Top

BMC Health Services Research

Published in:

Open Access 01-12-2024 | Research

First experiences of a hospital-based 3D printing facility – an analytical observational study

Authors: Christian Kveller, Anders M. Jakobsen, Nicoline H. Larsen, Joakim L. Lindhardt, Thomas Baad-Hansen

Published in: BMC Health Services Research | Issue 1/2024

Abstract

Purpose

To identify the clinical impact and potential benefits of in-house 3D-printed objects through a questionnaire, focusing on three principal areas: patient education; interdisciplinary cooperation; preoperative planning and perioperative execution.

Materials and methods

Questionnaires were sent from January 2021 to August 2022. Participants were directed to rate on a scale from 1 to 10.

Results

The response rate was 43%. The results of the rated questions are averages. 84% reported using 3D-printed objects in informing the patient about their condition/procedure. Clinician-reported improvement in patient understanding of their procedure/disease was 8.1. The importance of in-house placement was rated 9.2. 96% reported using the 3D model to confer with colleagues. Delay in treatment due to 3D printing lead-time was 1.8. The degree with which preoperative planning was altered was 6.9. The improvement in clinician perceived preoperative confidence was 8.3. The degree with which the scope of the procedure was affected, in regard to invasiveness, was 5.6, wherein a score of 5 is taken to mean unchanged. Reduction in surgical duration was rated 5.7.

Conclusion

Clinicians report the utilization of 3D printing in surgical specialties improves procedures pre- and intraoperatively, has a potential for increasing patient engagement and insight, and in-house location of a 3D printing center results in improved interdisciplinary cooperation and allows broader access with only minimal delay in treatment due to lead-time.

Available only for authorised users

Zadpoor AA, Malda J. Additive manufacturing of biomaterials, tissues, and organs. Ann Biomed Eng. 2017;45(1):1–11.CrossRefPubMed

Wong KC. 3D-printed patient-specific applications in orthopedics. Orthop Res Rev. 2016;8:57–66.PubMedPubMedCentral

Martelli N, Serrano C, van den Brink H, Pineau J, et al. Advantages and disadvantages of 3-dimensional printing in surgery: a systematic review. Surgery. 2016;159(6):1485–500.CrossRefPubMed

Banks J. Adding value in additive manufacturing: researchers in the United Kingdom and Europe look to 3D printing for customization. IEEE Pulse. 2013;4(6):22–6.CrossRefPubMed

Tack P, Victor J, Gemmel P, Annemans L. 3D-printing techniques in a medical setting: a systematic literature review. Biomed Eng Online. 2016;15(1):115.CrossRefPubMedPubMedCentral

van de Belt TH, Nijmeijer H, Grim D, Engelen L, et al. Patient-specific actual-size three-dimensional printed models for patient education in glioma treatment: First experiences. World Neurosurg. 2018;117:e99–e105.CrossRefPubMed

Lee AY, Patel NA, Kurtz K, Edelman M, et al. The use of 3D printing in shared decision making for a juvenile aggressive ossifying fibroma in a pediatric patient. Am J Otolaryngol. 2019;40(5):779–82.CrossRefPubMed

Khonsari RH, Adam J, Benassarou M, Bertin H, et al. In-house 3D printing: why, when, and how? Overview of the national French good practice guidelines for in-house 3D-printing in maxillo-facial surgery, stomatology, and oral surgery. J Stomatol Oral Maxillofac Surg. 2021;122(4):458–61.CrossRefPubMed

Caffrey T, Wohlers T. Additive manufacturing state of the industry. Manuf Eng. 2015;154(5):67–8.

10.

Hatamleh MM, Ong J, Hatamleh ZM, Watson J, et al. Developing an in-house interdisciplinary three-dimensional service: challenges, benefits, and innovative health care solutions. J Craniofac Surg. 2018;29(7):1870–5.CrossRefPubMed

11.

Koay K, Schofield P, Jefford M. Importance of health literacy in oncology. Asia Pac J Clin Oncol. 2012;8(1):14–23.CrossRefPubMed

12.

Yang T, Tan T, Yang J, Pan J, et al. The impact of using three-dimensional printed liver models for patient education. J Int Med Res. 2018;46(4):1570–8.CrossRefPubMedPubMedCentral

13.

