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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۵، صفحات ۴۲۰-۴۲۵
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عنوان انگلیسی Comparative Cost Analysis of Single-use Sterile versus Reprocessed Distal Radius Volar Plate Sets
چکیده انگلیسی مقاله Background: With the rise in distal radius fracture (DRF) incidence and treatment through open reduction internal fixation, there are increasing concerns in the current medical cost containment climate. To help reduce costs, manufacturers are introducing sterile packed kits. The purpose of this study is to compare the costs of the single use kit (SK) against conventional reprocessed DRF surgical sets (RS).Methods: A four-year retrospective review at three surgical centers was performed to determine a company’s RS average sterilization and processing costs. RS instrumentation cost was estimated by straight-line depreciation from the original purchase price. RS implant costs were calculated from the list price. SK list cost was obtained from the same company. Incidence of surgical delays was estimated by a survey of 23 hand surgeons and cost of delays was obtained from surgical center reports. Sensitivity analysis on delay frequency was performed to assess a range of overall costs. Results: OR delays were estimated at one out of 100 cases, with an average cost of $11 per case. For RS, average instruments, implants, and sterilization costs per case was $47, $2882, and $39. The total RS cost of $2,978 and the SK was $1,667 with a difference of $1,313 per case.Conclusion: RS was found to cost $1,313 more per case than the SK in an ambulatory surgical setting and potentially more cost effective. Ultimately, pricing is highly variable at each center based on negotiated and contractual pricing.Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Distal radius fractures, open reduction internal fixation (ORIF), operating room costs, single use sterile sets, sterilization costs
نویسندگان مقاله | Justin Ly Ba
Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA


| William Wang
Department of Orthopaedic Surgery, Sidney Kimmel College at Thomas Jefferson University, Philadelphia, PA, USA


| Frederic E. Liss
Rothman Orthopaedic Institute at Thomas Jefferson University,Philadelphia, PA, USA


| Asif M. Ilyas
Rothman Orthopaedic Institute at Thomas Jefferson University,Philadelphia, PA, USA


| Christopher M. Jones
Rothman Orthopaedic Institute at Thomas Jefferson University,Philadelphia, PA, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_18981.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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