Muscarella L F
Custom Ultrasonics, Inc., 144 Railroad Drive, Ivyland, PA 18974, USA.
Gastroenterol Nurs. 2001 Mar-Apr;24(2):64-8. doi: 10.1097/00001610-200103000-00004.
Current debate surrounds the cost-effectiveness of disposable and reusable biopsy forceps. Although a complex and arduous task, performing a cost analysis may be necessary to determine which forcep type is more cost-effective. Costs associated with disposable biopsy forceps include their initial cost as well as storage and disposal costs. In addition to initial cost, costs associated with reusable biopsy forceps include reprocessing, maintenance, and repair costs. Estimating the number of times forceps are likely to be reused is also essential to evaluating the cost-effectiveness of reusable biopsy forceps. In general, once a reusable biopsy forcep performs a threshold number of procedures, it becomes more cost-effective than a disposable forcep. While reusable biopsy forceps may be more suitable and cost-effective for larger gastrointestinal endoscopy centers that perform many procedures per day, the convenience of disposable biopsy forceps may make them the more appropriate choice for centers that are smaller and perform only a few procedures each day. Due to significant decreases in the initial cost of disposable biopsy forceps, the cost-effectiveness of reusable biopsy forceps is waning. This article reviews the various issues associated with disposable versus reusable biopsy forceps and provides readers with guidelines for evaluating the appropriateness of both forcep designs in their unique practice setting.
目前的争论围绕着一次性活检钳和可重复使用活检钳的成本效益。尽管进行成本分析是一项复杂而艰巨的任务，但确定哪种活检钳类型更具成本效益可能有必要进行成本分析。与一次性活检钳相关的成本包括其初始成本以及储存和处置成本。除了初始成本外，与可重复使用活检钳相关的成本还包括再处理、维护和维修成本。估计活检钳可能被重复使用的次数对于评估可重复使用活检钳的成本效益也至关重要。一般来说，一旦可重复使用的活检钳执行了一定数量的操作，它就会比一次性活检钳更具成本效益。虽然可重复使用的活检钳可能更适合每天进行大量操作的大型胃肠内镜中心且成本效益更高，但一次性活检钳的便利性可能使其成为较小且每天仅进行少量操作的中心的更合适选择。由于一次性活检钳的初始成本大幅下降，可重复使用活检钳的成本效益正在减弱。本文回顾了与一次性活检钳和可重复使用活检钳相关的各种问题，并为读者提供了在其独特的实践环境中评估这两种活检钳设计适用性的指导方针。
