{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:02:54Z","timestamp":1783648974259,"version":"3.55.0"},"reference-count":14,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The number of ureterorenoscopies in Germany is rising. Hospitals must operate economically while ensuring quality. Environmental assessment of medical procedures is gaining focus. This study aims to perform a comparative analysis of the economic and ecological aspects of single\u2010use versus reusable ureterorenoscopes using real\u2010world routine data, acknowledging their trade\u2010offs between hygienic advantages, costs and environmental impacts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A total of 210 ureterorenoscopy cases (2022\/2023) at the University Hospital of W\u00fcrzburg were evaluated. A simulation assessed the impact of the OPS code 5\u201098b.0 on DRG (diagnosis\u2010related groups) classification and reimbursement. Economic analysis included acquisition, repair and sterilization costs, while ecological assessment considered manufacturing, waste, reprocessing, transport and repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 44.3% of cases, use of OPS code 5\u201098b.0 resulted in an upgraded DRG (L20B instead of L20C), yielding approximately \u20ac62\u2009000 in additional revenue over 2\u00a0years. This was outweighed by roughly \u20ac147\u2009000 in extra costs for single\u2010use devices, assuming repair costs for reusable devices remained around \u20ac300 per case. Environmentally, single\u2010use devices generated 42\u2009kg more CO\n                      <jats:sub>2<\/jats:sub>\n                      per 100 procedures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Single\u2010use ureterorenoscopes are economically justifiable only when reusable devices incur frequent repair costs. Reusable scopes perform better ecologically due to lower CO\n                      <jats:sub>2<\/jats:sub>\n                      emissions. Instrument choice should be guided by each clinic's specific economic and environmental context.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70100","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T07:25:03Z","timestamp":1759908303000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Green endoscopy: Economic and ecological evaluation of single\u2010use versus reusable ureterorenoscopes"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3267-6323","authenticated-orcid":false,"given":"Marcel","family":"Schwinger","sequence":"first","affiliation":[{"name":"Department of Urology and Pediatric Urology Julius Maximilians University Medical Center of W\u00fcrzburg  W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3802-940X","authenticated-orcid":false,"given":"Charis","family":"Kalogirou","sequence":"additional","affiliation":[{"name":"Department of Urology and Pediatric Urology Julius Maximilians University Medical Center of W\u00fcrzburg  W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03818-y"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2023.0057"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2018.0001"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2023-329940"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2020.20223"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2021.0844"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2020.e05605"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2015.0642"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0489"},{"key":"e_1_2_10_11_1","unstructured":"2020 European Sustainable Development Network.Fetting C.(2020). \u201cThe European green deal\u201d ESDN report December 2020 ESDN Office Vienna."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-1683(20)35417-3"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2022.0480"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2022.01.033"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2025.07.025"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70100","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T23:47:09Z","timestamp":1764719229000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/bco2.70100"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70100","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-07-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70100"}}