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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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