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

Author

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  • Christoffer Lilja Terjesen

    (University Hospital of North Norway)

  • Julia Kovaleva

    (Center for Medical Analysis)

  • Lars Ehlers

    (Aalborg University)

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.

Suggested Citation

  • Christoffer Lilja Terjesen & Julia Kovaleva & Lars Ehlers, 2017. "Early Assessment of the Likely Cost Effectiveness of Single-Use Flexible Video Bronchoscopes," PharmacoEconomics - Open, Springer, vol. 1(2), pages 133-141, June.
    • Handle: RePEc:spr:pharmo:v:1:y:2017:i:2:d:10.1007_s41669-017-0012-9
    DOI: 10.1007/s41669-017-0012-9
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    References listed on IDEAS

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    1. Mark J. Sculpher & Karl Claxton & Mike Drummond & Chris McCabe, 2006. "Whither trial‐based economic evaluation for health care decision making?," Health Economics, John Wiley & Sons, Ltd., vol. 15(7), pages 677-687, July.
    2. 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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    Cited by:

    1. Birgitte Lilholt Sørensen & Sara Larsen & Claus Andersen, 2023. "A review of environmental and economic aspects of medical devices, illustrated with a comparative study of double-lumen tubes used for one-lung ventilation," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 25(11), pages 13219-13252, November.

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