Cost-effectiveness of volar locking plate versus percutaneous fixation for distal radial fractures: Economic evaluation alongside a randomised clinical trial

The Bone & Joint Journal
Alexia KarantanaD K Whynes

Abstract

This study compares the cost-effectiveness of treating dorsally displaced distal radial fractures with a volar locking plate and percutaneous fixation. It was performed from the perspective of the National Health Service (NHS) using data from a single-centre randomised controlled trial. In total 130 patients (18 to 73 years of age) with a dorsally displaced distal radial fracture were randomised to treatment with either a volar locking plate (n = 66) or percutaneous fixation (n = 64). The methodology was according to National Institute for Health and Care Excellence guidance for technology appraisals. . There were no significant differences in quality of life scores between groups at any time point in the study. Both groups returned to baseline one year post-operatively. NHS costs for the plate group were significantly higher (p < 0.001, 95% confidence interval 497 to 930). For an additional £713, fixation with a volar locking plate offered 0.0178 additional quality-adjusted life years in the year after surgery. The incremental cost-effectiveness ratio (ICER) for plate fixation relative to percutaneous fixation at list price was £40 068. When adjusting the prices of the implants for a 20% hospital discount, the ICER was £31 898...Continue Reading

References

Dec 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A C MaceyP Brown
Nov 21, 1997·Medical Care·P Dolan
May 4, 2005·The Journal of Bone and Joint Surgery. American Volume·Dorcas E BeatonUNKNOWN Upper Extremity Collaborative Group
Jan 21, 2006·Journal of Orthopaedic Trauma·Dennis J Beck, David Seligson
Jan 21, 2006·Journal of Orthopaedic Trauma·Douglas R Dirschl
Jun 6, 2007·Hand Clinics·Corey A WulfMarco Rizzo
Oct 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Daniel S HorwitzThomas F Higgins
Aug 5, 2009·The Journal of Bone and Joint Surgery. American Volume·Kevin C ChungJohn D Birkmeyer
May 5, 2012·Hand Clinics·Rafael J Diaz-Garcia, Kevin C Chung
May 5, 2012·Hand Clinics·A Karantana, T R C Davis
Oct 4, 2013·The Journal of Bone and Joint Surgery. American Volume·Alexia KarantanaTim R C Davis

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Citations

Feb 6, 2017·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Dong Hao ToonRajaratnam Vaikunthan
Feb 7, 2018·The Journal of Bone and Joint Surgery. American Volume·Prashant V RajanElena Losina
Oct 1, 2017·The Bone & Joint Journal·D J Jacofsky, F S Haddad
May 23, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Walter W VirkusLaurence B Kempton
May 21, 2019·Plastic and Reconstructive Surgery·Tyler SafranHeather L Baltzer
Jul 28, 2019·Plastic and Reconstructive Surgery·Tyler SafranHeather L Baltzer
Nov 2, 2019·The Bone & Joint Journal·Sally KerrFares S Haddad
Jun 27, 2020·British Journal of Hospital Medicine·Kalpesh R VaghelaAlistair Hunter
Oct 20, 2020·Hand : Official Journal of the American Association for Hand Surgery·Avi D GoodmanArnold-Peter C Weiss
Sep 19, 2020·The Journal of Bone and Joint Surgery. American Volume·Ola-Lars HammerPer-Henrik Randsborg
Mar 23, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Elizabeth A DuckworthDerek J Donegan

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