Cost-Effectiveness of Treatments after Closed Extraarticular Distal Radius Fractures in Older Adults from the WRIST Clinical Trial.

ABSTRACT:

Background

This study performs an economic analysis of volar locking plate, external fixation, percutaneous pinning, or casting in elderly patients with closed distal radius fractures.

Methods

This is a secondary analysis of the Wrist and Radius Injury Surgical Trial, a randomized, multicenter, international clinical trial with a parallel nonoperative casted group of patients older than 60 years with surgically indicated, extraarticular closed distal radius fractures. Thirty-Six-Item Short-Form Health Survey-converted utilities and total costs from Medicare were used to calculate quality-adjusted life-years and incremental cost-effectiveness ratio.

Results

Casted patients were self-selected and older (p < 0.001) than the randomized surgical cohorts, but otherwise simi

SUBMITTER: Yoon AP 

PROVIDER: S-EPMC7855198 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature