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Evaluation of 3D printing costs in surgery: a systematic review

Published online by Cambridge University Press:  03 June 2020

Carole Serrano ,
Sarah Fontenay ,
Hélène van den Brink ,
Judith Pineau ,
Patrice Prognon  and
Nicolas Martelli Open the ORCID record for Nicolas Martelli [Opens in a new window]
Carole Serrano
Affiliation:
University Paris-Saclay, GRADES, Faculty of Pharmacy, 5 rue Jean-Baptiste Clément, 92290Châtenay-Malabry, France
Sarah Fontenay
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP, 20 rue Leblanc, 75015Paris, France
Hélène van den Brink
Affiliation:
University Paris-Saclay, GRADES, Faculty of Pharmacy, 5 rue Jean-Baptiste Clément, 92290Châtenay-Malabry, France
Judith Pineau
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP, 20 rue Leblanc, 75015Paris, France
Patrice Prognon
Affiliation:
Pharmacy Department, Georges Pompidou European Hospital, AP-HP, 20 rue Leblanc, 75015Paris, France
Nicolas Martelli*
Affiliation:
University Paris-Saclay, GRADES, Faculty of Pharmacy, 5 rue Jean-Baptiste Clément, 92290Châtenay-Malabry, France Pharmacy Department, Georges Pompidou European Hospital, AP-HP, 20 rue Leblanc, 75015Paris, France
*
Author for correspondence: Nicolas Martelli, E-mail: nicolas.martelli@egp.aphp.fr
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Abstract

Objectives

The use of three-dimensional (3D) printing in surgery is expanding and there is a focus on comprehensively evaluating the clinical impact of this technology. However, although additional costs are one of the main limitations to its use, little is known about its economic impact. The purpose of this systematic review is to identify the costs associated with its use and highlight the first quantitative data available.

Methods

A systematic literature review was conducted in the PubMed and Embase databases and in the National Health Service Economic Evaluation Database (NHS EED) at the University of York. Studies that reported an assessment of the costs associated with the use of 3D printing for surgical application and published between 2009 and 2019, in English or French, were included.

Results

Nine studies were included in our review. Nine types of costs were identified, the three main ones being printing material costs (n = 6), staff costs (n = 3), and operating room costs (n = 3). The printing cost ranged from less than U.S. dollars (USD) 1 to USD 146 (in USD 2019 values) depending on the criteria used to calculate this cost. Three studies evaluated the potential savings generated by the use of 3D printing technology in surgery, based on operating time reduction.

Conclusion

This literature review highlights the lack of reliable economic data on 3D printing technology. Nevertheless, this review makes it possible to identify expenditures or items that should be considered in order to carry out more robust studies.

Keywords

Costs and cost analysisPrintingThree-dimensionalSurgerySystematic review
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 36 , Issue 4 , August 2020 , pp. 349 - 355
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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