Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels
- Autores
- Garay, Osvaldo Ulises; Garcia Elorrio, Ezequiel; Rodriguez, Viviana; Spira, Cintia; Augustovski, Federico Ariel; Pichón-Riviere, Andrés
- Año de publicación
- 2017
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Background Re-use of medical devices labeled and marketed for single use only is a current practice around the world. Objectives To estimate the average difference per surgery in device-related costs (DRCs) when performed with single-use devices under a single-use policy (SUP) instead of a re-use policy (RP) from the perspective of the private health sector of Argentina. Methods An analytical model was developed in Microsoft Excel and populated with data from a literature review, a Delphi-like panel, and local cost estimations. Four single-use devices were selected for analysis: plastic trocars, endocutters, linear cutters, and harmonic scalpels. DRCs were expressed in 2012 US dollars and divided into four cost categories: devices, adverse events, device failure, and surgical time extension. Outputs were expressed as DRCs per surgery under a SUP, under a RP, the difference between them expressed in US dollars (Diff_$), and the difference between them expressed as a percentage of surgery costs (Diff_%S). Deterministic and probabilistic sensitivity analyses were performed to analyze the impact of uncertainty on results. Results Expected DRCs per surgery were as follows: for trocars: SUP, US $424.6; RP, US $244.2; Diff_$ US $−180.4; and Diff_%S, −3.8%; for endocutters: SUP, US $1667.4; RP, US $1102.3; Diff_$ US $−565.1; and Diff_%S, −11.1%; for linear cutters: SUP, US $1228.1; RP, US $1045.9; Diff_$ US $−182.2; and Diff_%S, −3.4%; and for harmonic scalpels: SUP, US $1040.9; RP, US $292.4; Diff_$ US $−748.5; and Diff_%S, −14.8%. Sensitivity analyses showed results to be robust. Conclusions RP was shown to be less costly in all devices and scenarios considered. Nevertheless, the real frequency of adverse events and their cost implications are still uncertain. More research is needed to assess the effectiveness and safety of these off-label policies.
Fil: Garay, Osvaldo Ulises. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Rodriguez, Viviana. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Spira, Cintia. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Pichón-Riviere, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina - Materia
-
Costs And Cost Analysis
Equipment Re-Use
Medical Devices - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/66273
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Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic ScalpelsGaray, Osvaldo UlisesGarcia Elorrio, EzequielRodriguez, VivianaSpira, CintiaAugustovski, Federico ArielPichón-Riviere, AndrésCosts And Cost AnalysisEquipment Re-UseMedical Deviceshttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background Re-use of medical devices labeled and marketed for single use only is a current practice around the world. Objectives To estimate the average difference per surgery in device-related costs (DRCs) when performed with single-use devices under a single-use policy (SUP) instead of a re-use policy (RP) from the perspective of the private health sector of Argentina. Methods An analytical model was developed in Microsoft Excel and populated with data from a literature review, a Delphi-like panel, and local cost estimations. Four single-use devices were selected for analysis: plastic trocars, endocutters, linear cutters, and harmonic scalpels. DRCs were expressed in 2012 US dollars and divided into four cost categories: devices, adverse events, device failure, and surgical time extension. Outputs were expressed as DRCs per surgery under a SUP, under a RP, the difference between them expressed in US dollars (Diff_$), and the difference between them expressed as a percentage of surgery costs (Diff_%S). Deterministic and probabilistic sensitivity analyses were performed to analyze the impact of uncertainty on results. Results Expected DRCs per surgery were as follows: for trocars: SUP, US $424.6; RP, US $244.2; Diff_$ US $−180.4; and Diff_%S, −3.8%; for endocutters: SUP, US $1667.4; RP, US $1102.3; Diff_$ US $−565.1; and Diff_%S, −11.1%; for linear cutters: SUP, US $1228.1; RP, US $1045.9; Diff_$ US $−182.2; and Diff_%S, −3.4%; and for harmonic scalpels: SUP, US $1040.9; RP, US $292.4; Diff_$ US $−748.5; and Diff_%S, −14.8%. Sensitivity analyses showed results to be robust. Conclusions RP was shown to be less costly in all devices and scenarios considered. Nevertheless, the real frequency of adverse events and their cost implications are still uncertain. More research is needed to assess the effectiveness and safety of these off-label policies.Fil: Garay, Osvaldo Ulises. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Rodriguez, Viviana. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Spira, Cintia. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Pichón-Riviere, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaElsevier Inc2017-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/66273Garay, Osvaldo Ulises; Garcia Elorrio, Ezequiel; Rodriguez, Viviana; Spira, Cintia; Augustovski, Federico Ariel; et al.; Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels; Elsevier Inc; Value in Health Regional Issues; 14; 12-2017; 89-952212-1099CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://linkinghub.elsevier.com/retrieve/pii/S2212109917300651info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vhri.2017.04.005info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:02:25Zoai:ri.conicet.gov.ar:11336/66273instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:02:25.82CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels |
title |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels |
spellingShingle |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels Garay, Osvaldo Ulises Costs And Cost Analysis Equipment Re-Use Medical Devices |
title_short |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels |
title_full |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels |
title_fullStr |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels |
title_full_unstemmed |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels |
title_sort |
Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels |
dc.creator.none.fl_str_mv |
