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Journal of Hand Surgery (British and European Volume)
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Articles

Minimally Invasive Fixation versus Conservative Treatment of Undisplaced Scaphoid Fractures: A Cost-Effectiveness Study

M. Y. PAPALOIZOS
C. FUSETTI
T. CHRISTEN
L. NAGY
J. B. WASSERFALLEN

From the Hand Surgery Unit, Geneva University Hospital, Geneva, Switzerland and the Health Technology Assessment Unit, Lausanne University Hospital, Switzerland

Correspondence: Dr Michaël Papaloïzos, Center for Hand Surgery and Therapy, Charles-Humbert 8, CH-1205 Geneva, Switzerland. Tel.: +41-22-328-10-03; fax: +41-22-329-14-06; E-mail: mpapaloizos{at}ch8.ch

This study compares the direct and indirect costs of conservative and minimally invasive treatment for undisplaced scaphoid fractures. Costs data concerning groups of non-operated and operated patients were analysed. Direct costs were higher in operated patients. Although highly variable, indirect costs were significantly smaller in operated patients and the total costs were higher in nonoperated patients. In conclusion, operative treatment of scaphoid fractures is initially more expensive than conservative treatment but markedly decreases the work compensation costs.

Key Words: scaphoid • fractures • treatment • costs • cost-effectiveness

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 2, 116-119 (2004)
DOI: 10.1016/j.jhsb.2003.10.009
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 J Hand Surg Eur VolHome page
J. M. GEOGHEGAN, M. J. WOODRUFF, R. BHATIA, J. S. DAWSON, R. W. KERSLAKE, N. D. DOWNING, J. A. ONI, and T. R. C. DAVIS
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J Hand Surg Eur Vol., October 1, 2009; 34(5): 631 - 637.
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