Comparison of direct surgical cost for humeral shaft fracture fixation: open reduction internal fixation versus intramedullary nailing

Autor: Andrew R. Stephens, BS, Angela P. Presson, PhD, Chong Zhang, MS, Brian Orleans, MS, Mike Martin, MS, Andrew R. Tyser, MD, Nikolas H. Kazmers, MD, MSE
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: JSES International, Vol 5, Iss 4, Pp 734-738 (2021)
Druh dokumentu: article
ISSN: 2666-6383
DOI: 10.1016/j.jseint.2021.04.005
Popis: Background and/or Hypothesis: Prior literature has supported similar complication rates and outcomes for humeral shaft fractures treated with open reduction internal fixation (ORIF) with a plate/screw construct versus intramedullary nailing (IMN). The purpose of this study is to determine whether surgical encounter total direct costs (SETDCs) differ between ORIF and IMN for these fractures. Methods: Adult patients (≥ 18 years) treated for isolated humeral shaft fractures by ORIF or IMN between June 18, 2014 and June 17, 2019 at a single tertiary academic center were available for inclusion. SETDCs for ORIF and IMN groups, obtained through our institution's information technology value tool, were adjusted to 2019 US dollars and converted to relative costs per institutional policy. SETDCs for ORIF and IMN were compared using the Wilcoxon rank-sum test. Results: Demographic factors did not differ between ORIF and IMN cohorts with the exception of age (mean of 18.6 years older for IMN; P
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