Resource Utilization and the Use of Bone Stimulators among Operatively and Nonoperatively Managed Scaphoid Nonunion Patients.
Journal
Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
27
09
2022
accepted:
28
11
2022
entrez:
13
2
2023
pubmed:
14
2
2023
medline:
14
2
2023
Statut:
epublish
Résumé
The prevalence of bone stimulator use among nonoperatively and operatively managed scaphoid nonunion patients is unknown. We hypothesize that bone stimulators are a relatively underutilized treatment for scaphoid nonunion patients. We used the 2009-2017 Truven Marketscan Research Databases to identify patients with closed scaphoid fractures and performed an analysis of variance test to determine resource utilization and bone stimulator use among these patients. A total of 36,611 patients with scaphoid fractures were identified: 30,143 were managed nonoperatively and 6468 were managed operatively. Nonunion was diagnosed in 500 (1.66%) nonoperatively and in 1211 (19%) operatively managed patients. Bone stimulators were used in less than 2% of nonoperatively and operatively managed scaphoid nonunion patients. Lack of trust in the technology and heterogenous (and occasionally burdensome) requirements for insurance approval are barriers to bone stimulator use; however, surgeons should examine how this technology may fit into the treatment algorithm for these difficult cases.
Identifiants
pubmed: 36776593
doi: 10.1097/GOX.0000000000004782
pmc: PMC9911191
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e4782Informations de copyright
Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
Références
Orthop Rev. 1989 Oct;18(10):1045-50
pubmed: 2691960
Surgeon. 2012 Aug;10(4):218-29
pubmed: 22595773
J Orthop. 2016 Jul 06;13(4):337-42
pubmed: 27436923
J Hand Surg Eur Vol. 2009 Oct;34(5):627-30
pubmed: 19687072
Handchir Mikrochir Plast Chir. 2020 Sep;52(5):404-412
pubmed: 32992391
Orthop Clin North Am. 1984 Jan;15(1):107-12
pubmed: 6607437
Orthopedics. 2010 Mar;33(3):
pubmed: 20349861
J Hand Surg Br. 2006 Jun;31(3):252-5
pubmed: 16488521
J Orthop Trauma. 2015 Aug;29(8):e245-52
pubmed: 25756914
J Hand Surg Am. 2012 May;37(5):1095-100; quiz 1101
pubmed: 22541157
Plast Reconstr Surg. 2017 Aug;140(2):333e-346e
pubmed: 28746289
BMC Musculoskelet Disord. 2015 Apr 11;16:84
pubmed: 25880388
Unfallchirurg. 2019 Mar;122(3):211-218
pubmed: 30887083
Eur J Orthop Surg Traumatol. 2017 Jan;27(1):3-9
pubmed: 27896458
Clin Sports Med. 2015 Jan;34(1):37-50
pubmed: 25455395
Hand Surg. 2015;20(2):204-9
pubmed: 26051761
Br J Sports Med. 2005 Feb;39(2):75-9
pubmed: 15665201
Radiology. 1978 Sep;128(3):629-34
pubmed: 307776
Indian J Orthop. 2009 Apr;43(2):168-74
pubmed: 19838366
Handchir Mikrochir Plast Chir. 2000 Mar;32(2):115-22
pubmed: 10857066
Int Orthop. 2009 Oct;33(5):1295-300
pubmed: 18956188
Am J Manag Care. 2004 Dec;10(12):957-62
pubmed: 15617371
Injury. 2012 Jun;43(6):933-9
pubmed: 22424701
J Hand Surg Am. 1980 Sep;5(5):508-13
pubmed: 7430591
Arch Orthop Trauma Surg. 2014 Aug;134(8):1093-106
pubmed: 24895156
J Hand Surg Am. 2008 Jul-Aug;33(6):988-97
pubmed: 18656779
J Hand Surg Am. 1986 May;11(3):344-9
pubmed: 3711607
Clin Podiatr Med Surg. 2015 Jan;32(1):45-59
pubmed: 25440417
Hand Clin. 2001 Nov;17(4):697-701, x-xi
pubmed: 11775480
J Trauma. 2001 Oct;51(4):693-702; discussion 702-3
pubmed: 11586161