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Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan
BACKGROUND: Needlestick injury (NSI) is one of the most burdensome professional hazards in any medical setting; it can lead to transmission of fatal infectious diseases, such as hepatitis B, hepatitis C and human immunodeficiency virus. In the United States, the annual cost burden was estimated as s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837393/ https://www.ncbi.nlm.nih.gov/pubmed/31697746 http://dx.doi.org/10.1371/journal.pone.0224142 |
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author | Kunishima, Hiroyuki Yoshida, Emiko Caputo, Joe Mikamo, Hiroshige |
author_facet | Kunishima, Hiroyuki Yoshida, Emiko Caputo, Joe Mikamo, Hiroshige |
author_sort | Kunishima, Hiroyuki |
collection | PubMed |
description | BACKGROUND: Needlestick injury (NSI) is one of the most burdensome professional hazards in any medical setting; it can lead to transmission of fatal infectious diseases, such as hepatitis B, hepatitis C and human immunodeficiency virus. In the United States, the annual cost burden was estimated as somewhere between $118 million to $591 million; in the United Kingdom it is approximated to be £500,000 (US$919,117.65) per the National Health Service. METHOD: This is the first published paper on the national cost burden of NSIs in Japan. A systematic literature review was conducted to review previous study design in global studies and to extract parameter values from Japanese studies. We conducted abstract searches through PubMed and the Japan Medical Abstracts Society (Ichushi), together with grey literature and snowball searches. A simple economic model was developed to calculate cost burden of NSIs from a societal perspective over a one-year time horizon. We assumed all NSIs are reported and perfect adherence in post NSI management that presented in the labour compensation scheme. Local guidelines were also referenced to extract resource utilization. Lastly, a deterministic sensitivity analysis was conducted and a scenario analysis which considered a payer perspective was also included. RESULT AND CONCLUSION: The national cost burden of in-hospital NSIs is estimated as ¥33.4 billion (US$302 million) annually, based on an average cost per NSI of ¥63,711 (US$577) and number of NSIs at 525,000/year. 70% of the cost is due to initial laboratory tests, followed by productivity loss, estimated at 20% of the total cost. Cost of contaminated NSIs remains at 5% of the total cost. Change in number of NSIs significantly influences outcomes. Variation in post-exposure management practices suggests a need for NSI specific National guidelines and holistic labour compensation scheme development in Japan. |
format | Online Article Text |
id | pubmed-6837393 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-68373932019-11-14 Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan Kunishima, Hiroyuki Yoshida, Emiko Caputo, Joe Mikamo, Hiroshige PLoS One Research Article BACKGROUND: Needlestick injury (NSI) is one of the most burdensome professional hazards in any medical setting; it can lead to transmission of fatal infectious diseases, such as hepatitis B, hepatitis C and human immunodeficiency virus. In the United States, the annual cost burden was estimated as somewhere between $118 million to $591 million; in the United Kingdom it is approximated to be £500,000 (US$919,117.65) per the National Health Service. METHOD: This is the first published paper on the national cost burden of NSIs in Japan. A systematic literature review was conducted to review previous study design in global studies and to extract parameter values from Japanese studies. We conducted abstract searches through PubMed and the Japan Medical Abstracts Society (Ichushi), together with grey literature and snowball searches. A simple economic model was developed to calculate cost burden of NSIs from a societal perspective over a one-year time horizon. We assumed all NSIs are reported and perfect adherence in post NSI management that presented in the labour compensation scheme. Local guidelines were also referenced to extract resource utilization. Lastly, a deterministic sensitivity analysis was conducted and a scenario analysis which considered a payer perspective was also included. RESULT AND CONCLUSION: The national cost burden of in-hospital NSIs is estimated as ¥33.4 billion (US$302 million) annually, based on an average cost per NSI of ¥63,711 (US$577) and number of NSIs at 525,000/year. 70% of the cost is due to initial laboratory tests, followed by productivity loss, estimated at 20% of the total cost. Cost of contaminated NSIs remains at 5% of the total cost. Change in number of NSIs significantly influences outcomes. Variation in post-exposure management practices suggests a need for NSI specific National guidelines and holistic labour compensation scheme development in Japan. Public Library of Science 2019-11-07 /pmc/articles/PMC6837393/ /pubmed/31697746 http://dx.doi.org/10.1371/journal.pone.0224142 Text en © 2019 Kunishima et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Kunishima, Hiroyuki Yoshida, Emiko Caputo, Joe Mikamo, Hiroshige Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan |
title | Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan |
title_full | Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan |
title_fullStr | Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan |
title_full_unstemmed | Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan |
title_short | Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan |
title_sort | estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in japan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837393/ https://www.ncbi.nlm.nih.gov/pubmed/31697746 http://dx.doi.org/10.1371/journal.pone.0224142 |
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