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ISSN 打印: 1050-6934

ISSN 在线: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Cost of Treatment for Proximal Humerus Fractures: An Acute and 90-Day Cost Evaluation

卷 28, 册 3, 2018, pp. 173-179
DOI: 10.1615/JLongTermEffMedImplants.2018027815
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摘要

The purpose of this study was to examine the 90-day costs of three common surgical treatments for proximal humerus fractures and compare the costs associated with the initial day and subsequent 89 days of care. This was conducted through a retrospective review of a national database examining patients who suffered proximal humerus fractures. Patients were stratified by type of surgical procedure performed, hemiarthroplasty (HA), reverse shoulder arthroplasty (RSA), and open reduction and internal fixation (ORIF). RSA was the most costly procedure for the same-day and 90-day costs (p < 0.001). Mean initial day reimbursement costs were significantly different among treatment groups, with the highest costs seen with RSA ($16,151), followed by HA ($9,348), and ORIF ($6,745). Subsequent 89-day reimbursement costs were not significantly different for RSA, HA, and ORIF (p = 0.112). The 90-day costs for the surgical treatment of proximal humerus fractures are driven by the initial day costs. RSA was associated with the highest cost, followed by HA and ORIF.

对本文的引用
  1. London Daniel A., Cagle Paul J., Parsons Bradford O., Galatz Leesa M., Anthony Shawn G., Zubizarreta Nicole, Mazumdar Madhu, Poeran Jashvant, Impact of Increasing Comorbidity Burden on Resource Utilization in Patients With Proximal Humerus Fractures, Journal of the American Academy of Orthopaedic Surgeons, 28, 21, 2020. Crossref

  2. Rasulić Lukas, Djurašković Slavko, Lakićević Novak, Lepić Milan, Savić Andrija, Grujić Jovan, Mićić Aleksa, Radojević Stefan, Puzović Vladimir, Maletić Miloš, Mandić-Rajčević Stefan, Surgical Treatment of Radial Nerve Injuries Associated With Humeral Shaft Fracture—A Single Center Experience, Frontiers in Surgery, 8, 2021. Crossref

  3. Parrish James M., Vakharia Rushabh M., Benson Dillon C., Hoyt Aaron K., Jenkins Nathaniel W., Kaplan Jonathan R. M., Rush Augustus J., Roche Martin W., Aiyer Amiethab A., Patients With Opioid Use Disorder Have Increased Readmission Rates, Emergency Room Visits, and Costs Following a Hallux Valgus Procedure, Foot & Ankle Specialist, 15, 4, 2022. Crossref

  4. Nayar Suresh K., MacMahon Aoife, Kreulen R. Timothy, Wollstein Adi, Aziz Keith T., Best Matthew J., Chen Neal C., Srikumaran Uma, Trends in Medicare physician reimbursement and utilization for proximal humerus fixation and shoulder arthroplasty, Seminars in Arthroplasty: JSES, 32, 2, 2022. Crossref

  5. Handoll Helen HG, Elliott Joanne, Thillemann Theis M, Aluko Patricia, Brorson Stig, Interventions for treating proximal humeral fractures in adults, Cochrane Database of Systematic Reviews, 2022, 6, 2022. Crossref

  6. Shi Brendan Y, Upfill-Brown Alexander, Kelley Benjamin V, Brodke Dane J, Mayer Erik N, Devana Sai K, Kremen Thomas J, Lee Christopher, Increasing Rate of Shoulder Arthroplasty for Geriatric Proximal Humerus Fractures in the United States, 2010–2019, Journal of Shoulder and Elbow Arthroplasty, 6, 2022. Crossref

  7. MOURARIA GUILHERME GRISI, SANTOS RAFAEL VINICIUS LONDERO QUINTINO DOS, KIKUTA FERNANDO KENJI, ZOGBI DANIEL ROMANO, CRUZ MÁRCIO ALVES, ETCHEBEHERE MAURÍCIO, MORTALITY AFTER SURGICAL TREATMENT OF PROXIMAL HUMERUS FRACTURES IN OLDER PATIENTS, Acta Ortopédica Brasileira, 30, 5, 2022. Crossref

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