EconPapers    
Economics at your fingertips  
 

Early Assessment of the Likely Cost Effectiveness of Single-Use Flexible Video Bronchoscopes

Christoffer Lilja Terjesen, Julia Kovaleva and Lars Ehlers ()
Additional contact information
Christoffer Lilja Terjesen: University Hospital of North Norway
Julia Kovaleva: Center for Medical Analysis
Lars Ehlers: Aalborg University

PharmacoEconomics - Open, 2017, vol. 1, issue 2, 133-141

Abstract: Abstract Background Bronchoscopic procedures are common in the clinical setting, with estimates indicating 500,000 are undertaken per year in the USA alone. These procedures are generally regarded as safe. Unfortunately, a risk of cross-contamination between patients, with possible subsequent infection, is associated with the re-usable technology typically used in these procedures. Objective Our objective was to conduct an early cost-effectiveness analysis (CEA) of single-use flexible video bronchoscope technology compared with the current reusable technology in a US hospital intensive care setting. Methods We conducted a CEA to determine an incremental cost-effectiveness ratio (ICER), and constructed a decision analytic model based on the best available evidence from a literature search and a Delphi panel. We also conducted several one- and two-way sensitivity analyses and a probabilistic sensitivity analysis to illuminate the uncertainty associated with the estimates. Results The literature search showed ample evidence of risk, albeit little of it was quantifiable. Estimates from the Delphi method found approximately a 3% risk of cross-contamination and approximately a 21% risk of subsequent infection. Pneumonia was estimated as the most likely manifestation of infection. The CEA showed a saving of $US118 per procedure and elimination of 0.7% of the risk of infection with the single-use technology. Relevant sensitivity analyses generally validated this result. Conclusion This study suggests that implementation of the single-use technology in the intensive care unit is cost effective in most scenarios. However, this result should be interpreted with caution because of the lack of certain knowledge on this particular topic.

Keywords: Probabilistic Sensitivity Analysis; Delphi Method; Subsequent Infection; Health Economic Evaluation; Bacterial Spore (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed

Downloads: (external link)
http://link.springer.com/10.1007/s41669-017-0012-9 Abstract (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:pharmo:v:1:y:2017:i:2:d:10.1007_s41669-017-0012-9

Ordering information: This journal article can be ordered from
http://www.springer.com/adis/journal/41669

Access Statistics for this article

PharmacoEconomics - Open is currently edited by Timothy Wrightson and Christopher Carswell

More articles in PharmacoEconomics - Open from Springer
Bibliographic data for series maintained by Sonal Shukla ().

 
Page updated 2019-11-06
Handle: RePEc:spr:pharmo:v:1:y:2017:i:2:d:10.1007_s41669-017-0012-9