TY  - GEN
N2  - Humeral shaft fractures account for 3% of managed fractures. Historically, in the absence of neurovascular injury, open fracture, or polytrauma they have been managed non-operatively with functional bracing. An upward trend in operative fixation rates has recently emerged. Operative fixation techniques for the humeral shaft include open reduction and internal fixation (ORIF) and intramedullary nailing (IM). Although numerous studies have compared outcomes of these treatment modalities, there is no consensus on the ideal approach for isolated fractures. Moreover, no investigation has applied a value-based lens to differentiate the cost-effectiveness of these treatments, an increasingly pertinent consideration with U.S. healthcare spending surpassing $3.2 trillion annually. Thus, the present study applies a decision tree model to investigate the value of operative treatment for humeral shaft fracture with ORIF or IM approaches, in comparison to functional bracing.
DO  - 10.6083/7d278t65d
DO  - DOI
AB  - Humeral shaft fractures account for 3% of managed fractures. Historically, in the absence of neurovascular injury, open fracture, or polytrauma they have been managed non-operatively with functional bracing. An upward trend in operative fixation rates has recently emerged. Operative fixation techniques for the humeral shaft include open reduction and internal fixation (ORIF) and intramedullary nailing (IM). Although numerous studies have compared outcomes of these treatment modalities, there is no consensus on the ideal approach for isolated fractures. Moreover, no investigation has applied a value-based lens to differentiate the cost-effectiveness of these treatments, an increasingly pertinent consideration with U.S. healthcare spending surpassing $3.2 trillion annually. Thus, the present study applies a decision tree model to investigate the value of operative treatment for humeral shaft fracture with ORIF or IM approaches, in comparison to functional bracing.
AD  - Oregon Health and Science University
AD  - Oregon Health and Science University
AD  - Oregon Health and Science University
AD  - Oregon Health and Science University
T1  - Humeral shaft fracture: a cost-effectiveness analysis of fixation techniques
DA  - 2020
AU  - Hsue, Lauren
AU  - Fox, Henry
AU  - Ramsey, Duncan
AU  - Thompson, Austin
L1  - https://digitalcollections.ohsu.edu/record/8327/files/ResearchWeek.2020.Hsue.Lauren.pdf
PB  - Oregon Health and Science University
PY  - 2020
ID  - 8327
L4  - https://digitalcollections.ohsu.edu/record/8327/files/ResearchWeek.2020.Hsue.Lauren.pdf
KW  - Cost-Benefit Analysis
KW  - Braces
KW  - Fracture Fixation, Internal
KW  - Open Fracture Reduction
KW  - Fractures, Bone
KW  - Fracture Fixation, Intramedullary
KW  - humeral shaft fracture
TI  - Humeral shaft fracture: a cost-effectiveness analysis of fixation techniques
Y1  - 2020
L2  - https://digitalcollections.ohsu.edu/record/8327/files/ResearchWeek.2020.Hsue.Lauren.pdf
LK  - https://digitalcollections.ohsu.edu/record/8327/files/ResearchWeek.2020.Hsue.Lauren.pdf
UR  - https://digitalcollections.ohsu.edu/record/8327/files/ResearchWeek.2020.Hsue.Lauren.pdf
ER  -