Reusable versus disposable surgical drapes: A cost-benefit analysis

Yıl 2023, Cilt: 40 Sayı: 3, 578 - 585, 30.09.2023

Elif Erbay , Gözde Yalçın Ulutaş , Çağdaş Erkan Akyürek , Salih Akyüz

Öz

Surgical drapes are frequently used in operating rooms and clinics where interventional procedures are performed. In hospitals, surgical drapes can be preferred as disposable or reusable. The choice of surgical drapes stands out as an important issue for hospitals considering the costs. The objective of the study is to compare disposable and reusable surgical drapes in terms of their costs and benefits and choose the best alternative for the subject hospital. The study was carried out in a training and research hospital with more than 1000 patient beds in Ankara, Türkiye. Cost analysis of 27 reusable surgical drape sets was conducted using procurement, tailoring, sterilization, washing and drying costs. Cost analysis of disposable surgical drape sets was conducted using purchase unit cost and waste disposal costs. The benefits of surgical drapes were compared using the Analytical Hierarchy Process method, weighted by field experts within the scope of some criteria. At last, the analysis was completed by taking the ratio of findings from both cost and benefit analysis for reusable and disposable surgical drapes. Reusable surgical drapes were found to be less costly and more beneficial when compared to disposables. However, it is not possible to reach a generally accepted conclusion as results may vary from hospital to hospital. Cost savings can be achieved by using reusables as primary surgical drapes in some if not all surgeries. These results may be useful for decision makers.

Anahtar Kelimeler

Analytical Hierarchy Process (AHP), Cost-Benefit Analysis, Disposable Equipment, Reusable Equipment, Surgical Drapes

Kaynakça

• 1. Çetin Y, Sönmez A. Cost analysis of disposable/reusable surgical drapes used in Turgut Ozal Medicine Center. Annals of Medical Research. 2021;28(10):1858–62.
• 2. Rutala WA, Weber DJ. A Review of Single-Use and Reusable Gowns and Drapes in Health Care. Infection Control & Hospital Epidemiology. 2001;22(4):248-57.
• 3. Güngör M. Reusibıl Ameliyat Örtüleri İle Disposibıl Ameliyat Örtülerinin Bakteriyel Geçirgenliklerinin Değerlendirilmesi. Congress of Sterilization and Disinfection; Antalya, Türkiye2007. p. 169-90.
• 4. Hekim S, Durukan Köse S, Bener S, Gül A, Polat S. Çok kullanımlık (reusable) dokuma kumaş cerrahi örtü ile tek kullanımlık (disposable) cerrahi örtü maliyetlerinin analizi. Verimlilik Dergisi. 2015(3):87-102.
• 5. Kaplan S, Aksüzek M, Acar E. Tek ve çok kullanımlık cerrahi önlüklerin termal konfor performanslarının subjektif alan giyim denemeleri ile belirlenmesi. Tekstil ve Mühendis. 2012;19(87):6-14.
• 6. Pamuk O, Öndoğan Z. Cerrahi personelin ameliyat önlükleri ile ilgili görüşlerinin belirlenmesi üzerine bir araştırma. Journal of Textile & Apparel. 2008;18(2).
• 7. Baykaşoğlu A, Dereli T, Yılankırkan N. Application of cost/benefit analysis for surgical gown and drape selection: a case study. American journal of infection control. 2009;37(3):215-26.
• 8. Baykaşoğlu A, Dereli T, Yılankıran N, Sönmez Aİ. Medikal tekstil ürünlerinin seçiminde fayda/maliyet analizi. Çağ Üniversitesi Sosyal Bilimler Dergisi. 2007;4(2):19-34.
• 9. Mikusinska M. Comparative life cycle assessment of surgical scrub suits: the case of reusable and disposable scrubs used in Swedish healthcare [Internet]. 2012. Available from: https://www.divaportal.org/smash/get/diva2:574013/FULLTEXT01.pdf2012
• 10. Zins HM. Environmental, cost and product issues related to reusable healthcare textiles. Research Journal of Textile and Apparel. 2006;10(4):73-80.
• 11. Aslan S, Kaplan S, Çetin C. An investigation about comfort and protection performances of disposable and reusable surgical gowns by objective and subjective measurements. Journal of the Textile Institute. 2013;104(8):870-82.
• 12. Saaty TL, Vargas LG. Models, methods, concepts & applications of the analytic hierarchy process. New York: Springer; 2001.
• 13. Saaty TL. Axiomatic foundation of the analytic hierarchy process. Management science. 1986;32(7):841-55.
• 14. Erbay E, Akyürek ÇE. Hastanelerde çok kriterli karar verme uygulamalarının sistematik derlemesi. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2020;22(2):612-45.
• 15. Malet-Larrea A, Goyenechea E, Gastelurrutia MA, Calvo B, García-Cárdenas V, Cabases JM, et al. Cost analysis and cost-benefit analysis of a medication review with follow-up service in aged polypharmacy patients. The European Journal of Health Economics. 2017;18:1069-78.
• 16. Von Eiff W. How do the cost of disposable and reusable surgical drapes and gowns compare? [Internet]. 2009. Available from:https://www.textileservices.eu/_common/file.cfm?id=5B31BC1AE3C4A6F289A91E8E356A3FC42009
• 17. ARTA. Reusable textiles: performance, cost, environment. [Internet]. 2005. Available from: https://www.ftc.gov/sites/default/files/documents/public_comments/guides-use-environmentalmarketing-claims-534743-00038/534743-00038.pdf
• 18. Lizzi AM, Almada GC, Veiga G, Carbone N. Cost Effectiveness of Reusable Surgical Drapes versus Disposable Non-woven Drapes in a Latin American Hospital. American Journal of Infection Control. 2008;36(5):E125.
• 19. Vozikis A, Giannakoulis I, Dimakopoulou E. Shifting from the reusable to the disposable surgical drape systems: an economic approach. International Journal of Health Science. 2010;3(2).
• 20. Burucu R, Gencer S, Günay Molu N, Sağlam Özdemir D. Tek ve çok kullanımlık cerrahi örtülerin maliyet analizi. Selçuk Tıp Dergisi. 2015;31(1):4-7.
• 21. Carre A. Life cycle assessment comparing laundered surgical gowns with polypropylene based disposable gowns. Melbourne, Australia: RMIT University. 2008:84.
• 22. Overcash M. A comparison of reusable and disposable perioperative textiles: sustainability state-of-the-art 2012. Anesthesia & analgesia. 2012;114(5):1055-66.