Department of ENT Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Department of ENT Surgery, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, UK.
J Laryngol Otol. 2023 Aug;137(8):866-872. doi: 10.1017/S0022215122002274. Epub 2022 Oct 11.
This study primarily assessed ENT surgical trainees' preferences for the qualities of disposable and reusable fibre-optic nasendoscopes. Secondary aims included eliciting trainees' views on ENT surgery and climate change, and creating a single-centre per-use cost analysis for disposable and reusable fibre-optic nasendoscopes.
A cross-sectional study was formulated. An online survey consisting of multiple-choice and Likert-scale questions was distributed nationally. Cost analysis was performed using 2021-2022 data from the host institution.
Twenty-four trainees responded. Data on disposable fibre-optic nasendoscopes showed no difference in overall satisfaction ( = 0.244). Reusable fibre-optic nasendoscopes had a lower cost per use compared with disposable nasendoscopes at 5 years (4.7 per cent reduction) and 10 years (7.1 per cent reduction). Of the trainees, 79.2 per cent were supportive of climate-friendly initiatives within ENT surgery, and 25 per cent felt supported by their departments.
Trainees' satisfaction with disposable and reusable fibre-optic nasendoscopes is similar. Cost analysis favours reusable fibre-optic nasendoscopes in the long term at the host institution. Empowering departments and trainees to pursue climate-friendly initiatives should be encouraged.
本研究主要评估耳鼻喉科外科受训者对一次性和可重复使用光纤鼻内镜的质量偏好。次要目的包括征求受训者对耳鼻喉科手术和气候变化的看法，并对一次性和可重复使用光纤鼻内镜进行单中心每次使用成本分析。
制定了一项横断面研究。全国范围内分发了一份包含多项选择题和李克特量表问题的在线调查。使用所在机构 2021-2022 年的数据进行成本分析。
24 名受训者做出了回应。一次性光纤鼻内镜的数据显示，总体满意度没有差异（=0.244）。与一次性鼻内镜相比，可重复使用的光纤鼻内镜在 5 年（4.7%的减少）和 10 年（7.1%的减少）时每使用一次的成本更低。在受训者中，79.2%的人支持耳鼻喉科手术中的气候友好倡议，25%的人觉得他们的部门得到了支持。
受训者对一次性和可重复使用光纤鼻内镜的满意度相似。成本分析在长期内有利于所在机构的可重复使用光纤鼻内镜。应鼓励部门和受训者采取有利于气候的举措。
