Economics of facial fracture reductions in the United States over 12 months

Nalliah, Romesh; Allareddy, Veerajalandhar; Kim, Min Kyeong; Venugopalan, Shankar Rengasamy; Gajendrareddy, Praveen; Allareddy, Veerasathpurush

doi:10.1111/j.1600-9657.2012.01137.x

Cited by 47 publications

(41 citation statements)

References 16 publications

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“…With an average cost of $26,000 USD per patient, emphasis on reducing costs to both the patient and the provider is of great interest for treatment of mandible fractures(1). Generally, opening an operating room for a case incurs a fee in addition to the requisite personnel, anesthesia, and supply fees.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment of facial fractures costs the US healthcare system upwards of $1 billion yearly(1). In a study of 21,244 hospital admissions of patients who underwent treatment of a facial fracture in 2008, open reduction and internal fixation of mandible fractures represented 52.2% of these admissions at a mean hospital cost of about $50,000 per patient.…”

Section: Introductionmentioning

confidence: 99%

“…In a study of 21,244 hospital admissions of patients who underwent treatment of a facial fracture in 2008, open reduction and internal fixation of mandible fractures represented 52.2% of these admissions at a mean hospital cost of about $50,000 per patient. Closed reduction of mandible fractures comprised 12.1% of the above hospital admissions and cost about $26,000 per patient(1). Care for patients with mandibular injury is provided by multiple specialties, including Plastic Surgery (PRS), Oral and Maxillofacial Surgery (OMFS), and Otolaryngology (ENT).…”

Section: Introductionmentioning

confidence: 99%

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Maxillomandibular Fixation by Plastic Surgeons

Farber

Snyder‐Warwick

Skolnick

et al. 2016

Annals of Plastic Surgery

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Purpose Maxillomandibular fixation (MMF) can be performed using various techniques. Two common approaches utilized are arch bars and bone screws. Arch bars are the gold standard and inexpensive, but often require increased procedure time. Bone screws with wire fixation is a popular alternative, but more expensive than arch bars. The differences in costs of care, complications, and operative times between these two techniques are analyzed. Methods A chart review was conducted on patients treated over the last twelve years at our institution. 44 patients with CPT code 21453 (closed reduction of mandible fracture with interdental fixation) with an isolated mandible fracture were used in our data collection. The operating room (OR) costs, procedure duration, and complications for these patients were analyzed. Results Operative times were significantly shorter for patients treated with bone screws (p<0.002). The costs for one trip to the OR for either method of fixation did not show any significant differences (p<0.840). More patients with arch bar fixation (62%) required a second trip to the OR for removal in comparison to those with screw fixation (31%)(p<0.068). This additional trip to the OR added significant cost. There were no differences in patient complications between these two fixation techniques. Conclusions MMF with bone screws represents an attractive alternative to fixation with arch bars in appropriate scenarios. Screw fixation offers reduced costs, fewer trips to the OR, and decreased operative duration without a difference in complications. Cost savings were noted most significantly in a decreased need for secondary procedures in patients who were treated with MMF screws. Screw fixation offers potential for reducing the costs of care in treating patients with minimally displaced or favorable mandible fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Maxillomandibular Fixation by Plastic Surgeons

Farber

Snyder‐Warwick

Skolnick

et al. 2016

Annals of Plastic Surgery

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“…The variety of conditions that may produce FFs highlight the relevance and importance of this subject matter to a large percentage of the population. FFs are seen in individuals of all demographic groups and may be associated with a variety of conditions, including assaults, motor vehicle accidents, and accidental falls 5. The incidence of facial fractures is actually distributed in a normal curve, with peak incidence in 20 to 40 year olds 6…”

Section: Introductionmentioning

confidence: 99%

Readability assessment of internet‐based patient education materials related to facial fractures

Sanghvi¹,

Cherla²,

Shukla

et al. 2012

The Laryngoscope

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“…4 Furthermore, in 2008, the Healthcare Cost and Utilization Project Nationwide Inpatient Sample reported that facial fracture procedures accounted for 21,244 hospitalizations among 39.88 million admissions in the entire United States. 22 Moreover, traumatic facial injuries can result in issues with patient adjustment and adaptation through sequelae such as chronic pain and permanent facial disfiguration resulting in significant anxiety and depression. 20 With regard to the socioeconomic and individual impact of facial fractures on health care systems and industry (in terms of lost workdays and decreased productivity), continuous communication of data associated with facial trauma epidemiology is important to provide the necessary information for the development and evaluation of prevention actions aimed at reducing the incidence of facial injuries.…”

Section: Discussionmentioning

confidence: 99%