Direct, indirect and intangible costs of acute hand and wrist injuries: A systematic review

Robinson, Luke; Sarkies, Mitchell; Brown, Ted; O’Brien, Lisa

doi:10.1016/j.injury.2016.09.041

Cited by 78 publications

(61 citation statements)

References 57 publications

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“…These were made up of direct medical costs and significant indirect costs (e.g. lost productivity) in both study designs …”

Section: Introductionmentioning

confidence: 99%

“…lost productivity) in both study designs. 2,6 Appropriate management of acute hand and wrist injuries in the ED is critical, as mismanagement in the early phases of injury may result in long-term disability, loss of work and/or income, reduced quality of life, psychological issues and withdrawal from society in extreme cases. 7 The level of specialised training in the assessment of hand injuries is reported to influence diagnostic accuracy, 1 which is important to consider in the ED setting when patients are assessed by various professions with varying levels of experience and at the time of maximal pain and swelling.…”

Section: Introductionmentioning

confidence: 99%

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Review article: Best practice management of closed hand and wrist injuries in the emergency department (part 5 of the musculoskeletal injuries rapid review series)

Strudwick

McPhee

Bell

et al. 2018

Emerg Medicine Australasia

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Acute hand and wrist injuries are a common presentation to the ED and are associated with large individual and societal costs. Appropriate management of these injuries in the ED is crucial given that optimal hand function is essential for daily activities and quality of life. This rapid review investigated best practice for the assessment and management of common closed hand and wrist injuries in the ED. Databases were searched in 2017, including PubMed, CINAHL, EMBASE, TRIP and the grey literature, including relevant organisational websites. Primary studies, systematic reviews and guidelines published in English language in the past 12 years that addressed the acute assessment, management, follow-up plan or prognosis were considered for inclusion. Data extraction of included articles was conducted, followed by quality appraisal to rate the level of evidence. The search revealed 2454 articles, of which 55 were included in the review (n = 23 primary articles, n = 26 systematic reviews and n = 6 guidelines). This rapid review provides clinicians who manage common closed fractures and soft tissue injuries of the hand and wrist in the ED, a summary of the best available evidence to enhance the quality of care for optimal patient outcomes. There is evidence to support taking a thorough history and physical examination with consideration of occupational and functional factors, restoring alignment and immobilising when necessary and referring onwards. Key points regarding the diagnosis and management of these injuries are provided.

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“…These were made up of direct medical costs and significant indirect costs (e.g. lost productivity) in both study designs …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Review article: Best practice management of closed hand and wrist injuries in the emergency department (part 5 of the musculoskeletal injuries rapid review series)

Strudwick

McPhee

Bell

et al. 2018

Emerg Medicine Australasia

View full text Add to dashboard Cite

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“…It is suggested that hand and wrist injuries represent the most significant economic burden, more so than skull‐brain and hip‐lower limb injuries, due to the substantial costs associated with loss of productivity . In the United States alone, the median cost for all hand and wrist injuries is reportedly $6951 for cost‐of‐illness, and $8297 for health economic evaluations . Improving outcomes and reducing the burden of cost associated with these injuries, is therefore, a priority.…”

Section: Introductionmentioning

confidence: 99%

“…2 In the United States alone, the median cost for all hand and wrist injuries is reportedly $6951 for cost-of-illness, and $8297 for health economic evaluations. 3 Improving outcomes and reducing the burden of cost associated with these injuries, is therefore, a priority.…”

Section: Introductionmentioning

confidence: 99%

Influence of steel implant surface microtopography on soft and hard tissue integration

et al. 2017

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After implantation of an internal fracture fixation device, blood contacts the surface, followed by protein adsorption, resulting in either soft-tissue adhesion or matrix adhesion and mineralization. Without protein adsorption and cell adhesion under the presence of micro-motion, fibrous capsule formation can occur, often surrounding a liquid filled void at the implant-tissue interface. Clinically, fibrous capsule formation is more prevalent with electropolished stainless steel (EPSS) plates than with current commercially pure titanium (cpTi) plates. We hypothesize that this is due to lack of micro-discontinuities on the standard EPSS plates. To test our hypothesis, four EPSS experimental surfaces with varying microtopographies were produced and characterized for morphology using the scanning electron microscope, quantitative roughness analysis using laser profilometry and chemical analysis using X-ray photoelectron spectroscopy. Clinically used EPSS (smooth) and cpTi (microrough) were included as controls. Six plates of each type were randomly implanted, one on both the left and right intact tibia of 18 white New Zealand rabbits for 12 weeks, to allow for a surface interface study. The results demonstrate that the micro-discontinuities on the upper surface of internal steel fixation plates reduced the presence of liquid filled voids within soft-tissue capsules. The micro-discontinuities on the plate under-surface increased bony integration without the presence of fibrous tissue interface. These results support the hypothesis that the fibrous capsule and the liquid filled void formation occurs mainly due to lack of micro-discontinuities on the polished smooth steel plates and that bony integration is increased to surfaces with higher amounts of micro-discontinuities. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 705-715, 2018.

