Details

Autor(en) / Beteiligte

• Perry, Daniel C
• Dritsaki, Melina
• Achten, Juul
• Appelbe, Duncan
• Knight, Ruth
• Widnall, James
• Roland, Damian
• Messahel, Shrouk
• Costa, Matthew L
• Mason, James
• Ahmad, Rahail
• Alcock, Anastasia
• Appelboam, Andrew
• Armour, Lisa
• Bayreuther, Jane
• Beynon, Rhys
• Brown, Charlotte
• Cadman, Emily
• Conner, Louise
• Darlow, Nadine
• Davis, Tessa
• Gibson, Phoebe
• Gilhooley, Colin
• Gomes, Sylvester
• Gough, Christopher
• Hartin, David
• Hartshorn, Stuart
• Hussan, Temem
• Jain, Neha
• Jenkinson, Emma
• Johnson, Graham
• Kehler, Lisa
• Long, Matthew
• Lyttle, Mark
• Manouchehri, Shahab
• McKie, Christopher
• Metcalfe, David
• Monsell, Fergal
• Morgans, Louise
• Mullen, Niall
• Nicolaou, Nicolas
• Novak, Alex
• Nunn, Catherine
• O'Hagan, Kath
• Paul, Aman
• Preston, Jennifer
• Ramlakhan, Shammi
• Somaskanthan, Aarani
• Tan, Yok W
• Thakker, Manish
• Vemulapalli, Krishna
• Weekes, Joanna
• Westacott, Daniel
• Wilson, Sarah
• Wood, Darryl

Titel

Cost-effectiveness analysis of soft bandage and immediate discharge versus rigid immobilization in children with distal radius torus fractures

Ist Teil von

• The bone & joint journal, 2024-06, Vol.106-B (6), p.623

Ort / Verlag

England

Erscheinungsjahr

2024

Quelle

MEDLINE

Beschreibungen/Notizen

• The aim of this trial was to assess the cost-effectiveness of a soft bandage and immediate discharge, compared with rigid immobilization, in children aged four to 15 years with a torus fracture of the distal radius. A within-trial economic evaluation was conducted from the UK NHS and personal social services (PSS) perspective, as well as a broader societal point of view. Health resources and quality of life (the youth version of the EuroQol five-dimension questionnaire (EQ-5D-Y)) data were collected, as part of the Forearm Recovery in Children Evaluation (FORCE) multicentre randomized controlled trial over a six-week period, using trial case report forms and patient-completed questionnaires. Costs and health gains (quality-adjusted life years (QALYs)) were estimated for the two trial treatment groups. Regression was used to estimate the probability of the new treatment being cost-effective at a range of 'willingness-to-pay' thresholds, which reflect a range of costs per QALY at which governments are typically prepared to reimburse for treatment. The offer of a soft bandage significantly reduced cost per patient (saving £12.55 (95% confidence interval (CI) -£5.30 to £19.80)) while QALYs were similar (QALY difference between groups: 0.0013 (95% CI -0.0004 to 0.003)). The high probability (95%) that offering a bandage is a cost-effective option was consistent when examining the data in a range of sensitivity analyses. In addition to the known clinical equivalence, this study found that the offer of a bandage reduced cost compared with rigid immobilization among children with a torus fracture of the distal radius. While the cost saving was small for each patient, the high frequency of these injuries indicates a significant saving across the healthcare system.