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Ly Ba, Justin, Wang, William, E. Liss, Frederic, M. Ilyas, Asif, M. Jones, Christopher. (1401). Comparative Cost Analysis of Single-use Sterile versus Reprocessed Distal Radius Volar Plate Sets. , 10(5), 420-425. doi: 10.22038/abjs.2021.57852.2872
Justin A. Ly Ba; William L. Wang; Frederic E. Liss; Asif M. Ilyas; Christopher M. Jones. "Comparative Cost Analysis of Single-use Sterile versus Reprocessed Distal Radius Volar Plate Sets". , 10, 5, 1401, 420-425. doi: 10.22038/abjs.2021.57852.2872
Ly Ba, Justin, Wang, William, E. Liss, Frederic, M. Ilyas, Asif, M. Jones, Christopher. (1401). 'Comparative Cost Analysis of Single-use Sterile versus Reprocessed Distal Radius Volar Plate Sets', , 10(5), pp. 420-425. doi: 10.22038/abjs.2021.57852.2872
Ly Ba, Justin, Wang, William, E. Liss, Frederic, M. Ilyas, Asif, M. Jones, Christopher. Comparative Cost Analysis of Single-use Sterile versus Reprocessed Distal Radius Volar Plate Sets. , 1401; 10(5): 420-425. doi: 10.22038/abjs.2021.57852.2872

Comparative Cost Analysis of Single-use Sterile versus Reprocessed Distal Radius Volar Plate Sets

The Archives of Bone and Joint Surgery
مقاله 7، دوره 10، شماره 5، مرداد 2022، صفحه 420-425    اصل مقاله (366.08 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2021.57852.2872
نویسندگان
Justin A. Ly Ba1؛ William L. Wang2؛ Frederic E. Liss3؛ Asif M. Ilyas3؛ Christopher M. Jones* 3
1Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
2Department of Orthopaedic Surgery, Sidney Kimmel College at Thomas Jefferson University, Philadelphia, PA, USA
3Rothman Orthopaedic Institute at Thomas Jefferson University,Philadelphia, PA, USA
چکیده
Background: With the rise in distal radius fracture (DRF) incidence and treatment through open reduction internal 
fixation, there are increasing concerns in the current medical cost containment climate. To help reduce costs, 
manufacturers are introducing sterile packed kits. The purpose of this study is to compare the costs of the single use 
kit (SK) against conventional reprocessed DRF surgical sets (RS).
Methods: A four-year retrospective review at three surgical centers was performed to determine a company’s RS 
average sterilization and processing costs. RS instrumentation cost was estimated by straight-line depreciation from 
the original purchase price. RS implant costs were calculated from the list price. SK list cost was obtained from the 
same company. Incidence of surgical delays was estimated by a survey of 23 hand surgeons and cost of delays was 
obtained from surgical center reports. Sensitivity analysis on delay frequency was performed to assess a range of 
overall costs. 
Results: OR delays were estimated at one out of 100 cases, with an average cost of $11 per case. For RS, average 
instruments, implants, and sterilization costs per case was $47, $2882, and $39. The total RS cost of $2,978 and the 
SK was $1,667 with a difference of $1,313 per case.
Conclusion: RS was found to cost $1,313 more per case than the SK in an ambulatory surgical setting and potentially 
more cost effective. Ultimately, pricing is highly variable at each center based on negotiated and contractual pricing.
Level of evidence: IV
کلیدواژه‌ها
: Distal radius fractures؛ Open reduction internal fixation (ORIF)؛ Operating room costs؛ Single use sterile sets؛ Sterilization costs
مراجع
  1. MacIntyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther. 2016 ;29(2):136-145.
  2. Nellans KW, Kowalski E, Chung KC. The epidemiology of distal radius fractures. Hand Clin. 2012 ;28(2):113-125.
  3. Karl JW, Olson PR, Rosenwasser MP. The epidemiology of upper extremity fractures in the United States, 2009. J Orthop Trauma. 2015; 29(8):e242-e244.
  4. Chung KC, Shauver MJ, Yin H, Kim HM, Baser O, Birkmeyer JD. Variations in the use of internal fixation for distal radial fracture in the United States Medicare population. J Bone Joint Surg Am. 2011 ;93(23):2154-2162.
  5. Shauver MJ, Yin H, Banerjee M, Chung KC. Current and future national costs to Medicare for the treatment of distal radius fracture in the elderly. J Hand Surg Am. 2011 ;36(8):1282-1287.
  6. Karantana A, Scammell BE, Davis TR, Whynes DK. Cost-effectiveness of volar locking plate versus percutaneous fixation for distal radial fractures: Economic evaluation alongside a randomised clinical trial. Bone Joint J. 2015 ;97-B(9):1264-1270.
  7. Swart E, Tulipan J, Rosenwasser MP. How should the treatment costs of distal radius fractures be measured? Am J Orthop (Belle Mead NJ). 2017 ;46(1):e54-e59.
  8. Kazmers NH, Judson CH, Presson AP, Xu Y, Tyser AR. Evaluation of factors driving cost variation for distal radius fracture open reduction internal fixation. J Hand Surg Am. 2018 ;43(7):606-614.
  9. Bhat SB, Liss FE, Beredjiklian PK. Economic Analysis of the Cost of Implants Used for Treatment of Distal Radius Fractures. Arch Bone Jt Surg. 2018; 6(5):371–375.
  10. Spry CC. Care and Handling of Basic Surgical Instruments. AORN Journal. 2007 ;86(S1):S77-S81.
  11. Manatakis DK, Georgopoulos N. Reducing the Cost of Laparoscopy: Reusable versus Disposable Laparoscopic Instruments. Minim Invasive Surg. 2014;2014(1): 1-4
  12. Schaer GN, Koechli OR, Haller U. Single-use versus reusable laparoscopic surgical instruments: a comparative cost analysis. Am J Obstet Gynecol. 1995;173(6):1812–1815.
  13. Siu J, Hill GA, MacCormick DA. Systematic review of reusable versus disposable laparoscopic instruments: costs and safety. ANZ J Surg. 2017 ;87(1-2): 28-33.
  14. Ottardi C, Damonti A, Porazzi E, Foglia E, Ferrario L, Villa T, et al. A comparative analysis of a disposable and a reusable pedicle screw instrument kit for lumbar arthrodesis: integrating HTA and MCDA. Health Econ Rev. 2017 ;7(1):17.
  15. Farrelly JS, Clemons C, Witkins S, Hall W, Christison-Lagay ER, Ozgediz DE, et al. Surgical tray optimization as a simple means to decrease perioperative costs. J Surg Res. 2017 ;220(1):320-326.
  16. Mont MA, Pivec R, Johnson AJ, Issa K. Single-use cutting blocks and trials lower costs in primary total knee arthroplasty. Surg Technol Int. 2012 ;22(1):331–335
  17. Attard A, Tawy GF, Simons M, Riches P, Rowe P, Biant LC. Health costs and efficiencies of patient-specific and single-use instrumentation in total knee arthroplasty: a randomised controlled trial. BMJ Open Qual. 2019;8(2):e000493.
  18. Fugarino B, Fox MP, Terhoeve C, Pappas N. Costs associated with single-use and conventional sets for distal radius plating. J Hand Surg Am. 2017 ;42(11): 930
 

 

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