A review of techniques for difficult catheterisation and their costs
BAUS ePoster online library. Healy R. 06/21/21; 319126; p8-8
Disclosure(s): No disclosures.
Ms. Rion Healy
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Abstract
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Introduction:
Awareness of departmental expenditure gives surgeons the ability to make cost-effective decisions. We aim to review the available techniques for difficult catheterisation and assess the cost of each method.
Materials and Methods:
A literature search was undertaken using EMBASE and medline databases. 7 techniques for difficult catheterisation were identified and a cost analysis was performed. All items required for a technique were costed per unit including VAT and can be referenced to the NHS supply chain.
Results:
Techniques were divided into 3 broad categories. Simple urethral techniques; increased lubrication with different catheter sizes (£5.05) or types (£8.83 Tiemann tip, £10.65 Coude tip). Complex urethral techniques; blind hydrophilic guidewire (£27.31), s-dilators (£244.62), flexible cystoscopy (£38.78). Percutaneous techniques; suprapubic catheterisation (£117.38).
Conclusion:
We demonstrate a progression in cost and specialist input required when moving from simple urethral techniques to complex and percutaneous techniques. It is clear that clinicians should consider these cost implications and exhaust all simple techniques before moving to the more complex. We would advocate the use of a national evidence based difficult catheter algorithm to guide management based on both effectiveness and cost.
Awareness of departmental expenditure gives surgeons the ability to make cost-effective decisions. We aim to review the available techniques for difficult catheterisation and assess the cost of each method.
Materials and Methods:
A literature search was undertaken using EMBASE and medline databases. 7 techniques for difficult catheterisation were identified and a cost analysis was performed. All items required for a technique were costed per unit including VAT and can be referenced to the NHS supply chain.
Results:
Techniques were divided into 3 broad categories. Simple urethral techniques; increased lubrication with different catheter sizes (£5.05) or types (£8.83 Tiemann tip, £10.65 Coude tip). Complex urethral techniques; blind hydrophilic guidewire (£27.31), s-dilators (£244.62), flexible cystoscopy (£38.78). Percutaneous techniques; suprapubic catheterisation (£117.38).
Conclusion:
We demonstrate a progression in cost and specialist input required when moving from simple urethral techniques to complex and percutaneous techniques. It is clear that clinicians should consider these cost implications and exhaust all simple techniques before moving to the more complex. We would advocate the use of a national evidence based difficult catheter algorithm to guide management based on both effectiveness and cost.
Introduction:
Awareness of departmental expenditure gives surgeons the ability to make cost-effective decisions. We aim to review the available techniques for difficult catheterisation and assess the cost of each method.
Materials and Methods:
A literature search was undertaken using EMBASE and medline databases. 7 techniques for difficult catheterisation were identified and a cost analysis was performed. All items required for a technique were costed per unit including VAT and can be referenced to the NHS supply chain.
Results:
Techniques were divided into 3 broad categories. Simple urethral techniques; increased lubrication with different catheter sizes (£5.05) or types (£8.83 Tiemann tip, £10.65 Coude tip). Complex urethral techniques; blind hydrophilic guidewire (£27.31), s-dilators (£244.62), flexible cystoscopy (£38.78). Percutaneous techniques; suprapubic catheterisation (£117.38).
Conclusion:
We demonstrate a progression in cost and specialist input required when moving from simple urethral techniques to complex and percutaneous techniques. It is clear that clinicians should consider these cost implications and exhaust all simple techniques before moving to the more complex. We would advocate the use of a national evidence based difficult catheter algorithm to guide management based on both effectiveness and cost.
Awareness of departmental expenditure gives surgeons the ability to make cost-effective decisions. We aim to review the available techniques for difficult catheterisation and assess the cost of each method.
Materials and Methods:
A literature search was undertaken using EMBASE and medline databases. 7 techniques for difficult catheterisation were identified and a cost analysis was performed. All items required for a technique were costed per unit including VAT and can be referenced to the NHS supply chain.
Results:
Techniques were divided into 3 broad categories. Simple urethral techniques; increased lubrication with different catheter sizes (£5.05) or types (£8.83 Tiemann tip, £10.65 Coude tip). Complex urethral techniques; blind hydrophilic guidewire (£27.31), s-dilators (£244.62), flexible cystoscopy (£38.78). Percutaneous techniques; suprapubic catheterisation (£117.38).
Conclusion:
We demonstrate a progression in cost and specialist input required when moving from simple urethral techniques to complex and percutaneous techniques. It is clear that clinicians should consider these cost implications and exhaust all simple techniques before moving to the more complex. We would advocate the use of a national evidence based difficult catheter algorithm to guide management based on both effectiveness and cost.
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