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The treatment of stable paediatric forearm fractures using a cast that may be removed at home. Comparison with traditional management in a randomised controlled trial.
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Hamilton, T. W. , Hutchings, L., Alsousou, J., Tutton, E., Hodson, E., Smith, C. H., Wakefield, J., Gray, B., Symonds, S. and Willett, K. (2013) The treatment of stable paediatric forearm fractures using a cast that may be removed at home. Comparison with traditional management in a randomised controlled trial. The Bone & Joint Journal, 95 B (12). pp. 1714-1720. doi:10.1302/0301-620X.95B12.31299 ISSN 2049-4394.
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Official URL: htttp://dx.doi.org/10.1302/0301-620X.95B12.31299
Abstract
We investigated whether, in the management of stable paediatric fractures of the forearm, flexible casts that can be removed at home are as clinically effective, cost-effective and acceptable to both patient and parent as management using a cast conventionally removed in hospital. A single-centre randomised controlled trial was performed on 317 children with a mean age of 9.3 years (2 to 16). No significant differences were seen in the change in Childhood Health Assessment Questionnaire index score (p = 0.10) or EuroQol 5-Dimensions domain scores between the two groups one week after removal of the cast or the absolute scores at six months. There was a significantly lower overall median treatment cost in the group whose casts were removed at home (£150.88 (sem 1.90) vs £251.62 (sem 2.68); p < 0.001). No difference was seen in satisfaction between the two groups (p = 0.48).
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RD Surgery | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing > Royal College of Nursing Research Institute (RCN) (- July 2017) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Fractures in children, Forearm--Fractures, Surgical plaster casts, Orthopedic braces , Forearm--Fractures--Treatment | ||||||||
Journal or Publication Title: | The Bone & Joint Journal | ||||||||
Publisher: | British Editorial Society of Bone and Joint Surgery | ||||||||
ISSN: | 2049-4394 | ||||||||
Official Date: | December 2013 | ||||||||
Dates: |
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Volume: | 95 B | ||||||||
Number: | 12 | ||||||||
Page Range: | pp. 1714-1720 | ||||||||
DOI: | 10.1302/0301-620X.95B12.31299 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Adapted As: | 2013 |
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