Single use versus reuse of endoscopy biopsy forceps: A survey of patient preference.
Natl Med J India
; 29(4): 205-206, 2016.
Article
em En
| MEDLINE
| ID: mdl-28050996
ABSTRACT
BACKGROUND:
Although there are no confirmatory data on this, we suspect that most endoscopy centres in India reuse single-use ('disposable') endoscopic biopsy forceps due to the cost of these forceps and the perceived low risk of infection transmission on reuse. Low-cost single-use biopsy forceps are now available in India, bringing into question the justification for such a practice. We aimed to determine the type of forceps (single-use or reused) patients would prefer during endoscopy for themselves, whether this is dependent on cost, and what cost would be acceptable to them.METHODS:
Among patients (conveniently selected from indoor or outdoor) reporting for endoscopy at the division of gastroenterology at a private tertiary-level hospital, we distributed an information sheet about the survey 30-45 minutes before the procedure. After they completed reading the sheet, an endoscopy nurse and/or doctor explained the study. The patient then completed a questionnaire of multiple choices with tick boxes.RESULTS:
Of 151 patients approached, 4 declined to participate. Of 147 patients surveyed (age range 16-83 years; 82 men), 127 (86.4%) preferred single-use forceps, 16 (10.9%) preferred reused forceps, and 4 (2.7%) could not decide and left the decision to the physician. When informed that single-use forceps may be available for about â¹1000 (approximately US$ 15), 131 patients (89.1%) preferred these forceps, 11 (7.4%) preferred reused forceps, and 5 (3.4%) could not decide. Forty-four patients (33.1%) stated that an acceptable cost for a forceps for them would be â¹500 (approximately US$ 8), for 65 patients (48.9%) patients it was â¹1000, and for 24 (18.1%) it was â¹1500.CONCLUSION:
About 90% of patients in this survey preferred single-use forceps; a cost of â¹1000 for single-use forceps was acceptable to over two-thirds of them.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Instrumentos Cirúrgicos
/
Biópsia
/
Reutilização de Equipamento
/
Endoscopia
/
Preferência do Paciente
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Natl Med J India
Assunto da revista:
MEDICINA
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Índia