Academic Journal

To Throw, or Not to Throw: Threshold Cost Analysis of the Single‐Use Flexible Cystoscopy Model in a High‐Volume Urology Centre.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: To Throw, or Not to Throw: Threshold Cost Analysis of the Single‐Use Flexible Cystoscopy Model in a High‐Volume Urology Centre.
Συγγραφείς: Foo, Joshua Chek Hao1 (AUTHOR), Lim, Ernest Junrui1 (AUTHOR), Lee, Shu Zhen2 (AUTHOR), Yong, Jin1 (AUTHOR) yong.jin@singhealth.com.sg
Πηγή: ANZ Journal of Surgery. Jun2026, Vol. 96 Issue 6, p1508-1512. 5p.
Θεματικοί όροι: *Cost effectiveness, *Break-even analysis, *Infection control, *Urology, *Cystoscopy, *Medical care costs
Γεωγραφικοί όροι: Singapore
Περίληψη: Flexible cystoscopy is a common procedure in urology, traditionally performed using reusable flexible cystoscopes. However, concerns over sterilization costs, cross‐contamination, and logistics have led to interest in single‐use disposable cystoscopes. This study compares the cost‐effectiveness of reusable versus disposable cystoscopes at a high‐volume academic center. A retrospective threshold cost analysis was performed at a tertiary hospital in Singapore in 2022. Costs that were considered included device purchase, reprocessing and maintenance costs. Common procedural‐related costs such as medical manpower costs and costs of consumables were not included in this analysis. In a high‐volume center with an annual caseload of 3574 cystoscopies, we identified a cost‐equivalent price at SGD 135, above which reusable cystoscopes became more cost‐effective. This suggests reusable cystoscopes are economically advantageous in high‐volume settings due to the inverse relationship between per‐unit cost and annual caseload. However, disposable cystoscopes may still have value in lower‐volume centers where the cost‐equivalent price is higher. In conclusion, reusable cystoscopes offer cost‐efficiency in high‐throughput settings, whereas single‐use scopes provide logistical and infection‐control advantages in selected scenarios. Ongoing evaluation of cost and clinical outcomes is needed to optimize cystoscopy practices. [ABSTRACT FROM AUTHOR]
Βάση Δεδομένων: Academic Search Index
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  Data: Flexible cystoscopy is a common procedure in urology, traditionally performed using reusable flexible cystoscopes. However, concerns over sterilization costs, cross‐contamination, and logistics have led to interest in single‐use disposable cystoscopes. This study compares the cost‐effectiveness of reusable versus disposable cystoscopes at a high‐volume academic center. A retrospective threshold cost analysis was performed at a tertiary hospital in Singapore in 2022. Costs that were considered included device purchase, reprocessing and maintenance costs. Common procedural‐related costs such as medical manpower costs and costs of consumables were not included in this analysis. In a high‐volume center with an annual caseload of 3574 cystoscopies, we identified a cost‐equivalent price at SGD 135, above which reusable cystoscopes became more cost‐effective. This suggests reusable cystoscopes are economically advantageous in high‐volume settings due to the inverse relationship between per‐unit cost and annual caseload. However, disposable cystoscopes may still have value in lower‐volume centers where the cost‐equivalent price is higher. In conclusion, reusable cystoscopes offer cost‐efficiency in high‐throughput settings, whereas single‐use scopes provide logistical and infection‐control advantages in selected scenarios. Ongoing evaluation of cost and clinical outcomes is needed to optimize cystoscopy practices. [ABSTRACT FROM AUTHOR]
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asx&AN=195038973
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        Text: English
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      – SubjectFull: Cystoscopy
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              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
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