TY - GEN AB - The proximal humerus is an especially common fracture site in patients over 60, for whom the implications of disability and loss of independence are marked. These fractures can be operatively treated with open reduction and internal fixation (ORIF), proximal humerus nail (PHN), hemiarthroplasty (HA), or reverse total shoulder arthroplasty (RTSA). Though more expensive than other techniques, RTSA has rapidly gained popularity. Prior studies have described outcomes of proximal humerus fracture management with various techniques, yet the optimal approach in the elderly remains contentious. The purpose of this study was to assess relative cost-effectiveness of non-operative management, ORIF, PHN, HA, and RTSA for treatment of proximal humerus fractures in patients age 60 and over. AD - Oregon Health and Science University AU - Hsue, Lauren DA - 2023 DO - 10.6083/w3763776z DO - DOI ED - Nazir, Omar ED - Lindsay, Sarah ED - Thompson, Austin ED - Ramsey, Duncan ED - Mirarchi, Adam ED - Collaborator ED - Collaborator ED - Collaborator ED - Collaborator ED - Collaborator ID - 10085 KW - Cost-Effectiveness Analysis KW - Value-Based Health Care KW - proximal humerus fractures KW - fragility fracture L1 - https://digitalcollections.ohsu.edu/record/10085/files/Hsue.Lauren.2023.pdf L2 - https://digitalcollections.ohsu.edu/record/10085/files/Hsue.Lauren.2023.pdf L4 - https://digitalcollections.ohsu.edu/record/10085/files/Hsue.Lauren.2023.pdf LK - https://digitalcollections.ohsu.edu/record/10085/files/Hsue.Lauren.2023.pdf N2 - The proximal humerus is an especially common fracture site in patients over 60, for whom the implications of disability and loss of independence are marked. These fractures can be operatively treated with open reduction and internal fixation (ORIF), proximal humerus nail (PHN), hemiarthroplasty (HA), or reverse total shoulder arthroplasty (RTSA). Though more expensive than other techniques, RTSA has rapidly gained popularity. Prior studies have described outcomes of proximal humerus fracture management with various techniques, yet the optimal approach in the elderly remains contentious. The purpose of this study was to assess relative cost-effectiveness of non-operative management, ORIF, PHN, HA, and RTSA for treatment of proximal humerus fractures in patients age 60 and over. PB - Oregon Health and Science University PY - 2023 T1 - Evaluating cost-effectiveness in primary management of geriatric proximal humerus fractures TI - Evaluating cost-effectiveness in primary management of geriatric proximal humerus fractures UR - https://digitalcollections.ohsu.edu/record/10085/files/Hsue.Lauren.2023.pdf Y1 - 2023 ER -