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Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy
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 dispos...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8230737/ https://www.ncbi.nlm.nih.gov/pubmed/34208267 http://dx.doi.org/10.3390/jcm10122593 |
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author | Monmousseau, Fanny Ramillon, Julien Dubnitskiy-Robin, Sophie Faivre d’Arcier, Benjamin Le Verger, Martine Le Fol, Tanguy Bruyère, Franck Rusch, Emmanuel Brunet-Houdard, Solène Pradère, Benjamin |
author_facet | Monmousseau, Fanny Ramillon, Julien Dubnitskiy-Robin, Sophie Faivre d’Arcier, Benjamin Le Verger, Martine Le Fol, Tanguy Bruyère, Franck Rusch, Emmanuel Brunet-Houdard, Solène Pradère, Benjamin |
author_sort | Monmousseau, Fanny |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8230737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82307372021-06-26 Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy Monmousseau, Fanny Ramillon, Julien Dubnitskiy-Robin, Sophie Faivre d’Arcier, Benjamin Le Verger, Martine Le Fol, Tanguy Bruyère, Franck Rusch, Emmanuel Brunet-Houdard, Solène Pradère, Benjamin J Clin Med Article 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. MDPI 2021-06-11 /pmc/articles/PMC8230737/ /pubmed/34208267 http://dx.doi.org/10.3390/jcm10122593 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Monmousseau, Fanny Ramillon, Julien Dubnitskiy-Robin, Sophie Faivre d’Arcier, Benjamin Le Verger, Martine Le Fol, Tanguy Bruyère, Franck Rusch, Emmanuel Brunet-Houdard, Solène Pradère, Benjamin Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy |
title | Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy |
title_full | Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy |
title_fullStr | Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy |
title_full_unstemmed | Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy |
title_short | Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy |
title_sort | relevance of adopting a hybrid strategy mixing single-use and reusable ureteroscopes for stones management: an economic study to support the best strategy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8230737/ https://www.ncbi.nlm.nih.gov/pubmed/34208267 http://dx.doi.org/10.3390/jcm10122593 |
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