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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2014

01-03-2014

A material cost-minimization analysis for hernia repairs and minor procedures during a surgical mission in the Dominican Republic

Authors: Jaime A. Cavallo, Jenny Ousley, Christopher D. Barrett, Sara Baalman, Kyle Ward, Malgorzata Borchardt, J. Ross Thomas, Gary Perotti, Margaret M. Frisella, Brent D. Matthews

Published in: Surgical Endoscopy | Issue 3/2014

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Abstract

Introduction

Expenditures on material supplies and medications constitute the greatest per capita costs for surgical missions. We hypothesized that supply acquisition at non-profit organization (NPO) costs would lead to significant cost-savings compared with supply acquisition at US academic institution costs from the provider perspective for hernia repairs and minor procedures during a surgical mission in the Dominican Republic.

Methods

Items acquired for a surgical mission were uniquely QR-coded for accurate consumption accounting. Both NPO and US academic institution unit costs were associated with each item in an electronic inventory system. Medication doses were recorded and QR codes for consumed items were scanned into a record for each sampled procedure. Mean material costs and cost-savings ± SDs were calculated in US dollars for each procedure type. Cost-minimization analyses between the NPO and the US academic institution platforms for each procedure type ensued using a two-tailed Wilcoxon matched-pairs test with α = 0.05. Item utilization analyses generated lists of most frequently used materials by procedure type.

Results

The mean cost-savings of supply acquisition at NPO costs for each procedure type were as follows: $482.86 ± $683.79 for unilateral inguinal hernia repair (n = 13); $332.46 ± $184.09 for bilateral inguinal hernia repair (n = 3); $127.26 ± $13.18 for hydrocelectomy (n = 9); $232.92 ± $56.49 for femoral hernia repair (n = 3); $120.90 ± $30.51 for umbilical hernia repair (n = 8); $36.59 ± $17.76 for minor procedures (n = 26); and $120.66 ± $14.61 for pediatric inguinal hernia repair (n = 7).

Conclusion

Supply acquisition at NPO costs leads to significant cost-savings compared with supply acquisition at US academic institution costs from the provider perspective for inguinal hernia repair, hydrocelectomy, umbilical hernia repair, minor procedures, and pediatric inguinal hernia repair during a surgical mission in the Dominican Republic. Item utilization analysis can generate minimum-necessary material lists for each procedure type to reproduce cost-savings for subsequent missions.
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Metadata
Title
A material cost-minimization analysis for hernia repairs and minor procedures during a surgical mission in the Dominican Republic
Authors
Jaime A. Cavallo
Jenny Ousley
Christopher D. Barrett
Sara Baalman
Kyle Ward
Malgorzata Borchardt
J. Ross Thomas
Gary Perotti
Margaret M. Frisella
Brent D. Matthews
Publication date
01-03-2014
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 3/2014
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-013-3253-4

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