Reprocessing of single-use medical devices: clinical and financial results
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/112896 |
Resumo: | ABSTRACT - Introduction: Excellent results regarding clinical efficacy and cost reduction are achieved by using certified reprocessed single-use medical devices (SUMDs). This explains why this practice is common in most hospitals across the USA and Germany. However, this is not a common practice at a national level and there are no reports regarding its use in Portugal. We present our experience using these methods at Centro Hospitalar de São João (CHSJ) in Porto. Objective: The aim of this study was to compare the clinical results and the financial impact of the use of 2 SUMDs, original and reprocessed, namely the linear suture machine GIA CovidienTM and Harmonic ACE® scissors. Method: A group of 733 patients operated in 2014 was evaluated. Of these patients, 316 were operated on with reprocessed SUMDs and 417 with original SUMDs. Variables referring to the clinical and financial results were analyzed through clinical and management information provided by Unidade de Gestão Autónoma de Cirurgia. A comparison between groups was performed using the χ2 test and the Mann-Whitney test. Results: Indicators related to clinical efficacy show that the use of these SUMDs, professionally reprocessed, did not represent any added risk in comparison to the use of original devices. Regarding costs, there is a very significant difference between the use of a new medical device and that of a reprocessed one. In the case of the Harmonic ACE® scissors and of the linear suture machine GIA CovidienTM, savings were up to 50% per device. Conclusion: This study, the first in Portugal, confirms the economic advantages of reprocessing these 2 devices. The financial benefit was obtained with maintenance of the same clinical results as the ones achieved using original devices. These results are in line with the published literature, proving the validity of using SUMDs after professionally certified reprocessing. |
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Reprocessing of single-use medical devices: clinical and financial resultsReprocessamento de dispositivos médicos de uso único: resultados clínicos e financeirosCertified reprocessingDevice reuseSingle-use medical deviceClinical efficiencyCost reductionReprocessamento certificadoReutilizaçãoDispositivo médico de uso únicoEficiência clínicaRedução de custosABSTRACT - Introduction: Excellent results regarding clinical efficacy and cost reduction are achieved by using certified reprocessed single-use medical devices (SUMDs). This explains why this practice is common in most hospitals across the USA and Germany. However, this is not a common practice at a national level and there are no reports regarding its use in Portugal. We present our experience using these methods at Centro Hospitalar de São João (CHSJ) in Porto. Objective: The aim of this study was to compare the clinical results and the financial impact of the use of 2 SUMDs, original and reprocessed, namely the linear suture machine GIA CovidienTM and Harmonic ACE® scissors. Method: A group of 733 patients operated in 2014 was evaluated. Of these patients, 316 were operated on with reprocessed SUMDs and 417 with original SUMDs. Variables referring to the clinical and financial results were analyzed through clinical and management information provided by Unidade de Gestão Autónoma de Cirurgia. A comparison between groups was performed using the χ2 test and the Mann-Whitney test. Results: Indicators related to clinical efficacy show that the use of these SUMDs, professionally reprocessed, did not represent any added risk in comparison to the use of original devices. Regarding costs, there is a very significant difference between the use of a new medical device and that of a reprocessed one. In the case of the Harmonic ACE® scissors and of the linear suture machine GIA CovidienTM, savings were up to 50% per device. Conclusion: This study, the first in Portugal, confirms the economic advantages of reprocessing these 2 devices. The financial benefit was obtained with maintenance of the same clinical results as the ones achieved using original devices. These results are in line with the published literature, proving the validity of using SUMDs after professionally certified reprocessing.RESUMO - Introdução: Os excelentes resultados da eficácia clínica e da redução de custos, obtidos com o reprocessamento certificado dos Dispositivos Médicos de Uso Único (DMUU) justificam que seja prática corrente na maior parte dos hospitais, nos Estados Unidos da América e na Alemanha. No entanto, a nível Nacional ainda não é prática comum, não existindo bibliografia sobre a experiência nacional. Apresentamos os resultados obtidos com esta prática no Centro Hospitalar de São João (CHSJ), Porto. Objetivo: Comparar os resultados clínicos e o impacto financeiro da reutilização de dispositivos médicos de uso único, reprocessados profissionalmente. Foram utilizados dois dispositivos de “uso único,” a máquina de sutura linear GIA CovidienTM e a tesoura Harmonic ACE®. Método: Analisamos um grupo de 733 doentes operados em 2014 que inclui todos os doentes operados no referido período e em que foram utilizados estes dispositivos. Destes doentes 316 foram operados com DMUU reprocessados, e 417 com DMUU originais. As variáveis referentes aos resultados clínicos e financeiros foram analisadas através dos respetivos registos clínicos e da informação de gestão fornecida pela Unidade de Gestão Autónoma de Cirurgia. A comparação entre grupos foi realizada pela aplicação dos testes de Qui-quadrado e Mann-Whitney. Resultados: Os indicadores relativos à eficácia clínica, comprovaram que o uso destes DMUU reprocessados profissionalmente utilizados nas intervenções cirúrgicas não representou qualquer risco acrescido em comparação com os dispositivos originais. Em termos financeiros, há uma diferença muito significativa entre a aquisição de um dispositivo médico novo ou reprocessado. A diferença no caso da tesoura Harmonic ACE® e na máquina de sutura