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Real-Time Cost Awareness in Surgical Disposables: A Multispecialty Pre-Post Trial.

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Title: Real-Time Cost Awareness in Surgical Disposables: A Multispecialty Pre-Post Trial.
Authors: Poder, Thomas G.1,2 thomas.poder@umontreal.ca, Harris, Philippe3, Têtu, Maxime3, Mondoloni, Pascal4, Vernelus, Cathy4, Mignault, Alexandre4, Liberman, Moishe3,5 moishe.liberman@umontreal.ca
Source: Journal of Medical Systems. 2/17/2025, Vol. 49 Issue 1, p1-8. 8p.
Subjects: Cost control, Video-assisted thoracic surgery, Hysterectomy, Research funding, Mammaplasty, Computer software, Cost analysis, Thoracic surgery, Clinical trials, Laparoscopic surgery, Descriptive statistics, Surgical equipment, Longitudinal method, Pre-tests & post-tests, Disposable medical devices, Plastic surgery, Confidence intervals, Gynecologic surgery, Colectomy
Abstract: This study was conducted to demonstrate the impact of a software-based cost awareness intervention on the reduction of cost of surgical disposables used in thoracic, gynecological, colorectal and plastic surgery. We used a prospective, non-randomized, pre-post trial in video assisted thoracic surgery (VATS) lobectomy, total laparoscopic hysterectomy, laparoscopic low anterior resection, and deep inferior epigastric perforator (DIEP) flap breast reconstruction. Overall, 775 cases performed between February 2021 and August 2023 were included in the study, 521 for VATS lobectomy (control n = 164), 127 for laparoscopic total hysterectomy (control n = 19), 48 for laparoscopic colorectal surgery (control n = 8), and 79 for DIEP flap breast reconstruction (control n = 53). Average age was 63 years with 67% female and average BMI of 27.57 kg/m2. Most patients had a cancer diagnosis (83%) and average ASA score was 2.46. The control period consisted of collecting baseline product usage and cost data without visibility to the clinical teams. During the intervention period, real-time post-operative reports detailing the disposable products used and their cost per intervention were sent out to surgeons. Overall adjusted cost savings were estimated at $631.34 or -24.5% [95%CI: -737.89; -524.78]. The main driver for cost savings was VATS lobectomy (-$793.61), followed by laparoscopic colorectal resections (-$520.93), DIEP flap breast reconstruction (-$198), and laparoscopic total hysterectomies (-$87.11) for the adjusted sample sizes. A computer-vision capture software provides real-time cost awareness on disposable products to clinical teams and is an effective tool to reduce the cost of disposable supplies in various surgical settings. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Medical Systems is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Real-Time Cost Awareness in Surgical Disposables: A Multispecialty Pre-Post Trial.
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  Data: <searchLink fieldCode="AR" term="%22Poder%2C+Thomas+G%2E%22">Poder, Thomas G.</searchLink><relatesTo>1,2</relatesTo><i> thomas.poder@umontreal.ca</i><br /><searchLink fieldCode="AR" term="%22Harris%2C+Philippe%22">Harris, Philippe</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Têtu%2C+Maxime%22">Têtu, Maxime</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Mondoloni%2C+Pascal%22">Mondoloni, Pascal</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Vernelus%2C+Cathy%22">Vernelus, Cathy</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Mignault%2C+Alexandre%22">Mignault, Alexandre</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Liberman%2C+Moishe%22">Liberman, Moishe</searchLink><relatesTo>3,5</relatesTo><i> moishe.liberman@umontreal.ca</i>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Medical+Systems%22">Journal of Medical Systems</searchLink>. 2/17/2025, Vol. 49 Issue 1, p1-8. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Cost+control%22">Cost control</searchLink><br /><searchLink fieldCode="DE" term="%22Video-assisted+thoracic+surgery%22">Video-assisted thoracic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Hysterectomy%22">Hysterectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Mammaplasty%22">Mammaplasty</searchLink><br /><searchLink fieldCode="DE" term="%22Computer+software%22">Computer software</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+analysis%22">Cost analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Thoracic+surgery%22">Thoracic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+trials%22">Clinical trials</searchLink><br /><searchLink fieldCode="DE" term="%22Laparoscopic+surgery%22">Laparoscopic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+equipment%22">Surgical equipment</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Disposable+medical+devices%22">Disposable medical devices</searchLink><br /><searchLink fieldCode="DE" term="%22Plastic+surgery%22">Plastic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Gynecologic+surgery%22">Gynecologic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Colectomy%22">Colectomy</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: This study was conducted to demonstrate the impact of a software-based cost awareness intervention on the reduction of cost of surgical disposables used in thoracic, gynecological, colorectal and plastic surgery. We used a prospective, non-randomized, pre-post trial in video assisted thoracic surgery (VATS) lobectomy, total laparoscopic hysterectomy, laparoscopic low anterior resection, and deep inferior epigastric perforator (DIEP) flap breast reconstruction. Overall, 775 cases performed between February 2021 and August 2023 were included in the study, 521 for VATS lobectomy (control n = 164), 127 for laparoscopic total hysterectomy (control n = 19), 48 for laparoscopic colorectal surgery (control n = 8), and 79 for DIEP flap breast reconstruction (control n = 53). Average age was 63 years with 67% female and average BMI of 27.57 kg/m2. Most patients had a cancer diagnosis (83%) and average ASA score was 2.46. The control period consisted of collecting baseline product usage and cost data without visibility to the clinical teams. During the intervention period, real-time post-operative reports detailing the disposable products used and their cost per intervention were sent out to surgeons. Overall adjusted cost savings were estimated at $631.34 or -24.5% [95%CI: -737.89; -524.78]. The main driver for cost savings was VATS lobectomy (-$793.61), followed by laparoscopic colorectal resections (-$520.93), DIEP flap breast reconstruction (-$198), and laparoscopic total hysterectomies (-$87.11) for the adjusted sample sizes. A computer-vision capture software provides real-time cost awareness on disposable products to clinical teams and is an effective tool to reduce the cost of disposable supplies in various surgical settings. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Medical Systems is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s10916-025-02160-9
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Cost control
        Type: general
      – SubjectFull: Video-assisted thoracic surgery
        Type: general
      – SubjectFull: Hysterectomy
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Mammaplasty
        Type: general
      – SubjectFull: Computer software
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      – SubjectFull: Cost analysis
        Type: general
      – SubjectFull: Thoracic surgery
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      – SubjectFull: Clinical trials
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      – SubjectFull: Laparoscopic surgery
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Surgical equipment
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Pre-tests & post-tests
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      – SubjectFull: Disposable medical devices
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      – SubjectFull: Plastic surgery
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Gynecologic surgery
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      – SubjectFull: Colectomy
        Type: general
    Titles:
      – TitleFull: Real-Time Cost Awareness in Surgical Disposables: A Multispecialty Pre-Post Trial.
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              Text: 2/17/2025
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              Y: 2025
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