• J Comp Eff Res · May 2020

    Impact of osteosynthesis in fracture care: a cost comparison study.

    • Klaus Eichler, Marc Höglinger, Flurina Meier, Fabio Knöfler, Stefan M Scholz-Odermatt, Urs Brügger, Eberhard Denk, Felix Gutzwiller, Joachim Prein, Nikolaus Renner, and Alexander Joeris.
    • Winterthur Institute of Health Economics, Zurich University of Applied Sciences, Winterthur, Switzerland.
    • J Comp Eff Res. 2020 May 1; 9 (7): 483-496.

    AbstractAim: To estimate the health economic impact of osteosynthesis (OS) in fracture care over six decades in 17 high-income countries. Patients & methods: Applying a decision tree model, we assumed a hypothetical absence of OS and compared OS (intervention) with conservative treatment (CONS; comparator). We included patients with femur, tibia and radius fractures (age <65 years) and for proximal femur fractures also elderly patients (≥70 years). Results: We estimated savings in direct and indirect costs of 855 billion Swiss francs in the working age population in addition to 4.6 million years of life gained. In the elderly population, 69 billion Swiss francs were saved in direct costs of proximal femur fractures in addition to 73 million years of life gained. Conclusion: OS contributed to maximize health gains of society.

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