Eisenmenger LB, Wiggins RH 3rd, Fults DW 3rd, and, Huo EJ. Application of 3-Dimensional printing in a case of osteogenesis imperfecta for patient education, anatomic understanding, preoperative planning, and intraoperative evaluation. World Neurosurg. 2017;107:1049.e1-1049.e7.

14.

Traynor G, Shearn AI, Milano EG, Ordonez MV, et al. The use of 3D-printed models in patient communication: a scoping review. J 3D Print Med. 2022;6(1):13–23.CrossRefPubMedPubMedCentral

15.

Biglino G, Koniordou D, Gasparini M, Capelli C, et al. Piloting the use of patient-specific cardiac models as a novel tool to facilitate communication during cinical consultations. Pediatr Cardiol. 2017;38(4):813–8.CrossRefPubMedPubMedCentral

16.

Pugliese L, Marconi S, Negrello E, Mauri V, et al. The clinical use of 3D printing in surgery. Updates Surg. 2018;70(3):381–8.CrossRefPubMed

17.

Marconi S, Pugliese L, Botti M, Peri A, et al. Value of 3D printing for the comprehension of surgical anatomy. Surg Endosc. 2017;31(10):4102–10.CrossRefPubMed

18.

Li C, Cheung TF, Fan VC, Sin KM, et al. Applications of three-dimensional printing in surgery. Surg Innov. 2017;24(1):82–8.CrossRefPubMed

19.

Lethaus B, Poort L, Böckmann R, Smeets R, et al. Additive manufacturing for microvascular reconstruction of the mandible in 20 patients. J Craniomaxillofac Surg. 2012;40(1):43–6.CrossRefPubMed

20.

Bergeron L, Bonapace-Potvin M, Bergeron F. In-house 3D model printing for acute Cranio-Maxillo-facial trauma surgery: process, Time, and costs. Plast Reconstr Surg Glob Open. 2021;9(9):e3804.CrossRefPubMedPubMedCentral

21.

Goetze E, Gielisch M, Moergel M, Al-Nawas B. Accelerated workflow for primary jaw reconstruction with microvascular fibula graft. 3D Print Med. 2017;3(1):3.CrossRefPubMedPubMedCentral

22.

Williams FC, Hammer DA, Wentland TR, Kim RY. Immediate teeth in fibulas: expanded clinical applications and surgical technique. J Oral Maxillofac Surg. 2021;79(9):1944–53.CrossRefPubMed

23.

Williams FC, Hammer DA, Wentland TR, Kim RY. Immediate teeth in fibulas: planning and digital workflow with point-of-care 3D printing. J Oral Maxillofac Surg. 2020;78(8):1320–7.CrossRefPubMed

24.

Bosc R, Hersant B, Carloni R, Niddam J, et al. Mandibular reconstruction after cancer: an in-house approach to manufacturing cutting guides. Int J Oral Maxillofac Surg. 2017;46(1):24–31.CrossRefPubMed

25.

Barreda Hale M, Romero-Araya P, Cea Herrera M, Espinoza D, et al. Computer-assisted planning with 3D printing for mandibular reconstruction caused by a mandibular fracture with secondary osteomyelitis: a case report. Clin Case Rep. 2021;9(7):e04410.CrossRefPubMedPubMedCentral

Title: First experiences of a hospital-based 3D printing facility – an analytical observational study
Authors: Christian Kveller
Anders M. Jakobsen
Nicoline H. Larsen
Joakim L. Lindhardt
Thomas Baad-Hansen
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-023-10511-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

First experiences of a hospital-based 3D printing facility – an analytical observational study

Abstract

Purpose

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2024

New Public Management and hospital efficiency: the case of Norwegian public hospital trusts

Can proactive support prevent unscheduled care? A controlled observational retrospective cohort study in cancer patients in Scotland

Understanding social needs screening and demographic data collection in primary care practices serving Maryland Medicare patients

A comparison of factors associated with unmet healthcare needs in people with disabilities before and after COVID-19: a nationally representative population-based study

COVID-19-associated costs and mortality in Germany: an incidence-based analysis from a payer’s perspective

Economic burden and coping mechanisms by tuberculosis treatment supporters: a mixed method approach from Bono Region, Ghana