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Piemontese, A, Cohen, L, Wright, GWJ, Robledinos-Antón, N, Jamous, N, Tommaselli, GA and Galvain, T (2023) Adopting a portfolio of ultrasonic and advanced bipolar electrosurgery devices from a single manufacturer compared to currently used ultrasonic and advanced bipolar devices: a probabilistic budget impact analysis from a Spanish hospital perspective. Journal of Medical Economics, 26 (1). pp. 179-188. ISSN 1369-698X
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Adopting a portfolio of ultrasonic and advanced bipolar electrosurgery devices from a single manufacturer.pdf - Published Version Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (2MB) | Preview |
Abstract
Aims: Advanced energy devices are commonly used in electrosurgery, including ultrasonic and advanced bipolar (ABP) devices. Smoke evacuation and reusable dispersive electrodes are also utilized during electrosurgery to improve staff and patient safety. This study assessed the budget impact of adopting a portfolio of Ethicon energy devices compared to devices from other manufacturers from a Spanish hospital perspective.
Methods: The main analysis compared the Ethicon advanced energy device portfolio (ultrasonic and ABP devices) to Non-Ethicon advanced energy devices. It was assumed that 4,000 procedures using one advanced energy device each were performed annually, and the cost impact of operating room time, length of stay, and transfusions were considered. A probabilistic budget impact analysis with 10,000 iterations was conducted for generalizability to other hospitals in Spain and Europe. Secondary analysis assessed whether cost savings from the Ethicon advanced energy device portfolio could offset costs of adopting smoke evacuation and reusable dispersive electrodes (Full Ethicon energy portfolio). Results: In the main analysis, the annual budget impact of introducing the Ethicon advanced energy device portfolio was cost saving in 79.8% of probabilistic iterations (mean: -€945,214; 95% credible interval [CrI]: -€3,242,710; €1,285,942) with a mean budget impact per procedure of -€236 (95% CrI: -€811; €321). In the secondary analysis, adding smoke evacuation and reusable dispersive electrodes was still cost saving in 75.3% of iterations compared to Non-Ethicon advanced energy devices (mean: -€778,208; 95% CrI: -€3,075,086; €1,464,728) with a mean budget impact per procedure of -€97 (95% CrI: -€384; €183). Savings resulted from differences in operating room time, length of hospital stay, and volume of disposable electrodes.
Conclusions: Adopting Ethicon advanced energy devices demonstrated economic benefits compared to non-Ethicon devices. Introducing the advanced portfolio may improve surgical care quality and the full portfolio was cost saving while improving OR safety for staff and patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Humans; Electrosurgery; Ultrasonics; Operating Rooms; Hospitals; Budgets; C; C6; C63; Electrosurgery; I; I1; I19; Monte Carlo simulation; advanced bipolar devices; advanced energy devices; budget impact analysis; ultrasonic scalpel; Humans; Electrosurgery; Ultrasonics; Budgets; Hospitals; Operating Rooms; 1117 Public Health and Health Services; 1402 Applied Economics; 1701 Psychology; Health Policy & Services |
| Subjects: | Q Science > QA Mathematics > QA75 Electronic computers. Computer science Q Science > QA Mathematics > QA76 Computer software R Medicine > R Medicine (General) |
| Divisions: | Computer Science & Mathematics |
| Publisher: | Taylor and Francis Group |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 04 May 2023 11:56 |
| Last Modified: | 04 May 2023 12:00 |
| DOI or ID number: | 10.1080/13696998.2023.2169496 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/19460 |
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