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首页> 外文期刊>Journal of Hand Surgery. American Volume >Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis
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Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis

机译：利用基于活动的成本核算分析比较了内窥镜腕管隧道释放程序的可重复使用与一次性设备的成本

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Purpose Guidelines for sterilization of reusable equipment (eg, arthroscopes, surgical equipment) have recently been established. These guidelines are supported by the U.S. Food and Drug Administration and affect costs for sterilization. The current analysis was undertaken to understand if reusable or disposable endoscopic carpal tunnel release (ECTR) equipment is a less-expensive option. Methods An activity-based cost analysis was undertaken to determine the costs of reusable versus disposable equipment for ECTR. Costs of disposable equipment were obtained from manufacturers. Costs of processing reusable equipment including labor, time, cost of operating room time, and sterilization supplies and equipment were obtained from the literature and from recent reports identifying these costs. Infection rates and costs of infection were also factored in. Decision analysis software was used to determine the expected costs of each option (disposable vs reusable). A sensitivity analysis was undertaken on those variables that were determined to have the greatest effect on the overall costs of the procedure and sterilization. Results Costs for each option when totaled were $917 for disposable and $1,019 for reusable equipment, resulting in cost savings of $102 with disposable equipment. Reusable equipment was the least costly option when the following costs/events occurred: cost of a disposable arthroscope, >$452; cost of disposable ECTR, >$647; costs of operating room time, <$28.63/min; set up time, <6.8 minutes for reusable equipment; and cost of disposable ECTR blade used with reusable equipment, <$160. Conclusions When considering the cost of operating room time, preparation, and processing of reusable equipment for ECTR, the disposable equipment for this procedure is less costly. Copyright (C) 2021 by the American Society for Surgery of the Hand. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).)
机译：目的：可重复使用设备（如关节镜、手术设备）的灭菌指南最近已经制定。这些指导方针得到美国食品和药物管理局的支持，并影响灭菌成本。目前的分析是为了了解可重复使用或一次性内镜下腕管松解术（ECTR）设备是否是一种较便宜的选择。方法采用基于活动的成本分析方法，确定可重复使用和一次性电子病历设备的成本。一次性设备的成本来自制造商。处理可重复使用设备的成本，包括劳动力、时间、手术室时间成本以及消毒用品和设备，可从文献和最近确定这些成本的报告中获得。感染率和感染成本也被考虑在内。决策分析软件用于确定每个选项（一次性与可重复使用）的预期成本。对确定对手术和绝育的总体成本影响最大的变量进行敏感性分析。结果每个选项的总成本分别为917美元（一次性设备）和1019美元（可重复使用设备），从而节省了102美元（一次性设备）。当发生以下成本/事件时，可重复使用的设备是成本最低的选择：一次性关节镜成本>452美元；一次性电子病历费用>647美元；手术室时间成本，<28.63美元/分钟；可重复使用设备的设置时间<6.8分钟；与可重复使用设备一起使用的一次性ECTR刀片的成本，<160美元。结论当考虑到手术室时间、准备和处理可重复使用的设备的成本时，该手术的一次性设备成本较低。版权所有（C）2021美国外科学会的手。由爱思唯尔公司出版。这是一篇基于CC by-NC-ND许可证的开放获取文章(http://creativecommons.org/licenses/by-nc-nd/4.0/).)

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