URS: een kostbare aangelegenheid?

Translated title of the contribution: URS: a costly affair?

Nora Hendriks, Diederick Duijvesz, Judith E. Bosmans, Daniël C. Maas, Joep Zweers, Rob C. M. Pelger, Harrie P. Beerlage, Guido M. Kamphuis, Luna van den Brink, Barbara M. A. Schout

Research output: Contribution to JournalArticleProfessional

Abstract

Costs within healthcare are rising. Awareness of actual costs (instead of mean DBC prices) is essential to reduce healthcare costs. We prospectively registered data concerning procedure time, materials, present personnel, admission and follow-up were in 72 ureterorenoscopy (URS) procedures. The mean total costs of a URS-procedure were € 2,819. Within these costs the largest cost driver existed of surgical costs (€ 2,075; 67.0%), followed by costs for admission (€ 514; 22.8%) and follow-up costs (€ 230; 10.2%). Eight patients underwent a procedure where the stone passed spontaneously previous to the operation and had a dated CT-scan (> 1 month old). The costs of these procedures could have been saved by performing an additional pre-operative CT-scan. This would save € 62 per procedure. The actual costs of a URS procedure in this cohort were € 2,819 in which surgical costs (€ 2,075) was the largest cost item. Ensuring that recent imaging is available during the procedure could spare unnecessary procedures and costs.
Translated title of the contributionURS: a costly affair?
Original languageDutch
Pages (from-to)86-93
Number of pages8
JournalTijdschrift voor urologie
Volume12
Issue number4
Early online date2022
DOIs
Publication statusPublished - Jul 2022

Keywords

  • DBC
  • healthcare costs
  • ureterorenoscopy
  • urolithiasis

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