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Cost-Effectiveness Analysis of Low-Cost, Domestic Short Peripheral Catheters Versus Higher-Priced, Imported Short
Murat Dizbay1, Hasan Selcuk Ozger, Irem Bilgetekin
1Gazi University School of Medicine, Ankara, Turkey (Drs Dizbay, Ozger, and Aksakal); Gazi University Hospital, Ankara, Turkey (Mss. Başyurt, Yurtal, and Simsek); and Dr Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey (Dr Bilgetekin). Murat Dizbay, MD, is a professor of medicine and a researcher at Gazi University School of Medicine, Ankara, Turkey. He has more than 20 years of experience as an infectious disease consultant, researcher, and educator. Hasan Selcuk Ozger, MD, is a consultant and researcher at Gazi University School of Medicine. He is also a member of the Gazi University Hospital infection control team. Irem Bilgetekin, MD, is an oncologist at Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital in Ankara. Rahsan Basyurt, RN, is an infectious diseases nurse at Gazi University Hospital. Ozlem Yurtal, RN, is an oncology nurse at Gazi University Hospital. Hatice Simsek, RN, is the vice director of nursery at Gazi University Hospital. Nur Baran Aksakal, MD, is a professor of public health and a researcher at Gazi University School of Medicine and has extensive experience as a biostatistician for analysis methods in clinical trials.
Abstract:
This prospective study has been designed with the hypothesis that low unit price does not necessarily mean cost-effectiveness. Low-cost, domestic short peripheral catheters (SPCs) and higher-priced, imported SPCs were compared in 2 different time periods. With the use of the higher-priced, imported SPCs, the rate of successful insertion on first attempt was increased (P < .001), and the development of complications was reduced (P < .001). The study revealed that $345 was saved per 1000 catheters when the catheter with the higher unit price was chosen. Although the domestic SPCs had a low unit price, their use resulted in greater health care expenses.
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