PEDIATRIC ORTHOPAEDICS
2012 OTA Annual Meeting: SCRATCH (Self Cast Removal at the Child’s Home): Treatment of Stable Pediatric Forearm Fractures Using Home Removable Casts Compared With Traditional Cast Therapy: A Prospective Randomized Controlled Trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(11):192317 children with distal forearm torus, minimally angulated greenstick, or nondisplaced stable epiphyseal fractures were randomized to receive a flexible below-elbow cast with home removal or a fiberglass below-elbow cast with hospital removal. The study determined that flexible below-elbow casts with home removal are safe and cost-effective alternatives to the traditional fiberglass casts with hospital removal.
学会報告
このACE報告は、学会発表または抄録の要約です。提供された情報により、バイアスのリスクや全体的な質の正確な評価を提供することには限界があります。臨床試験が進行中であったり、選択された結果が発表されている可能性があるため、結果を慎重に解釈してください。
なぜ今この研究が必要なのですか？
Paediatric forearm fractures are very common, and the use of a immobilization system that allows for home removal may be able to reduce medical costs significantly. This study aimed to determine whether flexible below-elbow casts with home removal are a safe and cost effective fracture treatment method, when compared to fiberglass below-elbow casts with hospital removal for children with nondisplaced stable epiphyseal fractures.
主な研究課題は何ですか？
Is a flexible below-elbow cast with home removal a safe and cost-effective method to treat pediatric minimally displaced forearm fractures, when compared to traditional fiberglass below-elbow casts with hospital removal?
重要な知見は？
- The difference in change in CHAQ score from baseline to 1 week post cast removal between the flexible cast group and fiberglass cast group was found to be not statistically significant (p=0.245).
- There difference in CHAQ score and EQ-5D score at 6 months post-injury was found to be not significant in both the flexible cast and fiberglass cast groups.
- The mean cost of treatment was $246 for the flexible home removal casts and $400 for the fiberglass hospital removal casts, which was found to be statistically significant (p<0.05).
- The difference in satisfaction measures between the flexible cast group and the fiberglass cast group.
- Findings based on a sub-population of patients with minimally displaced fractures.
最も覚えておくべきことは？
It must be stressed that these results were found in patients with minimally displaced distal radius fractures. The findings suggests that although there was no significant difference in arm function and satisfaction between the two cast types, the flexible below-elbow cast with home removal was significantly more cost-effective for paediatric patients with minimally displaced forearm fractures.
それが私の患者ケアにどのように影響するか？
The study suggests that flexible below-elbow casts with home removal may be a safe and cost-effective treatment method for children with minimally displaced forearm fractures. Further research using larger sample sizes is required to confirm the findings of this study.
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