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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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A simple "passive awareness" intervention to decrease the cost of thoracoscopic lobectomy.

Richard Liu1, Anas Wess2, Biniam Kidane1

  • 1Section of Thoracic Surgery, University of Manitoba, GH604 - 820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada.

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|April 4, 2021
PubMed
Summary
This summary is machine-generated.

Displaying disposable instrument costs in operating rooms reduced thoracic surgery expenses. This passive awareness intervention significantly lowered costs and the use of high-cost items during lobectomy procedures.

Keywords:
Cost awarenessCost minimizationLobectomyReducing costsThoracoscopicVATS

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Area of Science:

  • Surgical Innovation
  • Health Economics
  • Thoracic Surgery

Background:

  • Disposable instruments represent a substantial cost driver in thoracic surgery.
  • Variability exists in the utilization of disposable instruments among surgeons.
  • Reducing operative costs is a key objective in healthcare management.

Purpose of the Study:

  • To evaluate the impact of a passive awareness intervention, specifically displaying disposable instrument prices, on operative costs in thoracoscopic lobectomy.
  • To determine if price transparency influences surgeon behavior and reduces expenditure on disposable surgical supplies.

Main Methods:

  • A prospective study design comparing costs before and after intervention.
  • Displaying a price list of disposable instruments in the operating theater for thoracoscopic lobectomy.
  • Analyzing data from 71 patients undergoing thoracoscopic lobectomy over two 6-month periods (pre- and post-intervention).
  • Utilizing descriptive statistics, t-tests, and linear regression to assess cost changes and influencing factors.

Main Results:

  • Median per-lobectomy disposable cost decreased from $2063.22 to $1885.92 (p=0.03) after the intervention.
  • A significant reduction in the median number of high-cost disposable instruments was observed (p=0.04).
  • Linear regression indicated a decrease in total per-lobectomy cost by $286.21 (p=0.03) and stapler cartridge cost by $266.89 (p=0.03).

Conclusions:

  • A simple passive awareness intervention effectively reduces disposable instrument expenditure in thoracic surgery.
  • Transparency of instrument costs can influence surgeon behavior, leading to significant cost savings.
  • This strategy offers a practical approach to managing and decreasing operative costs in surgical procedures.