Estimates of Direct and Indirect Costs of Ankle Fractures

• DOI: 10.2106/jbjs.20.00539
• Publication Date: 2020-10-29T01:00:18Z
• Authors: Peter C. Noback; Christina E. Frei...; Tess Dougherty; Eric F. Swart; Melvin P. Rosenwa...; J. Turner Vosseller
• Keywords: Adult; Male; Health Care Costs; Middle Aged; Ankle Fractures; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Humans; Female; Prospective Studies; Hospital Costs

Background: The quantification of the costs ankle fractures and their associated treatments has garnered increased attention in orthopaedics through cost-effectiveness analysis. purpose this study was to prospectively assess direct indirect operatively nonoperatively treated patients. Methods: A prospective, observational, single-center performed. Adult patients presenting for an initial consult fracture were enrolled followed until recurring amounted zero. Patients completed a cost form at every visit that assessed time away from work money spent last week on transportation, household chores, self-care due fracture. Direct data obtained directly hospital billing department. Results: Sixty included study. With regard patient characteristics, mean age 46.5 years, 55% female, 10% had diabetes, 17% active smokers. Weber composed 12% fractures, B 72% C 18% fractures. Operatively (n = 37) significantly higher total compared with (p < 0.01). In all patients, losses missed accounted largest portion costs, percentage 35.8% cost. period preceding return 39 employed 11.2 weeks. Longer periods surgical fixation having less than college-level education 0.05). observed cease 19.1 Conclusions: nonoperatively, discrete component specific Indirect 41.3% Although majority are accrued immediately following injury, components will regularly be incurred nearly 5 months often longer. To capture full economic impact these injuries, future research should include detailed reporting intervention’s Level Evidence: Economic III . See Instructions Authors complete description levels evidence.