MP10-12 COST-EFFECTIVENESS OF 90-DAY SINGLE-USE FLEXIBLE CYSTOSCOPE TRIAL: SINGLE CENTER MICRO-COSTING ANALYSIS

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology I (MP10)1 Sep 2021MP10-12 COST-EFFECTIVENESS OF 90-DAY SINGLE-USE FLEXIBLE CYSTOSCOPE TRIAL: SINGLE CENTER MICRO-COSTING ANALYSIS Mark Assmus, Amy Krambeck, Matthew Lee, Deepak Agarwal, Matthew Mellon, Marcelino Rivera, and Tim Large Mark AssmusMark Assmus More articles by this author , Amy KrambeckAmy Krambeck More articles by this author , Matthew LeeMatthew Lee More articles by this author , Deepak AgarwalDeepak Agarwal More articles by this author , Matthew MellonMatthew Mellon More articles by this author , Marcelino RiveraMarcelino Rivera More articles by this author , and Tim LargeTim Large More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001983.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Use of flexible cystoscopy for hospital based urologic care (Emergency Department, intra-operative, inpatients) is invaluable for many urologic diseases. Reusable flexible cystoscopes have widespread utilization with known associated upfront purchasing, processing and service costs. Advances in single-use flexible cystoscope development have introduced alternative options to reusable flexible cystoscopes. However, there is a paucity of cost-effectiveness studies examining implementation of a hospital based transition to single-use scopes. Our primary objective was a 90-day cost-effectiveness evaluation of utilizing single-use flexible cystoscopes at a tertiary care center. METHODS: Following institutional device-approval we initiated a 90-Day trial period (November 1, 2020 - January 29, 2021) where urologic care was provided with a single-use disposable AMBU® aScopeTM 4 Cysto with reusable flexible cystoscopy only in cases where the single-use scope failed or was unavailable. We performed a micro-costing analysis examining per case cost of reusable flexible cystoscopy (including all servicing and processing costs) to the cost of the single-use. RESULTS: Over the 90 day period, we encountered 85 cases (78 operative, 6 inpatient, 1 ED) where flexible cystoscopy was required. 78/85 (92%) cases were successfully completed with one single-use disposable flexible cystoscope. Of the 7 failures, 4 were intraoperative cases where the AMBU scope failed to complete the required surgery and a reusable flexible cystoscope was required and 3 where access to the AMBU scope/monitor resulted in transition to reusable cystoscope use. Per use cost of the reusable flexible cystoscope at our center was $272.41 while per use cost for the single-use is $185.00. Accounting for backup reusable scopes for disposable failures at a rate of 3 uses/month, extrapolating our data over an average 3 month period results in $9,785.71 cost savings or $39,142.84 annually. CONCLUSIONS: This single center 90-Day trial of single-use flexible cystoscopies identified that based on our micro-costing analysis, per-use costs favor transitioning to single-use flexible cystoscopes. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e173-e173 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mark Assmus More articles by this author Amy Krambeck More articles by this author Matthew Lee More articles by this author Deepak Agarwal More articles by this author Matthew Mellon More articles by this author Marcelino Rivera More articles by this author Tim Large More articles by this author Expand All Advertisement Loading ...