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脚骨折:高的植入物成本与患者报告的更好的结果无关

Kendra M Kibble¹, Brian P Cunningham², Rachael L Rivard³

¹Department of Orthopaedic Surgery, University of Minnesota Medical School, Minneapolis, MN, United States of America; Department of Orthopaedic Surgery, Regions Hospital, Saint Paul, MN, United States of America.

|August 5, 2023

概括

高成本的植入物用于关节骨折固定并没有改善患者报告的结果. 外科医生可以选择更便宜的选择,而不会影响在开放缩减和内部固定 (ORIF) 后的功能结果.

科学领域:

整形外科手术整形外科手术
创伤外科手术是什么
生物医学工程生物医学工程

背景情况:

脚骨折是很常见的,开放的减少和内部固定 (ORIF) 是不稳定的类型的标准.
外科医生从各种固定方法中进行选择 (例如,锁定与非锁定板,螺丝与按),但往往缺乏成本意识.
没有先前的研究将脚骨折固定成本与患者报告的结果 (PRO) 联系起来.

研究的目的:

调查用于脚骨折固定的植入物成本与患者报告的结果之间的关系.
为了确定更高的植入器成本是否与旋转脚骨折治疗后改善的功能状态相关.

主要方法:

在一个学术创伤中心 (2018-2022) 用ORIF治疗的脚骨折的回顾性审查.
纳入标准:旋转脚骨折,至少6个月的随访,并完成了6个月的PROs.
排除标准:年龄<18岁,多创伤,开口骨折. 评估变量:人口统计学,骨折类型,足能力测量-日常生活活动 (FAAM-ADL) 评分,植入物类型和成本.

主要成果:

三角脊柱骨折是最昂贵的类型,平均FAAM-ADL得分最低 (78.9).
骨质疏松症/骨质疏松症诊断与233.3.3美元的成本降低有关.
在6个月的植入成本和FAAM-ADL得分之间没有发现显著的相关性 (p=0.48),也没有发现综合症固定和植入成本之间的相关性.

结论:

增加脚骨折固定的植入物成本不会导致患者报告的更好的功能结果 (FAAM-ADL得分).
整形外科医生可以考虑更便宜的植入物选择,以提高护理的价值,而不会对患者的结果产生负面影响.

关键词:

脚骨折脚骨折在脚骨折.费用费用费用费用费用费用费用患者报告的结果衡量患者报告的结果.

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