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

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

Summary

The study compared the cost-effectiveness of using a soft bandage and immediate discharge versus rigid immobilization in children aged four to 15 years with a torus fracture of the distal radius. The research aimed to evaluate the economic impact and health outcomes of these two treatment approaches.

Key Findings

The use of a soft bandage resulted in a significant cost reduction per patient, saving £12.55, while maintaining similar quality-adjusted life years (QALYs) compared to rigid immobilization. The study also revealed a high probability (95%) that offering a bandage is a cost-effective option, even when considering various sensitivity analyses.

Implications

Besides demonstrating clinical equivalence, the study highlighted the cost-saving potential of using a bandage instead of rigid immobilization for children with distal radius torus fractures. Although the cost saving per patient was modest, the frequency of these injuries suggests a substantial overall saving across the healthcare system.

PMID: 38821496 | DOI: 10.1302/0301-620X.106B6.BJJ-2023-1211.R1

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