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The impact of single-use digital flexible cystoscope for double J removal on hospital costs and work organization: A multicentric evaluation.
Oderda, Marco; Amato, Antonio; de la Rosette, Jean; Doizi, Steve; Estrade, Vincent; Falcone, Marco; Grey, Ben; Knudsen, Bodo; Olsburgh, Jonathon; Pietropaolo, Amelia; Rukin, Nick; Sedigh, Omidreza; Saeed, Alhamri; Somani, Bhaskar K; Gontero, Paolo.
Afiliación
  • Oderda M; Dept. of Surgical Sciences, Division of Urology, Città della Salute e della Scienza di Torino - Molinette Hospital, University of Torino, Torino, Italy.
  • Amato A; Dept of Renal Transplantation, Civico Hospital, Palermo, Italy.
  • de la Rosette J; Dept of Urology, Istanbul Medipol University, Istanbul, Turkey.
  • Doizi S; Dept of Urology, Tenon Hospital, Paris, France.
  • Estrade V; Division of Urology, CH Angouleme, Angouleme, France.
  • Falcone M; Dept. of Surgical Sciences, Division of Urology, Città della Salute e della Scienza di Torino - Molinette Hospital, University of Torino, Torino, Italy.
  • Grey B; Dept of Urology, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
  • Knudsen B; Dept of Urology, Ohio State University Wexner Medical Center, Columbus, OH, USA.
  • Olsburgh J; Dept of Urology, Guy's Hospital, London, UK.
  • Pietropaolo A; Dept of Urology, University Hospital Southampton, Southampton, UK.
  • Rukin N; Dept of Urology, Redcliffe Hospital, Redcliffe, QLD, Australia.
  • Sedigh O; Dept. of Surgical Sciences, Division of Urology, Città della Salute e della Scienza di Torino - Molinette Hospital, University of Torino, Torino, Italy.
  • Saeed A; Dept. of Urology, Dept. of Surgery, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
  • Somani BK; Dept of Urology, University Hospital Southampton, Southampton, UK.
  • Gontero P; Dept. of Surgical Sciences, Division of Urology, Città della Salute e della Scienza di Torino - Molinette Hospital, University of Torino, Torino, Italy.
Urologia ; 90(4): 670-677, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37154464
BACKGROUND: Isiris-α® is a single-use digital flexible cystoscope with an integrated grasper designed for double J (DJ) stent removal. Aim of this study was to conduct a multicentric evaluation of the costs and criticalities of stent removals performed with Isiris®-α in different hospitals and health systems, as compared to other DJ removal procedures. METHODS: After gathering 10 institutions worldwide with experience on Isiris-α®, we performed an analysis of the reported costs of DJ removal with Isiris-α®, as compared to the traditional reusable equipment used in each institution. The cost evaluation included instrument purchase, Endoscopic Room (EnR)/ Operatory Room (OR) occupancy, medical staff, instrument disposal, maintenance, repairs, decontamination or sterilization of reusable devices. RESULTS: The main factor affecting the costs of the procedure was OR/EnR occupancy. Decontamination and sterilization accounted for a less important part of total costs. Isiris-α® was more profitable in institutions where DJ removal is usually performed in the EnR/OR, allowing to transfer the procedure to outpatient clinic, with a significant cost saving and EnR/OR time saving to be allocated to other activities. In the only institution where DJ removal was already performed in outpatient clinics, there is a slight cost difference in favor of reusable instruments in high-volume institutions, given a sufficient number to guarantee the turnover. CONCLUSION: Isiris-α® leads to significant cost benefit in the institutions where DJ removal is routinely performed in EnR/OR, and brings significant improvement in organization, cost impact and turnover.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uréter / Cistoscopios Tipo de estudio: Clinical_trials / Health_economic_evaluation Límite: Humans Idioma: En Revista: Urologia Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Uréter / Cistoscopios Tipo de estudio: Clinical_trials / Health_economic_evaluation Límite: Humans Idioma: En Revista: Urologia Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos