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Treatment of severe ankle sprain : a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage : the CAST trial
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Cooke, Matthew, MB ChB, Marsh, J. L., Clark, Michael, Nakash, Rachel A., Jarvis, Rosemary M., Hutton, Jane L., Szczepura, Ala, Wilson, Sue, Dr and Lamb, S. E. (Sallie E.) (2009) Treatment of severe ankle sprain : a pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage : the CAST trial. Health Technology Assessment, Vol.13 (No.13). pp. 1-121. ISSN 1366-5278
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Official URL: http://dx.doi.org/10.3310/hta13130
Abstract
To estimate (1) The clinical effectiveness of three different methods of ankle support (below knee plaster cast, Kendall ankle support, Bledsoe boot) in comparison to Tubigrip in the recovery of mobility and function after Grade II and III sprains of the ankle joint. (2) The cost-effectiveness of the three different methods of ankle support in comparison to Tubigrip only. The economic analysis will be conducted from a societal perspective. Tubigrip has been chosen as the reference (status quo) treatment; it is the cheapest, but is likely to be least effective (ref 1). The Bledsoe boot is a factor of 30 times more expensive (US$50 usual,assuming no re-use), and its clinical effectiveness is yet to be proven. The below knee plaster cast will be Scotch Cast (cost £5). There are a range of ankle supports available. We have selected the Kendall Gel Brace (£19 per brace), which is the cheapest and. in our experience is as clinically effective as other brands. All treatments will be provided in the NHS, in a manner consistent with current national practice.
| Item Type: | Journal Item |
|---|---|
| Subjects: | R Medicine > RM Therapeutics. Pharmacology |
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Ankle -- Wounds and injuries -- Treatment -- Great Britain, Bandages and bandaging |
| Journal or Publication Title: | Health Technology Assessment |
| Publisher: | NIHR Health Technology Assessment programme |
| ISSN: | 1366-5278 |
| Date: | February 2009 |
| Volume: | Vol.13 |
| Number: | No.13 |
| Number of Pages: | 108 |
| Page Range: | pp. 1-121 |
| Identification Number: | 10.3310/hta13130 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Funder: | NIHR Health Technology Assessment Programme (Great Britain) |
| URI: | http://wrap.warwick.ac.uk/id/eprint/28130 |
Data sourced from Thomson Reuters' Web of Knowledge
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