MP69-06 THE IMPACT OF SINGLE-USE DIGITAL FLEXIBLE CYSTOSCOPE FOR DOUBLE J REMOVAL ON HOSPITAL COSTS AND WORK ORGANIZATION IN DIFFERENT HEALTH SYSTEMS WORLDWIDE: A MULTICENTRIC EVALUATION

Abstract

You have accessJournal of UrologyStone Disease: Surgical Therapy VII (MP69)1 Apr 2020MP69-06 THE IMPACT OF SINGLE-USE DIGITAL FLEXIBLE CYSTOSCOPE FOR DOUBLE J REMOVAL ON HOSPITAL COSTS AND WORK ORGANIZATION IN DIFFERENT HEALTH SYSTEMS WORLDWIDE: A MULTICENTRIC EVALUATION Marco Oderda, Jean Delarosette, Steve Doizi, Vincent Estrade, Marco Falcone, Ben Grey, Bodo Knudsen, Jonathon Olsburg, Nick Rukin, and Paolo Gontero* Marco OderdaMarco Oderda More articles by this author , Jean DelarosetteJean Delarosette More articles by this author , Steve DoiziSteve Doizi More articles by this author , Vincent EstradeVincent Estrade More articles by this author , Marco FalconeMarco Falcone More articles by this author , Ben GreyBen Grey More articles by this author , Bodo KnudsenBodo Knudsen More articles by this author , Jonathon OlsburgJonathon Olsburg More articles by this author , Nick RukinNick Rukin More articles by this author , and Paolo Gontero*Paolo Gontero* More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000949.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Isiris® is a single-use digital flexible cystoscope that allows JJ removal outside of a dedicated endoscopy room (EnR) or operatory room (OR). The main challenge regarding this new technology is its impact on the cost. Since this endoscope is single-use, it does not require a dedicated place for stent removal, cleaning and storage, the only direct costs are the one of Isiris™ itself. Aim of this study was to conduct a multicentric evaluation of the costs and criticalities of JJ removal procedure performed with Isiris™ in different hospitals and health systems, as compared to other JJ removal procedures. METHODS: After gathering several institutions worldwide with experience on Isiris®, we performed an analysis of the costs related to JJ removal with Isiris®, according to the different hospital settings and health systems, and compared to the traditional reusable equipment used in each institution. The cost evaluation included the cost of instrument; EnR/OR occupancy; medical personnel; instrument elimination; maintenance, repairs, decontamination and sterilization of reusable device. RESULTS: Table 1 shows the cost estimates per JJ removal in the institutions included in study. The main factor affecting the costs of the procedure was OR/EnR occupancy (from 250€ to 1.125€ for 30’). Decontamination and sterilization accounted for a small part of total costs but might affect the lifespan of reusable instruments. Isiris™ was more rentable in institutions where JJ removal is usually performed in the EnR/OR, allowing to perform the procedure in outpatient clinic, with a significant saving of money (from 41€ to 1.140£ per procedure) and EnR/OR time that could be dedicated to other activities. Despite the fact that in the only institution where JJ removal is done in outpatient clinics with reusable scopes there was a slight cost benefit in favor of reusable material, Isiris® provides that a sufficient number of cystoscopes is always available to guarantee an effective turnover. CONCLUSIONS: Isiris™ leads to significant cost benefit in the institutions where JJ removal is routinely performed in EnR/OR, both in terms of money saved and EnR/OR time saved for other procedures. Source of Funding: Unrestricted grant from Coloplast © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1046-e1046 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marco Oderda More articles by this author Jean Delarosette More articles by this author Steve Doizi More articles by this author Vincent Estrade More articles by this author Marco Falcone More articles by this author Ben Grey More articles by this author Bodo Knudsen More articles by this author Jonathon Olsburg More articles by this author Nick Rukin More articles by this author Paolo Gontero* More articles by this author Expand All Advertisement PDF downloadLoading ...