Endoscopic Versus Open Carpal Tunnel Release: A Detailed Analysis Using Time-Driven Activity-Based Costing at an Academic Medical Center

Koehler, Daniel M.; Balakrishnan, Ramji; Lawler, Ericka A.; Shah, Apurva S.

doi:10.1016/j.jhsa.2018.04.023

Cited by 52 publications

(31 citation statements)

References 14 publications

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“…3 This was also recognized by the FDA as a consensus standard for reprocessing in 2015. 6 In the sensitivity analysis, one of the main cost drivers identified with reusable equipment was the operating room costs associated with equipment set up. A prior time-driven activity-based costing $262).…”

Section: Discussionmentioning

confidence: 99%

“…The costs per minute for the operating room were derived from sources that examined costs in ambulatory settings, mainly not-for-profit and academic teaching hospitals, and ranged from $36.14 to $41.93. 5,6 Further, it was assumed that an ECTR procedure would take 48 to 60 minutes including the entire perioperative period (preoperative, intraoperative). Set up time for reusable equipment was estimated at 10 minutes.…”

Section: Methodsmentioning

confidence: 99%

“…Set up time for reusable equipment was estimated at 10 minutes. 6 The variables and distributions used in the analysis can be found Appendix A (available on the Journal's Web site at www.jhandsurg.org) and were utilized in decision analysis software (TreeAge Pro, 2019). Appendix B (available on the Journal's Web site at www.jhandsurg.org) shows the decision tree along with the equations used in the decision tree.…”

Section: Methodsmentioning

confidence: 99%

“…Prior research using activitybased costing has demonstrated that ECTR is more expensive than open carpal tunnel release (OCTR). 6 It is the purpose of this analysis to identify which of the alternative disposable versus reusable equipment may be the less-expensive option in ECTR. It is also an opportunity to identify specific cost drivers in these options and determine how sensitive these drivers are to the types and quantity of resources utilized.…”

mentioning

confidence: 99%

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Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis

Voigt

Seigerman

Lutsky

et al. 2021

The Journal of Hand Surgery

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Purpose Guidelines for sterilization of reusable equipment (eg, arthroscopes, surgical equipment) have recently been established. These guidelines are supported by the U.S. Food and Drug Administration and affect costs for sterilization. The current analysis was undertaken to understand if reusable or disposable endoscopic carpal tunnel release (ECTR) equipment is a less-expensive option. Methods An activity-based cost analysis was undertaken to determine the costs of reusable versus disposable equipment for ECTR. Costs of disposable equipment were obtained from manufacturers. Costs of processing reusable equipment including labor, time, cost of operating room time, and sterilization supplies and equipment were obtained from the literature and from recent reports identifying these costs. Infection rates and costs of infection were also factored in. Decision analysis software was used to determine the expected costs of each option (disposable vs reusable). A sensitivity analysis was undertaken on those variables that were determined to have the greatest effect on the overall costs of the procedure and sterilization.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis

Voigt

Seigerman

Lutsky

et al. 2021

The Journal of Hand Surgery

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“…The maturity that can be acquired during the service's learning period contributes to a better alignment of availability of professionals by activity, making the service more balanced. The balance of the service allows guiding the restructuring of the hourly availability of health professionals who perform the service, allowing a reduction in expenses by telediagnosis and better use of each allocated resource [41][42][43] .…”

Section: The Ubs Doctormentioning

confidence: 99%

Avaliação Econômica de um Serviço de Telemedicina para ampliação da Atenção Primária à Saúde no Rio Grande do Sul: o microcusteio do Projeto TeleOftalmo

Zanotto

Etges

Siqueira

et al. 2020

Ciênc. saúde coletiva

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Resumo Este estudo avaliou o custo de um serviço público de telediagnóstico em oftalmologia. O método de custeio baseado em atividades e tempo (TDABC) foi adotado para examinar os componentes de custos relacionados à teleoftalmologia. Com este método, também foi possível estabelecer o custo unitário padrão que o telediagnóstico deveria ter, dada a capacidade instalada e utilização de profissionais. Dados de um ano de telediagnósticos foram considerados, e avaliou-se a mudança do custo por telediagnóstico ao longo do período de adaptação da tecnologia no sistema. O custo padrão calculado por diagnóstico oftalmológico a distância foi de R$ 119, considerando a emissão de 1.080 laudos de telediagnóstico oftalmológico por mês. Foi identificado um desequilíbrio entre as atividades que sugere a capacidade do método TDABC orientar ações de gestão e melhoria na alocação dos recursos. Ao longo de um ano, o custo unitário real passou de R$ 783 para R$ 283, ainda havendo espaço para se aproximar do custo padrão estimado. Avaliações econômicas parciais possuem importante aporte para subsidiar a incorporação de novas tecnologias. O TDABC merece destaque nesse sentido, pois permite obter informações mais precisas sobre custo da tecnologia, melhorando a capacidade de dimensionamento e gerenciamento da organização de saúde.

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Controversies in Carpal Tunnel Syndrome in Adults: Endoscopic Versus Open Carpal Tunnel Release

Ameztoy-Gallego

Vaquero-Picado

Vadillo-Cardona

2022

Controversies in Orthopedic Surgery of the Upper Limb

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Endoscopic Versus Open Carpal Tunnel Release: A Detailed Analysis Using Time-Driven Activity-Based Costing at an Academic Medical Center

Cited by 52 publications

References 14 publications

Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis

Comparison of the Costs of Reusable Versus Disposable Equipment for Endoscopic Carpal Tunnel Release Procedures Using Activity-Based Costing Analysis

Avaliação Econômica de um Serviço de Telemedicina para ampliação da Atenção Primária à Saúde no Rio Grande do Sul: o microcusteio do Projeto TeleOftalmo

Controversies in Carpal Tunnel Syndrome in Adults: Endoscopic Versus Open Carpal Tunnel Release

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