Musculoskeletal injuries among ERCP endoscopists: A canadian survey
Notice bibliographique
Résumé
Background: Repair costs for endoscopes range from $3 to $23 per procedure. Echoendoscopes are more complex and more expensive than standard endoscopes. The frequency with which EUS equipment fails, the costs associated with these failures and factors that may contribute to echoendoscope damage have not been defined. Methods: Surveys were sent to 190 endosonographers identified through the ASGE subcommittee on EUS regarding 15 aspects of their EUS practice and instances of echoendoscope failure and repair over the last 12 months. Follow-up faxes and e-mails were sent to encourage participation. Results: Responses were obtained from 59 different medical centers (28%). Reasons for failure: leak 33, mechanical 25, electronic 21, cable 8, optics 6, and other 8. Average annual (AA) # of EUS procedures performed 251 63 (10-1100). AA # of EUS repairs/center 4 1.1 (0-19). AA cost of EUS repairs/center $11,185 3,980 (0-50,000). Average cost per repair $3,273 1,142 (0-17,900). Average repair cost per procedure $68 26. Number of procedures at which repair costs equal purchase price 750. Over 12 months, equipment failure resulted in misdiaguosis in at least one case in 9% (5/55) of centers and resulted in at least one procedure cancellation in 71% (39/55), with a quarter reporting -> 6 cancelled cases. No patient was injured by an echoendoscope failure. Almost every center used the manufacturer for major repairs (52/56) and 77% (38/50) were satisfied with the majority of repairs. "Loaner" echoendoscopes were reported available only about half the time. Subset analysis revealed an inverse relationship between per procedure repair cost and number of procedures, with the highest costs occurring in centers with 2 echoendoscopes. The presence of fellows was associated with lower per-procedure costs. However, fellows were disproportionately employed at high-volume centers. Failures were reported in all available echoendoscopes. No trends were interpretable based on brand, model, or cleaning techniques. Although 91% (50/55) of centers owned their equipment, 43% (24/56) were unaware of their repair costs. Conclusions: EUS equipment failures are common, expensive and represent higher per-procedure costs than for other endoscopes. High-volume centers appear to spend less per procedure for repairs than low-and middle-volume centers. Reimbursement formulas should take into account the significant cost of repairing EUS instruments.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,006 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».