Performance and Cost of Disposable Biopsy Forceps in Upper Gastrointestinal Endoscopy: Comparison with Reusable Biopsy Forceps.
- Author:
Chul Hyun LIM
1
;
Myung Gyu CHOI
;
Won Chul KIM
;
Jin Soo KIM
;
Yu Kyung CHO
;
Jae Myung PARK
;
In Seok LEE
;
Sang Woo KIM
;
Kyu Yong CHOI
;
In Sik CHUNG
Author Information
- Publication Type:Original Article
- Keywords: Endoscopy; Biopsy; Disposable equipment; Costs and cost analysis
- MeSH: Biopsy; Costs and Cost Analysis; Disposable Equipment; Endoscopy; Humans; Surgical Instruments
- From:Clinical Endoscopy 2012;45(1):62-66
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: It is believed that disposable biopsy forceps are more costly than reusable biopsy forceps. In this study, we evaluated performance and cost of disposable forceps versus reusable forceps in esophagogastroduodenoscopic biopsy. METHODS: Between October 2009 and July 2010, we enrolled 200 patients undergoing esophagogastroduodenoscopic biopsy at Seoul St. Mary's Hospital. Biopsies were performed with 100 disposable or 5 reusable forceps by random assignment. Seventy-five additional patients were studied to estimate durability of reusable forceps. The assisting nurses estimated the performance of the forceps. The evaluation of costs included purchase prices and reprocessing costs. The adequacy of the sample was estimated according to the diameter of the obtained tissue. RESULTS: Performance of disposable forceps was estimated as excellent in 97.0%, good in 2.0% and adequate in 1.0%. Reusable forceps were estimated as excellent in 36.0%, good in 36.0%, adequate in 25.1% and inadequate in 2.9%. The performance of reusable forceps declined with the number of uses. The reprocessing cost of reusable forceps for one biopsy session was calculated as 8,021won. The adequacy of the sample was excellent for both forceps. CONCLUSIONS: Disposable forceps showed excellent performance. Considering the reprocessing costs of reusable forceps, usage of disposable forceps with a low price should be considered.