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Journal of Hand Surgery (European Volume)
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Articles

Cost-effectiveness of MRI in managing suspected scaphoid fractures

T. B. HANSEN
R. B. PETERSEN
J. BARCKMAN
P. UHRE
K. LARSEN

From the Department of Orthopaedics, Section of Hand Surgery, Department of Radiology and Orthopaedic Research Unit Regional Hospital Holstebro, and Department of Orthopaedics, Regional Hospital Herning, Denmark

Correspondence: Torben Bæk Hansen, Department of Orthopaedics, Section of Hand Surgery, Regional Hospital Holstebro, Holstebro, Denmark. E-mail:tbhansen{at}dadlnet.dk.

In a cost-effectiveness study, we compared a treatment algorithm using repeated radiological examination with an algorithm using subacute MRI in patients with clinical signs of scaphoid fracture but normal initial radiography. Twenty-seven patients were included in both groups, and MRI reduced the immobilisation time from 20 days (range, 6–54) to 4 days (range, 1–19) and sick leave from 27 days (1–92) to 11 days (0–28). Use of MRI increased hospital costs by {euro}151 (P<0.05), but reduced non-hospital costs by {euro}2869 (P<0.05), making MRI cost-effective in the treatment of suspected scaphoid fractures.

Key Words: MRI • scaphoid fracture • cost effective • sick leave

This version was published on October 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 5, 627-630 (2009)
DOI: 10.1177/1753193409105322
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