Cost effectiveness of treatment with percutaneous Kirschner wires versus volar locking plate for adult patients with a dorsally displaced fracture of the distal radius: analysis from the DRAFFT trial

This report has been verified by one or more authors of the original publication.

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

461 patients with a dorsally displaced distal radius fracture were randomized to receive either a volar locking plate or Kirschner wire (K-wire) fixation. The purpose of this study was to compare health system and societal costs associated with each method relative to efficacy [measured via quality-adjusted life years (QALYs)], in order to assess cost-effectiveness. Results indicated that there was minimal difference in QALYs between groups, but a significantly greater cost associated with volar locking plates. The incremental cost-effectiveness ratio of volar locking plates fell beyond the societal willingness to pay threshold, and thus volar locking plates are not considered to be cost-effective relative to K-wires in treating distal radial fractures, with K-wires considered to be the cost-saving approach. The original trial that reports on further outcomes was published in BMJ and is also featured on OrthoEvidence, report 6859.