在一个学术机构的激光光三角管术尿道镜的成本变化的驱动因素
Tyler Bergeron1, Ilir Agalliu2,3, Alexander C Small3
1Albert Einstein College of Medicine, Bronx, New York, USA.
Journal of endourology
|March 18, 2025
概括
激光光 (URS/LL) 带尿道镜的成本因一次性设备的选择而有很大差异. 较高的篮子和导管成本增加了开支,而内分泌学奖学金培训可以降低开支,提供机构节省机会.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 医疗器械技术 医疗器械技术
背景情况:
- 激光光视术 (URS/LL) 使用多种一次性用品,外科医生的偏好影响设备选择和相关成本.
- 在URS/LL程序中存在显著的成本差异,即使在提供相同供应选择的机构内也是如此.
研究的目的:
- 调查在一个学术医疗中心执行URS/LL的泌尿科医生中导致成本变化的因素.
- 确定特定的一次性设备和与更高的外科手术成本相关的外科医生相关因素.
主要方法:
- 在2022年9月至2023年6月期间进行的311个URS/LL程序的回顾性审查.
- 开发一次性设备的加权成本系统,并应用双变量和多变量中位数回归模型.
- 分析变量,包括篮子成本,专用导管使用和外科医生奖学金培训.
主要成果:
- 对于URS/LL的一次性设备的中位成本是每次操作1488美元.
- 较高的篮子成本和专用导管的使用显著与增加的整体手术成本相关 (p < 0.001).
- 内分泌学奖学金培训与每例90.40美元的成本降低有关 (p < 0.05).
结论:
- 由于一次性设备的选择和外科医生特定因素,URS/LL的成本存在实质性的变化.
- 针对高成本的一次性物品,如篮子和专用导管,并考虑外科医生培训,可以节省机构成本.
- 对手术技术和设备使用的进一步分析可能会揭示优化URS/LL手术成本的额外途径.
相关概念视频
Urinary Tract Calculi III: Medical Management
350
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
350
Urinary Tract Calculi VI: Surgical Management
901
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
901
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
3.0K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
3.0K


