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Disposable versus reusable fibre-optic nasendoscopes: a national survey of UK ENT surgical trainees and a single-centre cost-analysis

Published online by Cambridge University Press:  11 October 2022

L Jegatheeswaran Open the ORCID record for L Jegatheeswaran [Opens in a new window] ,
K Oungpasuk Open the ORCID record for K Oungpasuk [Opens in a new window] ,
B Choi Open the ORCID record for B Choi [Opens in a new window] ,
M Nakhoul Open the ORCID record for M Nakhoul [Opens in a new window] ,
S Gokani Open the ORCID record for S Gokani [Opens in a new window] ,
A Espehana Open the ORCID record for A Espehana [Opens in a new window] ,
T Naing Open the ORCID record for T Naing [Opens in a new window]  and
O T Burgan Open the ORCID record for O T Burgan [Opens in a new window]
L Jegatheeswaran*
Affiliation:
Department of ENT Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
K Oungpasuk
Affiliation:
Department of ENT Surgery, Imperial College Healthcare NHS Trust, St Mary's Hospital, London, UK
B Choi
Affiliation:
Department of General Surgery, Ashford and St Peter's Hospitals NHS Foundation Trust, Guildford, UK
M Nakhoul
Affiliation:
Department of Informatics and Analytics, Dana-Farber Cancer Institute, Boston, USA
S Gokani
Affiliation:
Department of ENT Surgery, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK
A Espehana
Affiliation:
Department of ENT Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
T Naing
Affiliation:
Department of ENT Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
O T Burgan
Affiliation:
Department of ENT Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK
*
Author for correspondence: Dr L Jegatheeswaran, Department of ENT Surgery, Norfolk and Norwich University Hospitals NHS Foundation Trust, Colney Lane, Norwich NR4 7UY, UK E-mail: lavandan.jegatheeswaran@nhs.net
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Abstract

Background

This study primarily assessed ENT surgical trainees’ preferences for the qualities of disposable and reusable fibre-optic nasendoscopes. Secondary aims included eliciting trainees’ views on ENT surgery and climate change, and creating a single-centre per-use cost analysis for disposable and reusable fibre-optic nasendoscopes.

Methods

A cross-sectional study was formulated. An online survey consisting of multiple-choice and Likert-scale questions was distributed nationally. Cost analysis was performed using 2021–2022 data from the host institution.

Results

Twenty-four trainees responded. Data on disposable fibre-optic nasendoscopes showed no difference in overall satisfaction (p = 0.244). Reusable fibre-optic nasendoscopes had a lower cost per use compared with disposable nasendoscopes at 5 years (4.7 per cent reduction) and 10 years (7.1 per cent reduction). Of the trainees, 79.2 per cent were supportive of climate-friendly initiatives within ENT surgery, and 25 per cent felt supported by their departments.

Conclusion

Trainees’ satisfaction with disposable and reusable fibre-optic nasendoscopes is similar. Cost analysis favours reusable fibre-optic nasendoscopes in the long term at the host institution. Empowering departments and trainees to pursue climate-friendly initiatives should be encouraged.

Keywords

Climate ChangeEquipment ReuseDisposable EquipmentCost And Cost AnalysisEndoscopy
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 8 , August 2023 , pp. 866 - 872
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

*

These authors are joint first authors.

Dr L Jegatheeswaran takes responsibility for the integrity of the content of the paper

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