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“…El yaralanmaları ve hastalıkları işlev kaybı, ağrı ve anksiyeteye sebep olarak bireyin yaşam kalitesini bozmaktadır. İşlev kaybı iyileşmediği sürece toplum için ekonomik yük oluşturmaktadır (3). Bu sebepten el yaralanmalarında erken ve etkili tedavi uygulanmalıdır.…”

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The profile of patients presenting at a Hand Surgery Clinic of University Hospital in the province of Van

Arik¹,

Coşkun²

2018

Van Med J

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GirişOrtopedik travmaların %60'dan fazlası üst ekstremiteyi ilgilendirmektedir. Bu yaralanmaların yarıdan fazlası el ve el bilek düzeyindedir (1-2). Tanı hastanın klinik bulguları ve dikkatli bir fizik muayene ile konmaktadır. ÖZET Amaç: Bu araştırmanın amacı, bir üniversite hastanesinin El Cerrahisi Kliniğine Van ve çevre illerden başvuran hastaların profilini tanımlayarak, Türkiye'nin epidemiyolojik verilerine katkıda bulunmaktır. Gereç ve Yöntem: Çalışmaya El Cerrahisi Kliniğine başvuran 205 hasta (151 poliklinik, 54 Acil Servis) dâhil edildi. Politravma olup konsülte edilen, servikal radikülopatiye ve yanığa bağlı üst ekstremite yakınmaları olan hastalar çalışma dışı tutuldu. Hastaların verileri sosyodemografik veri formu kullanılarak kaydedildi. Acil ve polikliniğe gelen hastalara ait verilerden kategorik değişkenler arasındaki fark z-testi ile sayısal değişkenlerin ortalamaları arasındaki fark ise t-testi ile araştırılmıştır. Bulgular: Polikliniğe başvuranların hastaların % 25.8'i kadın,%43'ü erkek ve % 31.1'i çocuktu. Yaş ortalaması 25.6 idi. Hastaların %64.9'ü el seviyesinde travmatik yaralanma veya edinsel hastalığa sahipti. Hastaların %39.6'u işçi idi ve %65.4'ü düşük gelir düzeyine sahipti. Acile başvuran hastaların %7.4'ü kadın, %70.3'ü erkek %22.2'si çocuktu. Yaş ortalaması 26.8 idi. Hastaların %83.3'ünde el ve parmak düzeyinde yaralanma mevcuttu. Hastaların %65.9'u işçi idi ve %73.8'i düşük gelir düzeyine sahip idi. Hastaların %48.1'i adli vaka olarak kaydedilmişti. Sonuç: Doğu Anadolu bölgesinde el yaralanma ve hastalıklarını çoğunlukla genç erkek ve işçi nüfus ile düşük gelir durumuna sahip hastalarda görülmektedir. Bu çalışmanın, bölge ve ülke genelinde yapılacak olan epidemiyolojik çalışmalara katkı sağlayacağı düşünülmektedir.Anahtar Sözcükler: Doğu Anadolu Bölgesi, el cerrahisi kliniği, hasta profili ABSTRACT Objectives: By identifying the profile of patients presenting at a Hand Surgery Clinic in the province of Van, it was aimed to contribute to the epidemiological data in Turkey. Material and Methods:Our study included 205 patients (151 polyclinic, 54 Emergency Dept.) who presented at the Hand Surgery Clinic. Patients were excluded if they had polytrauma or upper extremity injuries associated with cervical radiculopathy or burn injury. The patient data were recorded via sociodemographic data form. To test the differences between the data of polyclinic and emergency department patients; t-test used for categorical data and z-test used to for the means of numeric data. Results:The patients presenting at the polyclinic comprised 25.8% females, 43% males and 31.1% children. The mean age was 25.6 years. In 64.9% of the patients, there was injury or disease at the level of the hand. Of these patients, 39.6% were manual labors and 65.3% had a low income level. The patients who presented at the Emergency Department comprised 7.4% females, 70.3% males and 22.2% children. The mean age of these patients was 26.8 years and there was injury to the hand and fingers in 83.3%. 65.9% were manual labors and ...

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Direct, indirect and intangible costs of acute hand and wrist injuries: A systematic review

Cited by 78 publications

References 57 publications

Review article: Best practice management of closed hand and wrist injuries in the emergency department (part 5 of the musculoskeletal injuries rapid review series)

Review article: Best practice management of closed hand and wrist injuries in the emergency department (part 5 of the musculoskeletal injuries rapid review series)

Influence of steel implant surface microtopography on soft and hard tissue integration

The profile of patients presenting at a Hand Surgery Clinic of University Hospital in the province of Van

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