{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T02:26:08Z","timestamp":1773282368434,"version":"3.50.1"},"reference-count":29,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T00:00:00Z","timestamp":1623369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Endoscopic procedures such as ureteroscopy (URS) have seen a recent increase in single-use devices. Despite all the advantages provided by disposable ureteroscopes (sURSs), their cost effectiveness remains questionable, leading most teams to use a hybrid strategy combining reusable (rURS) and disposable devices. Our study aimed to create an economic model that estimated the cut-off value of rURS procedures needed to support the profitability of a hybrid strategy (HS) for ureteroscopy. We used a budget impact analysis (BIA) model that estimated the financial impact of an HS compared to 100% sURS use. The model included hospital volume, sterilization costs and the private or public status of the institution. Although the hybrid strategy generally remains the best economic and clinical option, a predictive BIA model is recommended for the decision-making. We found that the minimal optimal proportion of rURS procedures in an HS was mainly impacted by the activity volume and overall number of sterilization procedures. Private and public institutions must consider these variables and models in order to adapt their HS and remain profitable.<\/jats:p>","DOI":"10.3390\/jcm10122593","type":"journal-article","created":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T12:44:37Z","timestamp":1623415477000},"page":"2593","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Relevance of Adopting a Hybrid Strategy Mixing Single-Use and Reusable Ureteroscopes for Stones Management: An Economic Study to Support the Best Strategy"],"prefix":"10.3390","volume":"10","author":[{"given":"Fanny","family":"Monmousseau","sequence":"first","affiliation":[{"name":"Health-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"},{"name":"EA 7505\u2014Education Ethics Health, Faculty of Medicine, University of Tours, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Ramillon","sequence":"additional","affiliation":[{"name":"Health-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Dubnitskiy-Robin","sequence":"additional","affiliation":[{"name":"Health-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"},{"name":"Inserm UMR1246 SPHERE, Universities of Nantes and Tours, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Faivre d\u2019Arcier","sequence":"additional","affiliation":[{"name":"Department of Urology, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martine","family":"Le Verger","sequence":"additional","affiliation":[{"name":"Pharmacy, CHU de Tours-Trousseau, Avenue de la R\u00e9publique, 37170 Chambray-les-Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanguy","family":"Le Fol","sequence":"additional","affiliation":[{"name":"Biomedical Unit, CHU de Tours-Trousseau, Avenue de la R\u00e9publique, 37170 Chambray-les-Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franck","family":"Bruy\u00e8re","sequence":"additional","affiliation":[{"name":"Department of Urology, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"},{"name":"PRES Centre Val de Loire, University of Tours, 60 Rue du Plat d\u2019\u00c9tain, 37000 Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Rusch","sequence":"additional","affiliation":[{"name":"Health-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"},{"name":"EA 7505\u2014Education Ethics Health, Faculty of Medicine, University of Tours, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sol\u00e8ne","family":"Brunet-Houdard","sequence":"additional","affiliation":[{"name":"Health-Economic Evaluation Unit, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"},{"name":"EA 7505\u2014Education Ethics Health, Faculty of Medicine, University of Tours, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7768-8558","authenticated-orcid":false,"given":"Benjamin","family":"Prad\u00e8re","sequence":"additional","affiliation":[{"name":"Department of Urology, CHU de Tours-Bretonneau, 2 Boulevard Tonnell\u00e9, 37044 Tours, France"},{"name":"Comprehensive Cancer Center, Department of Urology, Medical University of Vienna, Spitalgasse 23, 1090 Wien, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,11]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ucl.2018.12.002","article-title":"Single-Use Ureteroscopes","volume":"46","author":"Moore","year":"2019","journal-title":"Urol. 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