Developing Research to Change Policy: Design of a Multicenter Cost-Effectiveness Analysis Comparing Intramedullary Nailing to Skeletal Traction in Malawi

被引：7

作者：

Lau, Brian C. ^{[1
]}

Wu, Hao-Hua ^{[1
]}

Mustafa, Mohammed ^{[1
]}

Ibrahim, John ^{[1
]}

Conway, Devin ^{[2
]}

Agarwal-Harding, Kiran ^{[3
]}

Shearer, David W. ^{[1
]}

Chokotho, Linda ^{[4
]}

机构：

[1] Univ Calif San Francisco, Zuckerberg San Francisco Gen Hosp, Inst Global Orthopaed & Traumatol, Orthopaed Trauma Inst,Dept Orthopaed Surg, 2550 23rd St,Bldg 9,2nd Floor, San Francisco, CA 94110 USA

[2] Tulane Univ, Sch Med, 1430 Tulane Ave, New Orleans, LA 70112 USA

[3] Harvard Univ, Cambridge, MA 02138 USA

[4] Beit Cure Int, Blantyre, Malawi

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 2018年 / 32卷

关键词：

policy change; cost-effectivness; Malawi; SIGN nail; skeletal traction; femur fracture; SYSTEMATIC ANALYSIS; GLOBAL BURDEN; 21; REGIONS; DISEASE; COUNTRIES; HEALTH; INCOME;

D O I：

10.1097/BOT.0000000000001299

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: The purpose of our study is to prospectively evaluate the cost effectiveness of intramedullary nailing compared with skeletal traction in a resource-limited setting where traction remains the most common definitive treatment. Methods: This multicenter, prospective multicenter investigation was conducted in Malawi at 2 central hospitals and 3 district hospitals. The project was divided into phases. In phase 1, the EuroQol-5D and SMFA were translated and validated in Chichewa. In phase 2, adult patents with OTA/AO 32 femur shaft fractures were prospectively enrolled, and a comparison of quality of life and functional status was made. In phase 3, a cost-effectiveness analysis was performed between those treated with intramedullary nail and those treated with skeletal traction. Conclusion: This study serves as an example of an economic study in orthopaedic surgery conducted in a resource-poor environment through academic collaboration.

引用

页码：S52 / S57

页数：6

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