A cost comparison of disposable vs reusable instruments in laparoscopic cholecystectomy

This paper compares the costs of disposable and reusable instruments in laparoscopic cholecystectomy. The instrument set considered includes those instruments that are available in both a reusable and disposable form. A market study within the Belgian market was performed in order to compare purchas...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Surgical endoscopy 1996-05, Vol.10 (5), p.520-525
Hauptverfasser: DEMOULIN, L, KESTELOOT, K, PENNINCKX, F
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 525
container_issue 5
container_start_page 520
container_title Surgical endoscopy
container_volume 10
creator DEMOULIN, L
KESTELOOT, K
PENNINCKX, F
description This paper compares the costs of disposable and reusable instruments in laparoscopic cholecystectomy. The instrument set considered includes those instruments that are available in both a reusable and disposable form. A market study within the Belgian market was performed in order to compare purchase prices. In addition, costs of cleaning, sterilization, wrapping, maintenance, repair, and disposal of waste were calculated. The effects of reusables and disposables were examined by means of a literature overview. It was calculated that the instrument cost per procedure of a full disposable set is 7.4-27.7 times higher than the cost per procedure with reusables. In comparison with disposables, modular systems ("semidisposable") and mixed use of disposables and reusables reduce costs, but still the cost per procedure remains higher than with reusables. A sensitivity analysis confirmed that these conclusions are robust to the model assumptions. In addition, the available evidence in the literature suggests that reusables do not compromise patient or staff safety. If reusables are used instead of disposables when performing a laparoscopic cholecystectomy, considerable savings can be achieved without compromising patient and staff safety.
doi_str_mv 10.1007/BF00188399
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78126829</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>78126829</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-214914ef3dca1e1ff0d0805d98c3ed38ecc664df05c6325d06e2d4da13ce39973</originalsourceid><addsrcrecordid>eNpFkEFLxEAMhQdRdF29eBd6EA9CNTPTdmeOq7gqCF4Uj2XMpFhpO7Vphf33juyyXpIH-fJInhBnEq4lwOLmdgUgjdHW7omZzLRKlZJmX8zAakjVwmZH4pj5CwAyK_NDcWiK3GgtZ-J9mWDgMZa2d0PNoUtClfia-8Duo6Hkh5OBpo2uOx6HqaVu5KiTxsWVwBj6GhP8DA3hmkfCMbTrE3FQuYbpdNvn4m11_3r3mD6_PDzdLZ9T1LkaUyXjQRlV2qOTJKsKPBjIvTWoyWtDiEWR-QpyLLTKPRSkfOad1Ejx3YWei8uNbz-E74l4LNuakZrGdRQmLhdGqsIoG8GrDYjxZB6oKvuhbt2wLiWUfymW_ylG-HzrOn205HfoNrY4v9jOHaNrqsF1WPMO02ChsJn-BQCheo4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78126829</pqid></control><display><type>article</type><title>A cost comparison of disposable vs reusable instruments in laparoscopic cholecystectomy</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>DEMOULIN, L ; KESTELOOT, K ; PENNINCKX, F</creator><creatorcontrib>DEMOULIN, L ; KESTELOOT, K ; PENNINCKX, F</creatorcontrib><description>This paper compares the costs of disposable and reusable instruments in laparoscopic cholecystectomy. The instrument set considered includes those instruments that are available in both a reusable and disposable form. A market study within the Belgian market was performed in order to compare purchase prices. In addition, costs of cleaning, sterilization, wrapping, maintenance, repair, and disposal of waste were calculated. The effects of reusables and disposables were examined by means of a literature overview. It was calculated that the instrument cost per procedure of a full disposable set is 7.4-27.7 times higher than the cost per procedure with reusables. In comparison with disposables, modular systems ("semidisposable") and mixed use of disposables and reusables reduce costs, but still the cost per procedure remains higher than with reusables. A sensitivity analysis confirmed that these conclusions are robust to the model assumptions. In addition, the available evidence in the literature suggests that reusables do not compromise patient or staff safety. If reusables are used instead of disposables when performing a laparoscopic cholecystectomy, considerable savings can be achieved without compromising patient and staff safety.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/BF00188399</identifier><identifier>PMID: 8658331</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Belgium ; Biological and medical sciences ; Cholecystectomy, Laparoscopic - economics ; Cholecystectomy, Laparoscopic - instrumentation ; Costs and Cost Analysis ; Disposable Equipment - economics ; Equipment Reuse - economics ; Humans ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Technology. Biomaterials. Equipments</subject><ispartof>Surgical endoscopy, 1996-05, Vol.10 (5), p.520-525</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-214914ef3dca1e1ff0d0805d98c3ed38ecc664df05c6325d06e2d4da13ce39973</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=3090694$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8658331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DEMOULIN, L</creatorcontrib><creatorcontrib>KESTELOOT, K</creatorcontrib><creatorcontrib>PENNINCKX, F</creatorcontrib><title>A cost comparison of disposable vs reusable instruments in laparoscopic cholecystectomy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>This paper compares the costs of disposable and reusable instruments in laparoscopic cholecystectomy. The instrument set considered includes those instruments that are available in both a reusable and disposable form. A market study within the Belgian market was performed in order to compare purchase prices. In addition, costs of cleaning, sterilization, wrapping, maintenance, repair, and disposal of waste were calculated. The effects of reusables and disposables were examined by means of a literature overview. It was calculated that the instrument cost per procedure of a full disposable set is 7.4-27.7 times higher than the cost per procedure with reusables. In comparison with disposables, modular systems ("semidisposable") and mixed use of disposables and reusables reduce costs, but still the cost per procedure remains higher than with reusables. A sensitivity analysis confirmed that these conclusions are robust to the model assumptions. In addition, the available evidence in the literature suggests that reusables do not compromise patient or staff safety. If reusables are used instead of disposables when performing a laparoscopic cholecystectomy, considerable savings can be achieved without compromising patient and staff safety.