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Perspectives on technology_to use or to reuse, that is the endoscopic question-a systematic review of single-use endoscopes.pdf (1.38 MB)

Perspectives on technology: to use or to reuse, that is the endoscopic question - a systematic review of single-use endoscopes

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posted on 2024-01-29, 11:16 authored by Steven Anderson, Kenneth Patterson, Andreas Skolarikos, Bhaskar Somani, Damien M Bolton, Niall DavisNiall Davis

Objective: To compare clinical outcomes of single-use endoscopes with those of reusable endoscopes to better define their role within urology.

Methods: A systematic search of electronic databases was performed. All studies comparing the clinical outcomes of participants undergoing urological procedures with single-use endoscopes to those of participants treated with reusable endoscopes were included. Results are reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement.

Results: Twenty-one studies in 3943 participants were identified. Six different single-use flexible ureteroscopes and two different single-use flexible cystoscopes were assessed. There were no differences in mean postoperative infection rates (4.0% vs 4.4%; P = 0.87) or overall complication rates (11.5% vs 11.9%; P = 0.88) between single-use and reusable endoscopes. For patients undergoing flexible ureteroscopy there were no differences in operating time (mean difference -0.05 min; P = 0.96), length of hospital stay (LOS; mean difference 0.06 days; P = 0.18) or stone-free rate (SFR; 74% vs 74.3%; P = 0.54) between the single-use and reusable flexible ureteroscope groups.

Conclusion: This study is the largest to compare the clinical outcomes of single-use endoscopes to those of reusable endoscopes within urology, and demonstrated no difference in LOS, complication rate or SFR, with a shorter operating time associated with single-use flexible cystoscope use. It also highlights that the cost efficiency and environmental impact of single-use endoscopes is largely dependent on the caseload and reprocessing facilities available within a given institution. Urologists can therefore feel confident that whether they choose to 'use' or to 'reuse' based on the financial and environmental implications, they can do so without negatively impacting patient outcomes.

Funding

Open access funding provided by IReL

History

Comments

The original article is available at https://bjui-journals.onlinelibrary.wiley.com/

Published Citation

Anderson S, Patterson K, Skolarikos A, Somani B, Bolton DM, Davis NF. Perspectives on technology: to use or to reuse, that is the endoscopic question - a systematic review of single-use endoscopes. BJU Int. 2023;133(1):14-24.

Publication Date

14 October 2023

PubMed ID

37838621

Department/Unit

  • Beaumont Hospital
  • Surgical Affairs

Publisher

John Wiley & Sons, Inc

Version

  • Published Version (Version of Record)

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