dc.contributor.author | Bergh, Torbjørn Hiis | en_US |
dc.contributor.author | Steen, Knut | en_US |
dc.contributor.author | Lindau, Tommy | en_US |
dc.contributor.author | Soldal, Lars Atle | en_US |
dc.contributor.author | BERNARDSHAW, SOOSAIPILLAI | en_US |
dc.contributor.author | Lunde, Lene | en_US |
dc.contributor.author | Lie, Stein Atle | en_US |
dc.contributor.author | Brudvik, Christina | en_US |
dc.date.accessioned | 2016-04-04T10:09:19Z | |
dc.date.available | 2016-04-04T10:09:19Z | |
dc.date.issued | 2014-11-18 | |
dc.Published | Acta Orthopaedica 2015, 86(3):303-309 | eng |
dc.identifier.issn | 1745-3682 | |
dc.identifier.uri | https://hdl.handle.net/1956/11829 | |
dc.description.abstract | Background and purpose — Fractures of the scaphoid are often not detected on initial plain radiographs. Conventional management of clinically suspected scaphoid fractures is cast immobilization for 2 weeks and then reassessment. Early MRI is a diagnostic alternative. We compared the cost and usefulness of the early MRI diagnostic strategy with that of conventional management. Patients and methods — This prospective pseudo-randomized study included patients between 18 and 49 years of age who attended Bergen Accident and Emergency Department, Bergen, Norway during 1 year in 2009–2010, after sustaining an acute wrist trauma in the previous week and with a clinically suspected scaphoid fracture. 61 patients were investigated with acute MRI, while 63 patients received standard treatment as a control group. We used cost-minimization analysis to estimate the cost of the 2 patient groups. Results — Concerning cost, there were no statistically significant differences in the total direct medical costs or in indirect costs between the groups. Concerning usefulness, patients in the MRI group without a fracture (n = 35) used a cast for fewer days (mean 1 day) than patients in the control group with no fractures (n = 52) (mean 14 days; p < 0.001). They had less than half the number of days on sick leave than patients in the control group (mean 7 days vs. 15 days; p = 0.002). Interpretation — In a Norwegian setting, an early MRI was of value in patients with clinically suspected scaphoid fracture and normal plain radiographs. | en_US |
dc.language.iso | eng | eng |
dc.publisher | Taylor & Francis | eng |
dc.rights | Attribution CC BY-NC-ND | eng |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ | eng |
dc.title | Costs analysis and comparison of usefulness of acute MRI and 2 weeks of cast immobilization for clinically suspected scaphoid fractures | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2015-12-30T17:03:08Z | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2014 Nordic Orthopaedic Federation | |
dc.identifier.doi | https://doi.org/10.3109/17453674.2014.986627 | |
dc.identifier.cristin | 1248372 | |
dc.subject.nsi | VDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784 | |
dc.subject.nsi | VDP::Midical sciences: 700::Clinical medical sciences: 750::Orthopaedic surgery: 784 | |
dc.subject.nsi | VDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783 | |
dc.subject.nsi | VDP::Midical sciences: 700::Clinical medical sciences: 750::Traumatology: 783 | |