{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T06:01:29Z","timestamp":1740808889179,"version":"3.38.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T00:00:00Z","timestamp":1683504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002907","name":"Coloplast","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002907","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Isiris-\u03b1\u00ae is a single-use digital flexible cystoscope with an integrated grasper designed for double J (DJ) stent removal. Aim of this study was to conduct a multicentric evaluation of the costs and criticalities of stent removals performed with Isiris\u00ae-\u03b1 in different hospitals and health systems, as compared to other DJ removal procedures. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> After gathering 10 institutions worldwide with experience on Isiris-\u03b1\u00ae, we performed an analysis of the reported costs of DJ removal with Isiris-\u03b1\u00ae, as compared to the traditional reusable equipment used in each institution. The cost evaluation included instrument purchase, Endoscopic Room (EnR)\/ Operatory Room (OR) occupancy, medical staff, instrument disposal, maintenance, repairs, decontamination or sterilization of reusable devices. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The main factor affecting the costs of the procedure was OR\/EnR occupancy. Decontamination and sterilization accounted for a less important part of total costs. Isiris-\u03b1\u00ae was more profitable in institutions where DJ removal is usually performed in the EnR\/OR, allowing to transfer the procedure to outpatient clinic, with a significant cost saving and EnR\/OR time saving to be allocated to other activities. In the only institution where DJ removal was already performed in outpatient clinics, there is a slight cost difference in favor of reusable instruments in high-volume institutions, given a sufficient number to guarantee the turnover. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Isiris-\u03b1\u00ae leads to significant cost benefit in the institutions where DJ removal is routinely performed in EnR\/OR, and brings significant improvement in organization, cost impact and turnover. <\/jats:p><\/jats:sec>","DOI":"10.1177\/03915603231172543","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T12:08:15Z","timestamp":1683547695000},"page":"670-677","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The impact of single-use digital flexible cystoscope for double J removal on hospital costs and work organization: A multicentric evaluation"],"prefix":"10.1177","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4681-888X","authenticated-orcid":false,"given":"Marco","family":"Oderda","sequence":"first","affiliation":[{"name":"Dept. of Surgical Sciences, Division of Urology, Citt\u00e0 della Salute e della Scienza di Torino \u2013 Molinette Hospital, University of Torino, Torino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Amato","sequence":"additional","affiliation":[{"name":"Dept of Renal Transplantation, Civico Hospital, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"de la Rosette","sequence":"additional","affiliation":[{"name":"Dept of Urology, Istanbul Medipol University, Istanbul, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Doizi","sequence":"additional","affiliation":[{"name":"Dept of Urology, Tenon Hospital, Paris, 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