The Library
Cost-utility analysis of cast compared to removable brace in the management of adult patients with ankle fractures
Tools
Tools
Tools
Nwankwo, Henry, Mason, James, Costa, Matthew L., Parsons, Nicholas R., Redmond, Anthony, Parsons, Helen, Haque, Aminul and Kearney, Rebecca S. (2022) Cost-utility analysis of cast compared to removable brace in the management of adult patients with ankle fractures. Bone & Joint Open, 3 (6). pp. 455-462. doi:10.1302/2633-1462.36.bjo-2022-0036 ISSN 2633-1462.
|
PDF
WRAP-cost-utility-analysis-cast-compared-removable-brace-management-adult-patients-with-ankle-fractures-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (400Kb) | Preview |
Official URL: https://doi.org/10.1302/2633-1462.36.bjo-2022-0036
Abstract
Aims: To compare the cost-utility of removable brace compared with cast in the management of adult patients with ankle fracture.
Methods: A within-trial economic evaluation conducted from the UK NHS and personnel social services (PSS) perspective. Health resources and quality-of-life data were collected as part of the Ankle Injury Rehabilitation (AIR) multicentre, randomized controlled trial over a 12-month period using trial case report forms and patient-completed questionnaires. Cost-utility analysis was estimated in terms of the incremental cost per quality adjusted life year (QALY) gained. Estimate uncertainty was explored by bootstrapping, visualized on the incremental cost-effectiveness ratio plane. Net monetary benefit and probability of cost-effectiveness were evaluated at a range of willingness-to-pay thresholds and visualized graphically.
Results: The incremental cost and QALYs of using brace over a 12-month period were £46.73 (95% confidence interval (CI) £-9 to £147) and 0.0141 (95% CI -0.005 to 0.033), respectively. The cost per QALY gained was £3,318. The probability of brace being cost-effective at a £30,000 per QALY willingness-to-pay threshold was 88%. The results remained robust to a range of sensitivity analyses.
Conclusion: This within-trial economic evaluation found that it is probable that using a removable brace provides good value to the NHS when compared to cast, in the management of adults with ankle fracture. Cite this article: Bone Jt Open 2022;3(6):455–462.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RD Surgery | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||
| SWORD Depositor: | Library Publications Router | ||||||
| Library of Congress Subject Headings (LCSH): | Orthopedics -- Cost effectiveness, Ankle -- Fractures -- Cost effectiveness, Ankle -- Wounds and injuries, Fractures | ||||||
| Journal or Publication Title: | Bone & Joint Open | ||||||
| Publisher: | British Editorial Society of Bone and Joint Surgery | ||||||
| ISSN: | 2633-1462 | ||||||
| Official Date: | 1 June 2022 | ||||||
| Dates: |
|
||||||
| Volume: | 3 | ||||||
| Number: | 6 | ||||||
| Page Range: | pp. 455-462 | ||||||
| DOI: | 10.1302/2633-1462.36.bjo-2022-0036 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 1 July 2022 | ||||||
| Date of first compliant Open Access: | 1 July 2022 | ||||||
| RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