</description><subject>Belgium</subject><subject>Biological and medical sciences</subject><subject>Cholecystectomy, Laparoscopic - economics</subject><subject>Cholecystectomy, Laparoscopic - instrumentation</subject><subject>Costs and Cost Analysis</subject><subject>Disposable Equipment - economics</subject><subject>Equipment Reuse - economics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Technology. Biomaterials. Equipments</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEFLxEAMhQdRdF29eBd6EA9CNTPTdmeOq7gqCF4Uj2XMpFhpO7Vphf33juyyXpIH-fJInhBnEq4lwOLmdgUgjdHW7omZzLRKlZJmX8zAakjVwmZH4pj5CwAyK_NDcWiK3GgtZ-J9mWDgMZa2d0PNoUtClfia-8Duo6Hkh5OBpo2uOx6HqaVu5KiTxsWVwBj6GhP8DA3hmkfCMbTrE3FQuYbpdNvn4m11_3r3mD6_PDzdLZ9T1LkaUyXjQRlV2qOTJKsKPBjIvTWoyWtDiEWR-QpyLLTKPRSkfOad1Ejx3YWei8uNbz-E74l4LNuakZrGdRQmLhdGqsIoG8GrDYjxZB6oKvuhbt2wLiWUfymW_ylG-HzrOn205HfoNrY4v9jOHaNrqsF1WPMO02ChsJn-BQCheo4</recordid><startdate>19960501</startdate><enddate>19960501</enddate><creator>DEMOULIN, L</creator><creator>KESTELOOT, K</creator><creator>PENNINCKX, F</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960501</creationdate><title>A cost comparison of disposable vs reusable instruments in laparoscopic cholecystectomy</title><author>DEMOULIN, L ; KESTELOOT, K ; PENNINCKX, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-214914ef3dca1e1ff0d0805d98c3ed38ecc664df05c6325d06e2d4da13ce39973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Belgium</topic><topic>Biological and medical sciences</topic><topic>Cholecystectomy, Laparoscopic - economics</topic><topic>Cholecystectomy, Laparoscopic - instrumentation</topic><topic>Costs and Cost Analysis</topic><topic>Disposable Equipment - economics</topic><topic>Equipment Reuse - economics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Technology. Biomaterials. Equipments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DEMOULIN, L</creatorcontrib><creatorcontrib>KESTELOOT, K</creatorcontrib><creatorcontrib>PENNINCKX, F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DEMOULIN, L</au><au>KESTELOOT, K</au><au>PENNINCKX, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A cost comparison of disposable vs reusable instruments in laparoscopic cholecystectomy</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>1996-05-01</date><risdate>1996</risdate><volume>10</volume><issue>5</issue><spage>520</spage><epage>525</epage><pages>520-525</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>This paper compares the costs of disposable and reusable instruments in laparoscopic cholecystectomy. The instrument set considered includes those instruments that are available in both a reusable and disposable form. A market study within the Belgian market was performed in order to compare purchase prices. In addition, costs of cleaning, sterilization, wrapping, maintenance, repair, and disposal of waste were calculated. The effects of reusables and disposables were examined by means of a literature overview. It was calculated that the instrument cost per procedure of a full disposable set is 7.4-27.7 times higher than the cost per procedure with reusables. In comparison with disposables, modular systems ("semidisposable") and mixed use of disposables and reusables reduce costs, but still the cost per procedure remains higher than with reusables. A sensitivity analysis confirmed that these conclusions are robust to the model assumptions. In addition, the available evidence in the literature suggests that reusables do not compromise patient or staff safety. If reusables are used instead of disposables when performing a laparoscopic cholecystectomy, considerable savings can be achieved without compromising patient and staff safety.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>8658331</pmid><doi>10.1007/BF00188399</doi><tpages>6</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0930-2794
ispartof Surgical endoscopy, 1996-05, Vol.10 (5), p.520-525
issn 0930-2794
1432-2218
language eng
recordid cdi_proquest_miscellaneous_78126829
source MEDLINE; Springer Nature - Complete Springer Journals
subjects Belgium
Biological and medical sciences
Cholecystectomy, Laparoscopic - economics
Cholecystectomy, Laparoscopic - instrumentation
Costs and Cost Analysis
Disposable Equipment - economics
Equipment Reuse - economics
Humans
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Technology. Biomaterials. Equipments
title A cost comparison of disposable vs reusable instruments in laparoscopic cholecystectomy
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T12%3A13%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20cost%20comparison%20of%20disposable%20vs%20reusable%20instruments%20in%20laparoscopic%20cholecystectomy&rft.jtitle=Surgical%20endoscopy&rft.au=DEMOULIN,%20L&rft.date=1996-05-01&rft.volume=10&rft.issue=5&rft.spage=520&rft.epage=525&rft.pages=520-525&rft.issn=0930-2794&rft.eissn=1432-2218&rft.coden=SUREEX&rft_id=info:doi/10.1007/BF00188399&rft_dat=%3Cproquest_cross%3E78126829%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=78126829&rft_id=info:pmid/8658331&rfr_iscdi=true