[Cost minimization analysis of flexible ENT-endoscopes]

Area of Science:

• Otorhinolaryngology
• Medical Economics
• Healthcare Management

Background:

• Reprocessing complex flexible Ear, Nose, and Throat (ENT) endoscopes presents challenges for healthcare facilities.
• The study addresses the economic implications of managing flexible endoscopes, particularly those with or without working channels.

Purpose of the Study:

• To conduct a cost analysis of examinations using a reusable endoscope system.
• To compare the costs of a reusable system against two distinct single-use endoscope systems.

Main Methods:

• A cost minimization analysis was performed at the University Medical Center in Mainz, Germany.
• The study compared the local reusable endoscopy system with single-use systems from Ambu and Karl Storz.

Main Results:

• Reusable scopes incurred costs of €23.03 per examination (investment, repair, reprocessing).
• Single-use Ambu systems cost €120.43 per examination (acquisition, storage).
• Single-use Karl Storz systems cost €223.44 per examination (monitor investment, acquisition, storage).

Conclusions:

• Flexible single-use ENT endoscopy systems are more expensive than reusable systems.
• A balanced approach integrating both reusable and single-use endoscopy systems may be beneficial.