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The Cost of Flexible Bronchoscopes: A Systematic Review and Meta-analysis

Author

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  • Carina Østervig Andersen

    (Aalborg University)

  • Helena Travis

    (Ambu A/S)

  • Emilie Dehlholm-Lambertsen

    (Ambu Ltd.)

  • Rasmus Russell

    (Ambu A/S)

  • Emmelie Ploug Jørgensen

    (Aalborg University)

Abstract

Background and Objective Until 2009, only reusable bronchoscopes were marketed, but the introduction and widespread adoption of single-use flexible bronchoscopes (SFBs) as an emerging technology has since accelerated. Several studies have described the costs of reusable flexible bronchoscopes (RFBs) and SFBs. This meta-analysis aimed to compile the current published evidence to analyse the cost of different scenarios using RFBs and SFBs. Methods All published literature describing the cost of RFBs or SFBs was identified by searching PubMed, Embase and Google Scholar, limited to those between 1 January, 2009 and 6 November, 2020. Included studies should report the total cost of RFBs. Continuous data were extracted for relevant outcomes and analysed using RStudio® 4.0.3 as the standardised mean difference and standard error of the mean in a mixed-effects model. Risk of bias was assessed based on the reporting quality. Results In the systematic literature review, 342 studies were initially identified, and 11 were included in the final analysis. The mean RFB procedure cost was $266 (standard error of the mean: 34), including capital investments, repairs and reprocessing costs of $91, $92 and $83, respectively. The mean SFB procedure cost was $289 (standard error of the mean: 10). The incremental cost was $23 (standard error of the mean: 33) and was not significant (p = 0.46). Because of the economy of scale, RFB is more likely to be cost minimising compared with SFB when performing 306 or 39 procedures per site or RFB, respectively. Conclusions In this study, we found no significant difference in the cost of use between RFBs and SFBs and a high risk of bias.

Suggested Citation

  • Carina Østervig Andersen & Helena Travis & Emilie Dehlholm-Lambertsen & Rasmus Russell & Emmelie Ploug Jørgensen, 2022. "The Cost of Flexible Bronchoscopes: A Systematic Review and Meta-analysis," PharmacoEconomics - Open, Springer, vol. 6(6), pages 787-797, November.
    • Handle: RePEc:spr:pharmo:v:6:y:2022:i:6:d:10.1007_s41669-022-00356-0
    DOI: 10.1007/s41669-022-00356-0
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    References listed on IDEAS

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    1. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884.
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    1. Anders E. Kristensen & Jonathan S. Kurman & D. K. Hogarth & Sonali Sethi & Sabrina S. Sørensen, 2023. "Systematic Review and Cost-Consequence Analysis of Ambu aScope 5 Broncho Compared with Reusable Flexible Bronchoscopes: Insights from Two US University Hospitals and an Academic Institution," PharmacoEconomics - Open, Springer, vol. 7(4), pages 665-678, July.

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