test disposable business.industry urolithiasis Public institution hybrid strategy General Medicine Sterilization (economics) 030220 oncology & carcinogenesis Ureteroscopes Economic model Profitability index business |
| Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 10, Iss 2593, p 2593 (2021) Volume 10 Issue 12 Journal of Clinical Medicine, MDPI, 2021, 10 (12), pp.2593. ⟨10.3390/jcm10122593⟩ |
| ISSN: | 2077-0383 |
| Popis: | International audience; Endoscopic procedures such as ureteroscopy (URS) have seen a recent increase in single-use devices. Despite all the advantages provided by disposable ureteroscopes (sURSs), their cost effectiveness remains questionable, leading most teams to use a hybrid strategy combining reusable (rURS) and disposable devices. Our study aimed to create an economic model that estimated the cut-off value of rURS procedures needed to support the profitability of a hybrid strategy (HS) for ureteroscopy. We used a budget impact analysis (BIA) model that estimated the financial impact of an HS compared to 100% sURS use. The model included hospital volume, sterilization costs and the private or public status of the institution. Although the hybrid strategy generally remains the best economic and clinical option, a predictive BIA model is recommended for the decision-making. We found that the minimal optimal proportion of rURS procedures in an HS was mainly impacted by the activity volume and overall number of sterilization procedures. Private and public institutions must consider these variables and models in order to adapt their HS and remain profitable. |
| Databáze: | OpenAIRE |
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