Global variation in acquisition costs of single-use flexible ureteroscopes and flexible navigable access sheaths: an international collaborative analysis from the YAU & EAU Endourology groups.
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Pietropaolo Amelia, Alhusseinawi Hayder, Soebhali Boyke, Cabrera Johan, Tursunkulov Azimdjon, Ragoori Deepak, Vincentini Fabio C, Astroza Gaston M, Petkova Kremena, Yong Cho Sung, Davis Niall, Netsch Christopher, Becker Benedikt, Chai Chu Ann, Panthier Frederic, Ketsuwan Chinnakhet, Durutovic Otas, Solano Catalina, Gadzhiev Nariman, Bhojani Naeem, Gravas Stavros, Geavlete Bogdan, Zribi Ahmed Said, Kronenberg Peter, Lifshitz David, Jung Helene, Gauhar Vineet, Yuen Steffi Kar Kei, Pauchard Felipe, Tsaturyan Arman, Ventimiglia Eugenio, Tzelves Lazaros, Martinez Begona Ballesta, Ergül Rifat Burak, Sener Tarik Emre, Nowak Łukasz, Tailly Thomas, Boeykens Matthias, Sierra Alba, Talyshinskii Ali, Keller Etienne Xavier, Esperto Francesco, Olivero Alberto, Mykoniatis Ioannis, Jahrreiss Victoria, Juliebø-Jones Patrick, Hamri Saeed Bin, Contreras Pablo, Alvarez Juliana, Frascheri Maria Florencia, Somani B K
Аннотация
METHODS: An international collaborative dataset compiled by the EAU Endourology Group collected information on device purchase prices for single use flexible ureteroscopes, FANS, and suction assisted URS across multiple countries. All costs were converted to Euros (€). Countries were stratified into quartiles, and global medians with interquartile ranges (IQRs) were reported.
RESULTS: Data were obtained from 40 countries across Europe, Asia, North and South America, and the Middle East, and showed a significant global cost variation. The median price of single-use FURS was €676.7 (IQR 579-975), ranging from €310 (Romania) to €1638 (Cyprus), while FANS cost €180 (IQR 130-226), ranging from €36 to €400. Median per-procedure FANS assisted URS cost was €951.6 (range €415-1881). Lowest costs were observed in Romania, Belgium, and Germany, while highest were in Cyprus, Russia, and the United States, with up to four-fold inter-country variation, including within Europe.
CONCLUSIONS: Substantial global variability exists in the cost of URS and FANS, influenced by healthcare policy, and economic conditions. These findings highlight the need for cost-effectiveness analyses and the development of evidence-based procurement policies to promote sustainability and equitable access in endourological practice.