Health and cost consequences of surgical versus conservative treatment for a comminuted proximal humeral fracture in elderly patients

Injury
T FjalestadI S Kristiansen

Abstract

This study aims to evaluate the costs and health outcome for surgical and conservative treatment of displaced proximal humeral fractures. This study is a randomised controlled trial. This study included 50 patients aged 60 or older admitted to hospital with a severely displaced three- or four-part fracture. The patients were treated surgically with an angular stable interlocking implant (25 patients) or conservative treatment (25 patients). The outcomes measured included quality-adjusted life years (QALYs) and societal costs. At 12 months' follow-up, the mean difference in the number of QALYs was 0.027 (95% confidence interval (CI)=-0.025, 0.078) while the mean difference in total health-care costs was 597 euro in favour of surgery (95% CI=-5291, 3777). There was no significant difference in QALYs or costs between surgical and conservative treatment of severe displaced proximal humeral fractures.

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