期刊
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
卷 41, 期 6, 页码 599-605出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.injury.2009.10.056
关键词
Fracture of proximal humerus; Surgical treatment; Conservative treatment; Health related quality of life; 15D score; Economic evaluation
资金
- HERO (Health Economic Research Program), University of Oslo
- Helse Sor-Ost HF (Regional Hospital and Health Services in Norway)
Objective: This study aims to evaluate the costs and health outcome for surgical and conservative treatment of displaced proximal humeral fractures. Design: This study is a randomised controlled trial. Participants: This study included 50 patients aged 60 or older admitted to hospital with a severely displaced three-or four-part fracture. Interventions: The patients were treated surgically with an angular stable interlocking implant (25 patients) or conservative treatment (25 patients). Main outcome measure: The outcomes measured included quality-adjusted life years (QALYs) and societal costs. Results: At 12 months' follow-up, the mean difference in the number of QALYs was 0.027 (95% confidence interval (CI) = -0.025, 0.078) while the mean difference in total health-care costs was (sic)597 in favour of surgery (95% CI = -5291, 3777). Conclusion: There was no significant difference in QALYs or costs between surgical and conservative treatment of severe displaced proximal humeral fractures. (C) 2009 Elsevier Ltd. All rights reserved.
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