Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus Injuries
Purpose: The economic implications of brachial plexus injuries (BPI) in the United States are not well understood. The purpose of our study was to quantify the direct costs associated with surgical treatment of BPI after traumatic injury in adults, which would enable future study of the societal val...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-03-01
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| Series: | Journal of Hand Surgery Global Online |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514119301501 |
| _version_ | 1818127437244923904 |
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| author | Christopher J. Dy, MD, MPH Nithya Lingampalli, BS Kate Peacock, BS Margaret A. Olsen, PhD, MPH Wilson Z. Ray, MD David M. Brogan, MD, MSc |
| author_facet | Christopher J. Dy, MD, MPH Nithya Lingampalli, BS Kate Peacock, BS Margaret A. Olsen, PhD, MPH Wilson Z. Ray, MD David M. Brogan, MD, MSc |
| author_sort | Christopher J. Dy, MD, MPH |
| collection | DOAJ |
| description | Purpose: The economic implications of brachial plexus injuries (BPI) in the United States are not well understood. The purpose of our study was to quantify the direct costs associated with surgical treatment of BPI after traumatic injury in adults, which would enable future study of the societal value of surgical reconstruction. Methods: Using an administrative database of patients with commercial insurance, a cohort of patients aged 18 to 64 years with BPI treated surgically from 2007 to 2015 was assembled and assessed for index admission associated with BPI surgery and all payments toward claims (including medical, surgical, therapy, and pharmacy claims) for 1 year after surgery. Results: Among 189 patients undergoing surgery for BPI, median direct payments were $38,816 (interquartile range: $18,209 to $72,411; minimum: $3,512; maximum: $732,641). Conclusions: Relative to recently published data for the indirect cost of traumatic BPI (median: $801,723), direct payments for 1 year after surgical treatment represent 4.6% of the total long-term cost of BPI. In the context of existing literature demonstrating cost-effectiveness in models of BPI surgical care, our data suggest that surgery and other interventions to maximize return to work after traumatic BPI in adults may be beneficial to society. Type of study/level of evidence: Economic and Decision Analyses IV. Key words: Brachial plexus injury, Cost of surgery, Surgical reconstruction, Trauma |
| first_indexed | 2024-12-11T07:17:20Z |
| format | Article |
| id | doaj.art-bc39383652c74f319bb6b077a32b428f |
| institution | Directory Open Access Journal |
| issn | 2589-5141 |
| language | English |
| last_indexed | 2024-12-11T07:17:20Z |
| publishDate | 2020-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj.art-bc39383652c74f319bb6b077a32b428f2022-12-22T01:16:12ZengElsevierJournal of Hand Surgery Global Online2589-51412020-03-01227779Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus InjuriesChristopher J. Dy, MD, MPH0Nithya Lingampalli, BS1Kate Peacock, BS2Margaret A. Olsen, PhD, MPH3Wilson Z. Ray, MD4David M. Brogan, MD, MSc5Department of Orthopaedic Surgery, Division of Hand and Microsurgery, Washington University School of Medicine, St Louis, MO; Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, St Louis, MO; Corresponding author: Christopher J. Dy, MD, MPH, Department of Orthopaedic Surgery, Division of Hand and Microsurgery, Washington University School of Medicine, 660 S Euclid Avenue, Campus Box 8233, St Louis, MO 63110.Department of Orthopaedic Surgery, Division of Hand and Microsurgery, Washington University School of Medicine, St Louis, MODepartment of Medicine, Center for Administrative Data Research, Washington University School of Medicine, St Louis, MODepartment of Internal Medicine, Division of Infectious Diseases, Washington University School of Medicine, St Louis, MODepartment of Neurosurgery, Washington University School of Medicine, St Louis, MODepartment of Orthopaedic Surgery, Division of Hand and Microsurgery, Washington University School of Medicine, St Louis, MOPurpose: The economic implications of brachial plexus injuries (BPI) in the United States are not well understood. The purpose of our study was to quantify the direct costs associated with surgical treatment of BPI after traumatic injury in adults, which would enable future study of the societal value of surgical reconstruction. Methods: Using an administrative database of patients with commercial insurance, a cohort of patients aged 18 to 64 years with BPI treated surgically from 2007 to 2015 was assembled and assessed for index admission associated with BPI surgery and all payments toward claims (including medical, surgical, therapy, and pharmacy claims) for 1 year after surgery. Results: Among 189 patients undergoing surgery for BPI, median direct payments were $38,816 (interquartile range: $18,209 to $72,411; minimum: $3,512; maximum: $732,641). Conclusions: Relative to recently published data for the indirect cost of traumatic BPI (median: $801,723), direct payments for 1 year after surgical treatment represent 4.6% of the total long-term cost of BPI. In the context of existing literature demonstrating cost-effectiveness in models of BPI surgical care, our data suggest that surgery and other interventions to maximize return to work after traumatic BPI in adults may be beneficial to society. Type of study/level of evidence: Economic and Decision Analyses IV. Key words: Brachial plexus injury, Cost of surgery, Surgical reconstruction, Traumahttp://www.sciencedirect.com/science/article/pii/S2589514119301501 |
| spellingShingle | Christopher J. Dy, MD, MPH Nithya Lingampalli, BS Kate Peacock, BS Margaret A. Olsen, PhD, MPH Wilson Z. Ray, MD David M. Brogan, MD, MSc Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus Injuries Journal of Hand Surgery Global Online |
| title | Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus Injuries |
| title_full | Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus Injuries |
| title_fullStr | Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus Injuries |
| title_full_unstemmed | Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus Injuries |
| title_short | Direct Cost of Surgically Treated Adult Traumatic Brachial Plexus Injuries |
| title_sort | direct cost of surgically treated adult traumatic brachial plexus injuries |
| url | http://www.sciencedirect.com/science/article/pii/S2589514119301501 |
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