Cost analysis of indocyanine green fluorescence ...

28 Oct.,2024

 

Cost analysis of indocyanine green fluorescence ...

Background: Indocyanine green, near infrared, fluorescence angiography (ICG-FA) is increasingly adopted in colorectal surgery for intraoperative tissue perfusion assessment to reduce anastomotic leakage rates. However, the economic impact of this intervention has not been investigated. This study is a cost analysis of the routine use of ICG-FA in colorectal surgery from the hospital payer perspective.

With competitive price and timely delivery, weiqing sincerely hope to be your supplier and partner.

Methods: A decision analysis model was developed for colorectal resections considering two scenarios: resection without using ICG-FA and resection with intraoperative ICG-FA for anastomotic perfusion assessment. Incorporated into the model were the costs of ICG agent, fluorescence angiography equipment, surgery, anastomotic leak, and the leak rates with and without ICG-FA. All input data were derived from recent publications.

Results: The routine use of ICG-FA for colorectal anastomosis is cost saving when cost analysis is performed using the following base case assumptions: 8.6% leak rate without ICG-FA, odds ratio of 0.46 for reduction of leakage with ICG-FA (4.8% leak rate relative to 8.6% base case), cost of ICG-FA of $250, and incremental cost of leak, not requiring reoperation, of $9,934.50. In one-way sensitivity analyses, routine use of ICG-FA was cost saving if the cost of an anastomotic leak is more than $.29, the cost of ICG-FA is less than $634.44, the leak rate (without ICG-FA) is higher than 4.9%, or the odds ratio for reduction of leak with ICG-FA is less than 0.69. There is a per-case saving of $192.22 with the use of ICG-FA.

Conclusion: Using the best available evidence and most conservative base case values, routine use of ICG-FA in colorectal surgery was found to be cost saving. Since the evidence suggests there is a reduction in leak rate, the routine use of ICG-FA is a dominating strategy. However, the overall quality of evidence is low and there is a clear need for prospective, randomized controlled trials.

Indocyanine Green (IC Green)

Warranty

All Walcott Rx instruments are guaranteed for life against manufacturing defects. Any Walcott Rx instruments received that are found to be misused, improperly sterilized, mishandled and/or intentionally damaged will not be covered. In the event a manufacturing defect is found in your Walcott Rx instrument, we will replace or repair them free of charge.

For more information, please visit Indocyanine Green Angiography.

Ordering

If the desired quantity exceeds quantity in stock, we can backorder your items in compliance with our terms of delivery: 4&#;8 weeks.

Prices

Prices are subject to change without notice.

Return and Credit Policy

ITEMS MAY BE RETURNED WITHIN 30 DAYS OF INVOICE DATE WITH NO RESTOCKING FEE. Items returned after 30 days but prior to 60 days of invoice date is subject to a 10% restocking charge. WalcottRX reserves the right to evaluate incoming returns prior to issuing any customer credit. You must return all products in the same condition as it was received. All original packaging, boxes, bags, labels, etc. must be included with your return. All returns will receive a company credit that may be used towards future purchases &#; No refunds will be given.

CONDITIONS THAT MAKE AN ITEM UNRETURNABLE:
&#; Any non-sterile instrument that has been sterilized;
&#; Any product received 60 days or more after invoice date;
&#; Any sterile product which has been opened or returned out of the original package;
&#; Any custom etched instrument;
&#; Any custom made instrument; and/or
&#; Damaged instruments
&#; Reusable cannulas cannot be returned
&#; Any Miltex© products that have had their original packaging opened.

Product should be carefully packaged, insured and shipped prepaid together with a copy of your original invoice, stating your Name, Address and Contact information. Please enclose a brief explanation of the reason for return.

The company is the world’s best Laser Retinal Imaging supplier. We are your one-stop shop for all needs. Our staff are highly-specialized and will help you find the product you need.