Impact of osteosynthesis in fracture care: a cost comparison study

Author:

Eichler Klaus1ORCID,Höglinger Marc1,Meier Flurina1,Knöfler Fabio1,Scholz-Odermatt Stefan M2,Brügger Urs1,Denk Eberhard3,Gutzwiller Felix4,Prein Joachim5,Renner Nikolaus6,Joeris Alexander3

Affiliation:

1. Winterthur Institute of Health Economics, Zurich University of Applied Sciences, Winterthur, Switzerland

2. Central Office for Statistics in Accident Insurance (SSUV), Lucerne, Switzerland

3. AO Foundation, Davos, Switzerland

4. Professor Emeritus, Institute for Social & Preventive Medicine, University of Zurich, Zurich, Switzerland

5. Professor Emeritus, University Hospital Basel, CMF Surgery, Basel, Switzerland

6. Head of Traumatology Department, Cantonal Hospital Aarau, Switzerland

Abstract

Aim: To estimate the health economic impact of osteosynthesis (OS) in fracture care over six decades in 17 high-income countries. Patients & methods: Applying a decision tree model, we assumed a hypothetical absence of OS and compared OS (intervention) with conservative treatment (CONS; comparator). We included patients with femur, tibia and radius fractures (age <65 years) and for proximal femur fractures also elderly patients (≥70 years). Results: We estimated savings in direct and indirect costs of 855 billion Swiss francs in the working age population in addition to 4.6 million years of life gained. In the elderly population, 69 billion Swiss francs were saved in direct costs of proximal femur fractures in addition to 73 million years of life gained. Conclusion: OS contributed to maximize health gains of society.

Publisher

Future Medicine Ltd

Subject

Health Policy

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Ergebnisse und Kosten nach Tibiakopffraktur in der gesetzlichen Unfallversicherung – eine Registeranalyse;Zeitschrift für Orthopädie und Unfallchirurgie;2022-02-23

2. Economic Aspects of Trauma Care;Textbook of Polytrauma Management;2022

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