Disposable flexible cystoscopes for removing double J catheter
A budget impact analysis
DOI:
https://doi.org/10.5489/cuaj.9158Keywords:
flexible cystoscope, cost-effectiveness, cost analysis, Double -J catheterAbstract
INTRODUCTION: We conducted a budget impact analysis to evaluate the cost of removing double J catheters using single-use flexible digital cystoscopes compared to reusable cystoscopes at the CHU de Québec.
METHODS: The UETMIS of CHU de Québec estimated average costs per intervention for both reusable and single-use flexible cystoscopes in the endoscopy room. Costs included purchase, repair, reprocessing, and sterilization for reusable cystoscopes based on data from 2017-2019. For single-use cystoscopes, the unit price and technical platform costs were considered. Annual costs were calculated using the average cost per procedure and the annual volume of double J catheter removals.
RESULTS: The average cost per intervention for reusable flexible cystoscopes was estimated at $148.55, while for single-use digital flexible cystoscopes, it was $293.38. For 385 annual double J catheter removals, the total cost would be $57 191.75 with reusable cystoscopes and $112 951.30 with single-use cystoscopes. This represents an additional cost of $144.83 per procedure or $55 760 annually when using single-use cystoscopes.
CONCLUSIONS: The use of single-use flexible digital cystoscopes for double J catheter removal at CHU de Québec would nearly double the cost per procedure compared to reusable cystoscopes. This cost difference is primarily due to the purchase price of singleuse devices. While cystoscope breakage is infrequent, the potential for higher breakage risk during double J catheter removal could reduce the cost differential. Future implementation of patient-focused financing might alter the economic evaluation of single-use cystoscopes.
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