Garay, Osvaldo Ulises Garcia Elorrio, Ezequiel Rodriguez, Viviana Spira, Cintia Augustovski, Federico Ariel Pichón-Riviere, Andrés |
author |
Garay, Osvaldo Ulises |
author_facet |
Garay, Osvaldo Ulises Garcia Elorrio, Ezequiel Rodriguez, Viviana Spira, Cintia Augustovski, Federico Ariel Pichón-Riviere, Andrés |
author_role |
author |
author2 |
Garcia Elorrio, Ezequiel Rodriguez, Viviana Spira, Cintia Augustovski, Federico Ariel Pichón-Riviere, Andrés |
author2_role |
author author author author author |
dc.subject.none.fl_str_mv |
Costs And Cost Analysis Equipment Re-Use Medical Devices |
topic |
Costs And Cost Analysis Equipment Re-Use Medical Devices |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.3 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
Background Re-use of medical devices labeled and marketed for single use only is a current practice around the world. Objectives To estimate the average difference per surgery in device-related costs (DRCs) when performed with single-use devices under a single-use policy (SUP) instead of a re-use policy (RP) from the perspective of the private health sector of Argentina. Methods An analytical model was developed in Microsoft Excel and populated with data from a literature review, a Delphi-like panel, and local cost estimations. Four single-use devices were selected for analysis: plastic trocars, endocutters, linear cutters, and harmonic scalpels. DRCs were expressed in 2012 US dollars and divided into four cost categories: devices, adverse events, device failure, and surgical time extension. Outputs were expressed as DRCs per surgery under a SUP, under a RP, the difference between them expressed in US dollars (Diff_$), and the difference between them expressed as a percentage of surgery costs (Diff_%S). Deterministic and probabilistic sensitivity analyses were performed to analyze the impact of uncertainty on results. Results Expected DRCs per surgery were as follows: for trocars: SUP, US $424.6; RP, US $244.2; Diff_$ US $−180.4; and Diff_%S, −3.8%; for endocutters: SUP, US $1667.4; RP, US $1102.3; Diff_$ US $−565.1; and Diff_%S, −11.1%; for linear cutters: SUP, US $1228.1; RP, US $1045.9; Diff_$ US $−182.2; and Diff_%S, −3.4%; and for harmonic scalpels: SUP, US $1040.9; RP, US $292.4; Diff_$ US $−748.5; and Diff_%S, −14.8%. Sensitivity analyses showed results to be robust. Conclusions RP was shown to be less costly in all devices and scenarios considered. Nevertheless, the real frequency of adverse events and their cost implications are still uncertain. More research is needed to assess the effectiveness and safety of these off-label policies. Fil: Garay, Osvaldo Ulises. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Garcia Elorrio, Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Rodriguez, Viviana. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Spira, Cintia. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Augustovski, Federico Ariel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Pichón-Riviere, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina |
description |
Background Re-use of medical devices labeled and marketed for single use only is a current practice around the world. Objectives To estimate the average difference per surgery in device-related costs (DRCs) when performed with single-use devices under a single-use policy (SUP) instead of a re-use policy (RP) from the perspective of the private health sector of Argentina. Methods An analytical model was developed in Microsoft Excel and populated with data from a literature review, a Delphi-like panel, and local cost estimations. Four single-use devices were selected for analysis: plastic trocars, endocutters, linear cutters, and harmonic scalpels. DRCs were expressed in 2012 US dollars and divided into four cost categories: devices, adverse events, device failure, and surgical time extension. Outputs were expressed as DRCs per surgery under a SUP, under a RP, the difference between them expressed in US dollars (Diff_$), and the difference between them expressed as a percentage of surgery costs (Diff_%S). Deterministic and probabilistic sensitivity analyses were performed to analyze the impact of uncertainty on results. Results Expected DRCs per surgery were as follows: for trocars: SUP, US $424.6; RP, US $244.2; Diff_$ US $−180.4; and Diff_%S, −3.8%; for endocutters: SUP, US $1667.4; RP, US $1102.3; Diff_$ US $−565.1; and Diff_%S, −11.1%; for linear cutters: SUP, US $1228.1; RP, US $1045.9; Diff_$ US $−182.2; and Diff_%S, −3.4%; and for harmonic scalpels: SUP, US $1040.9; RP, US $292.4; Diff_$ US $−748.5; and Diff_%S, −14.8%. Sensitivity analyses showed results to be robust. Conclusions RP was shown to be less costly in all devices and scenarios considered. Nevertheless, the real frequency of adverse events and their cost implications are still uncertain. More research is needed to assess the effectiveness and safety of these off-label policies. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/66273 Garay, Osvaldo Ulises; Garcia Elorrio, Ezequiel; Rodriguez, Viviana; Spira, Cintia; Augustovski, Federico Ariel; et al.; Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels; Elsevier Inc; Value in Health Regional Issues; 14; 12-2017; 89-95 2212-1099 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/66273 |
identifier_str_mv |
Garay, Osvaldo Ulises; Garcia Elorrio, Ezequiel; Rodriguez, Viviana; Spira, Cintia; Augustovski, Federico Ariel; et al.; Single-Use Devices in Argentina: Cost Comparison Analysis of a “Re-Use” versus a “Single-Use” Policy for Trocars, Endocutters, Linear Cutters, and Harmonic Scalpels; Elsevier Inc; Value in Health Regional Issues; 14; 12-2017; 89-95 2212-1099 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/http://linkinghub.elsevier.com/retrieve/pii/S2212109917300651 info:eu-repo/semantics/altIdentifier/doi/10.1016/j.vhri.2017.04.005 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier Inc |
publisher.none.fl_str_mv |
Elsevier Inc |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
reponame_str |
CONICET Digital (CONICET) |
collection |
CONICET Digital (CONICET) |
instname_str |
Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.name.fl_str_mv |
CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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1844613828151607296 |
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13.070432 |