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dc.contributor.authorBergh, Torbjørn Hiisen_US
dc.contributor.authorSteen, Knuten_US
dc.contributor.authorLindau, Tommyen_US
dc.contributor.authorSoldal, Lars Atleen_US
dc.contributor.authorBERNARDSHAW, SOOSAIPILLAIen_US
dc.contributor.authorLunde, Leneen_US
dc.contributor.authorLie, Stein Atleen_US
dc.contributor.authorBrudvik, Christinaen_US
dc.PublishedActa Orthopaedica 2015, 86(3):303-309eng
dc.description.abstractBackground 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.publisherTaylor & Franciseng
dc.rightsAttribution CC BY-NC-NDeng
dc.titleCosts analysis and comparison of usefulness of acute MRI and 2 weeks of cast immobilization for clinically suspected scaphoid fracturesen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2014 Nordic Orthopaedic Federation
dc.subject.nsiVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784
dc.subject.nsiVDP::Midical sciences: 700::Clinical medical sciences: 750::Orthopaedic surgery: 784
dc.subject.nsiVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Traumatologi: 783
dc.subject.nsiVDP::Midical sciences: 700::Clinical medical sciences: 750::Traumatology: 783

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