linear GIA CovidienTM acarretou poupanças cerca de 50%. Conclusão: Este primeiro estudo, realizado em Portugal, confirma as vantagens económicas do reprocessamento destes dois dispositivos. O benefício financeiro foi obtido com manutenção da mesma qualidade clínica que se obteve com os dispositivos originais. Os resultados obtidos estão em conformidade com os publicados na literatura, o que confirma que a utilização de alguns dispositivos médicos de uso único após reprocessamento profissional é um método eficiente.Universidade Nova de Lisboa, Escola Nacional de Saúde PúblicaRUNMartins, Bruno de SousaMelo, João Queiroz eMonteiro, João LogarinhoRente, GraçaBastos, Pedro Teixeira2021-03-02T16:26:14Z2018-092018-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/112896engMartins, Bruno de Sousa; Melo, João Queiroz e; Monteiro, João Logarinho; Rente, Graça; Bastos, Pedro Teixeira - Reprocessing of single-use medical devices : clinical and financial results = Reprocessamento de dispositivos médicos de uso único : resultados clínicos e financeiros. Portuguese Journal of Public Health. ISSN 2504-3137. Vol. 36, Nº 3 (Setembro/Dezembro 2018), p. 150-1562504-313710.1159/000496299info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:56:12Zoai:run.unl.pt:10362/112896Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:42:14.339302Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Reprocessing of single-use medical devices: clinical and financial results Reprocessamento de dispositivos médicos de uso único: resultados clínicos e financeiros |
title |
Reprocessing of single-use medical devices: clinical and financial results |
spellingShingle |
Reprocessing of single-use medical devices: clinical and financial results Martins, Bruno de Sousa Certified reprocessing Device reuse Single-use medical device Clinical efficiency Cost reduction Reprocessamento certificado Reutilização Dispositivo médico de uso único Eficiência clínica Redução de custos |
title_short |
Reprocessing of single-use medical devices: clinical and financial results |
title_full |
Reprocessing of single-use medical devices: clinical and financial results |
title_fullStr |
Reprocessing of single-use medical devices: clinical and financial results |
title_full_unstemmed |
Reprocessing of single-use medical devices: clinical and financial results |
title_sort |
Reprocessing of single-use medical devices: clinical and financial results |
author |
Martins, Bruno de Sousa |
author_facet |
Martins, Bruno de Sousa Melo, João Queiroz e Monteiro, João Logarinho Rente, Graça Bastos, Pedro Teixeira |
author_role |
author |
author2 |
Melo, João Queiroz e Monteiro, João Logarinho Rente, Graça Bastos, Pedro Teixeira |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
RUN |
dc.contributor.author.fl_str_mv |
Martins, Bruno de Sousa Melo, João Queiroz e Monteiro, João Logarinho Rente, Graça Bastos, Pedro Teixeira |
dc.subject.por.fl_str_mv |
Certified reprocessing Device reuse Single-use medical device Clinical efficiency Cost reduction Reprocessamento certificado Reutilização Dispositivo médico de uso único Eficiência clínica Redução de custos |
topic |
Certified reprocessing Device reuse Single-use medical device Clinical efficiency Cost reduction Reprocessamento certificado Reutilização Dispositivo médico de uso único Eficiência clínica Redução de custos |
description |
ABSTRACT - Introduction: Excellent results regarding clinical efficacy and cost reduction are achieved by using certified reprocessed single-use medical devices (SUMDs). This explains why this practice is common in most hospitals across the USA and Germany. However, this is not a common practice at a national level and there are no reports regarding its use in Portugal. We present our experience using these methods at Centro Hospitalar de São João (CHSJ) in Porto. Objective: The aim of this study was to compare the clinical results and the financial impact of the use of 2 SUMDs, original and reprocessed, namely the linear suture machine GIA CovidienTM and Harmonic ACE® scissors. Method: A group of 733 patients operated in 2014 was evaluated. Of these patients, 316 were operated on with reprocessed SUMDs and 417 with original SUMDs. Variables referring to the clinical and financial results were analyzed through clinical and management information provided by Unidade de Gestão Autónoma de Cirurgia. A comparison between groups was performed using the χ2 test and the Mann-Whitney test. Results: Indicators related to clinical efficacy show that the use of these SUMDs, professionally reprocessed, did not represent any added risk in comparison to the use of original devices. Regarding costs, there is a very significant difference between the use of a new medical device and that of a reprocessed one. In the case of the Harmonic ACE® scissors and of the linear suture machine GIA CovidienTM, savings were up to 50% per device. Conclusion: This study, the first in Portugal, confirms the economic advantages of reprocessing these 2 devices. The financial benefit was obtained with maintenance of the same clinical results as the ones achieved using original devices. These results are in line with the published literature, proving the validity of using SUMDs after professionally certified reprocessing. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09 2018-09-01T00:00:00Z 2021-03-02T16:26:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/112896 |
url |
http://hdl.handle.net/10362/112896 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Martins, Bruno de Sousa; Melo, João Queiroz e; Monteiro, João Logarinho; Rente, Graça; Bastos, Pedro Teixeira - Reprocessing of single-use medical devices : clinical and financial results = Reprocessamento de dispositivos médicos de uso único : resultados clínicos e financeiros. Portuguese Journal of Public Health. ISSN 2504-3137. Vol. 36, Nº 3 (Setembro/Dezembro 2018), p. 150-156 2504-3137 10.1159/000496299 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública |
publisher.none.fl_str_mv |
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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