Healthcare utilization and related cost of midshaft clavicle fracture treatment in Belgium

Healthcare utilization and related cost of midshaft clavicle fracture treatment in Belgium

Introduction The debate regarding the economic impact and cost effectiveness of surgical midshaft clavicle fracture treatment is ongoing. Variations exist between healthcare systems in terms of financing, provider payment mechanism and the role of the government in all of this. Therefore, the primar...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) Vol. 47; no. 4; pp. 1281 - 1287
Main Authors: Herteleer, Michiel, De Jaegere, Anaïs, Winckelmans, Thomas, Casteur, Hans, Nijs, Stefaan, Hoekstra, Harm
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-08-2021
Springer Nature B.V
Subjects:
Costs
Critical Care Medicine
Emergency Medicine
Fractures
Health services utilization
Intensive
Medicine
Medicine & Public Health
Original Article
Sports Medicine
Surgery
Surgical Orthopedics
Traumatic Surgery
Variables
Belgium
Complication
Cost analysis
Healthcare utilization
Clavicle fracture
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Summary:Introduction The debate regarding the economic impact and cost effectiveness of surgical midshaft clavicle fracture treatment is ongoing. Variations exist between healthcare systems in terms of financing, provider payment mechanism and the role of the government in all of this. Therefore, the primary aim of our study was to describe the in-hospital-related healthcare costs associated with midshaft clavicle fracture treatment in Belgium. The secondary aim was to define those clinical variables that drive the costs related to surgically treated clavicle fractures and define strategies that could reduce these costs. Patients and methods A total of 345 patients with a midshaft clavicle fracture were included in the study. We selected 17 clinical variables and 5 cost categories were defined. Three multivariate linear models were built to determine which parameters drive the costs. Results The median total healthcare cost for non-operatively treated patients was €367 and the median total cost for operatively treated patients was €3296. The length-of-stay was the most important variable that predicted the total cost. The clinical variables Number of fracture fragments, Delayed Stage Surgery, Revision Surgery and Infection most influenced the length-of-stay. Discussion In conclusion, the initial healthcare utilization cost of operatively treated midshaft clavicle fractures is larger than that of non-operatively treated fractures. The length-of-stay is the most important parameter that drives the cost and is predominantly influenced by patients’ age, fracture complexity and complications requiring a surgical re-intervention. Level of evidence III.
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ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-020-01307-2