Cost-effectiveness analysis of SARS-CoV-2 infection prevention strategies including pre-endoscopic virus testing and use of high risk personal protective equipment.
Endoscopy
; 53(2): 156-161, 2021 02.
Article
in English
| MEDLINE | ID: covidwho-882960
ABSTRACT
BACKGROUND:
Infection prevention strategies to protect healthcare workers in endoscopy units during the post-peak phase of the COVID-19 pandemic are currently under intense discussion. In this paper, the cost-effectiveness of routine pre-endoscopy testing and high risk personal protective equipment (PPE) is addressed.METHOD:
A model based on theoretical assumptions of 10â000 asymptomatic patients presenting to a high volume center was created. Incremental cost-effectiveness ratios (ICERs) and absolute costs per endoscopy were calculated using a Monte Carlo simulation.RESULTS:
ICER values for universal testing decreased with increasing prevalence rates. For higher prevalence rates (≥â1â%), ICER values were lowest for routine pre-endoscopy testing coupled with use of high risk PPE, while cost per endoscopy was lowest for routine use of high risk PPE without universal testing.CONCLUSION:
In general, routine pre-endoscopy testing combined with high risk PPE becomes more cost-effective with rising prevalence rates of COVID-19.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Occupational Exposure
/
Cost-Benefit Analysis
/
Endoscopy
/
Personal Protective Equipment
/
COVID-19
Type of study:
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
Topics:
Long Covid
Limits:
Humans
Language:
English
Journal:
Endoscopy
Year:
2021
Document Type:
Article
Affiliation country:
A-1294-0427
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