Evidence map›Paper›PMID 34208267›Full record

ArticleJournal of clinical medicine2021

Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy.

Fanny Monmousseau, Julien Ramillon, Sophie Dubnitskiy-Robin, Benjamin Faivre d'Arcier, Martine Le Verger, Tanguy Le Fol, Franck Bruyère, Emmanuel Rusch, Solène Brunet-Houdard, Benjamin Pradère

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Fanny MonmousseauHealth-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.
Julien RamillonHealth-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.
Sophie Dubnitskiy-RobinHealth-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.
Benjamin Faivre d'ArcierDepartment of Urology, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.
Martine Le VergerPharmacy, CHU de Tours-Trousseau, Avenue de la République, 37170 Chambray-les-Tours, France.
Tanguy Le FolBiomedical Unit, CHU de Tours-Trousseau, Avenue de la République, 37170 Chambray-les-Tours, France.
Franck BruyèreDepartment of Urology, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.
Emmanuel RuschHealth-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.
Solène Brunet-HoudardHealth-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.
Benjamin PradèreDepartment of Urology, CHU de Tours-Bretonneau, 2 Boulevard Tonnellé, 37044 Tours, France.ORCID 0000-0002-7768-8558
Université de Tours · FRCentre Hospitalier Universitaire de Tours · FRComprehensive Cancer Center Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endoscopic procedures such as ureteroscopy (URS) have seen a recent increase in single-use devices. Despite all the advantages provided by disposable ureteroscopes (sURSs), their cost effectiveness remains questionable, leading most teams to use a hybrid strategy combining reusable (rURS) and disposable devices. Our study aimed to create an economic model that estimated the cut-off value of rURS procedures needed to support the profitability of a hybrid strategy (HS) for ureteroscopy. We used a budget impact analysis (BIA) model that estimated the financial impact of an HS compared to 100% sURS use. The model included hospital volume, sterilization costs and the private or public status of the institution. Although the hybrid strategy generally remains the best economic and clinical option, a predictive BIA model is recommended for the decision-making. We found that the minimal optimal proportion of rURS procedures in an HS was mainly impacted by the activity volume and overall number of sterilization procedures. Private and public institutions must consider these variables and models in order to adapt their HS and remain profitable.

Indexed as

cost analysiscut-off valuesdisposablehybrid strategymedical devicessingle-use ureteroscopesstoneurolithiasis

Identifiers

PMID34208267
PMCPMC8230737
OpenAlexW3172623264

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.