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    Cost Analysis of Treating Pediatric Supracondylar Humerus Fractures in Community Hospitals Compared With a Tertiary Care Hospital

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    Author
    Shasti, M.
    Li, T.P.
    Case, A.L.
    Hariharan, A.R.
    Jauregui, J.J.
    Abzug, J.M.
    Date
    2020
    Journal
    The Journal of the American Academy of Orthopaedic Surgeons
    Publisher
    Wolters Kluwer Health
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.5435/JAAOS-D-18-00585
    Abstract
    OBJECTIVE: In the current healthcare environment, providing cost-efficient care is of paramount importance. One emerging strategy is to use community hospitals (CHs) rather than tertiary care hospitals (TCHs) for some procedures. This study assesses the costs of performing closed reduction percutaneous pinning (CRPP) of pediatric supracondylar humerus fractures (SCHFs) at a CH compared with a TCH. METHODS: A retrospective review of 133 consecutive SCHFs treated with CRPP at a CH versus a TCH over a 6-year period was performed. Total encounter and subcategorized costs were compared between the procedures done at a CH versus those done at a TCH. RESULTS: Performing CRPP for a SCHF at a CH compared with a TCH saved 44% in costs (P < 0.001). Cost reduction of 51% was attributable to operating room costs, 19% to anesthesia-related costs, 16% to imaging-related costs, and 7% to supplies. DISCUSSION: Performing CRPP for a SCHF at a CH compared with a TCH results in a 44% decrease in direct cost, driven largely by surgical, anesthesia, and radiology-related savings.
    Keyword
    Pediatric Supracondylar Humerus Fractures
    Treatment
    Costs and Cost Analysis
    Hospitals, Community
    Tertiary Care Centers
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084028303&doi=10.5435%2fJAAOS-D-18-00585&partnerID=40&md5=409ca53dc43a043fe9770f5402f4ff67; http://hdl.handle.net/10713/12759
    ae974a485f413a2113503eed53cd6c53
    10.5435/JAAOS-D-18-00585
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