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- W3022063534 abstract "INTRODUCTION AND OBJECTIVE: Ureteroscopy (URS) for the management of kidney and ureteral stones utilizes a variety of disposables which can account for a significant portion of the cost of care. We sought to perform a utilization analysis to determine factors which impact the cost of performing URS. METHODS: In a single-institution, retrospective study, an analysis of disposable utilization was performed on all kidney and ureteral stone cases managed with URS and laser lithotripsy between July 1, 2016 and June 30, 2017. These cases were performed by six different surgeons, two of whom are fellowship trained in endourology. Disposable equipment was broken down into the following categories: baskets, ureteral dilators and balloons, laser fibers, access sheaths, stents, ureteral catheters, wires, and miscellaneous. Miscellaneous items included gloves, drapes, gowns, syringes, foleys, needles, bowls, and other items under $40. Disposable flexible ureteroscopes were excluded from this cost analysis. RESULTS: Among the 269 cases included in the analysis, the average cost of disposables used per case was $976.96. Endourology Society fellowship trained physicians performed 127 (47.2%) of these cases Average cost of disposables per case performed by a fellowship trained urologist was $968.54 compared to $984.48 for non-fellowship trained urologists. Figure 1 displays the breakdown of the disposables contributing to overall costs per case. Figure 2 displays the individual surgeon costs based on technique and training. Surgeon A, with fellowship training, and a preferred technique of dusting was the most cost effective overall with an average savings of $124.02 per case. These savings were realized in the low utilization of baskets and sheaths. Although Surgeon F was similar to Surgeon A in technique, the costs were skewed by expensive laser fiber usage. CONCLUSIONS: Technique and training can impact utilization of disposables determining the costs of ureteroscopy.Source of Funding: None" @default.
- W3022063534 created "2020-05-13" @default.
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- W3022063534 date "2020-04-01" @default.
- W3022063534 modified "2023-09-25" @default.
- W3022063534 title "MP22-09 ANALYSIS OF DISPOSABLE EQUIPMENT UTILIZATION ON THE COST OF URETEROSCOPY" @default.
- W3022063534 doi "https://doi.org/10.1097/ju.0000000000000855.09" @default.
- W3022063534 hasPublicationYear "2020" @default.
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