000008327 001__ 8327
000008327 005__ 20240409130231.0
000008327 0247_ $$2DOI$$a10.6083/7d278t65d
000008327 037__ $$aIR
000008327 245__ $$aHumeral shaft fracture: a cost-effectiveness analysis of fixation techniques
000008327 260__ $$bOregon Health and Science University
000008327 269__ $$a2020
000008327 336__ $$aAbstract
000008327 520__ $$aHumeral 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.
000008327 540__ $$fCC BY
000008327 542__ $$fIn copyright - joint owners
000008327 650__ $$aCost-Benefit Analysis$$017144
000008327 650__ $$aBraces$$015782
000008327 650__ $$aFracture Fixation, Internal$$019255
000008327 650__ $$aOpen Fracture Reduction$$011634
000008327 650__ $$aFractures, Bone$$036511
000008327 650__ $$aFracture Fixation, Intramedullary$$019256
000008327 6531_ $$ahumeral shaft fracture
000008327 691__ $$aSchool of Medicine$$041369
000008327 692__ $$aDepartment of Orthopaedics and Rehabilitation$$041436
000008327 7001_ $$aHsue, Lauren$$uOregon Health and Science University$$041354
000008327 7001_ $$aFox, Henry$$uOregon Health and Science University$$041354
000008327 7001_ $$aRamsey, Duncan$$uOregon Health and Science University$$041354
000008327 7001_ $$aThompson, Austin$$uOregon Health and Science University$$041354
000008327 711__ $$aResearch Week$$uOregon Health and Science University$$d2020
000008327 8564_ $$9098e84ab-b1b9-4b3b-8993-28d76a92d95c$$s47270$$uhttps://digitalcollections.ohsu.edu/record/8327/files/ResearchWeek.2020.Hsue.Lauren.pdf
000008327 905__ $$a/rest/prod/7d/27/8t/65/7d278t65d
000008327 980__ $$aResearch Week