2015
DOI: 10.3111/13696998.2015.1019887 View full text |Buy / Rent full text
Has correction 2015-8-28Has erratum 2015-8-28
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Abstract: 'Surgery Only' patients used significantly and substantially more healthcare services in treatment of fracture non-union. Conservative treatment with 'LIPUS only' for fracture non-union could potentially result in cost savings projected to roughly $1 billion dollars [corrected].

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“…A more recent study concluded that patients who received nonunion surgery had total medical costs that averaged $6289 higher than patients who received LIPUS only [36]. LIPUS-only treatment of nonunion was projected to result in a cost savings of $4 billion annually in the United States [36]. NICE concluded that ''successful use of [LIPUS] may eliminate the need for surgery and its associated complications'' [35].…”
Section: Discussionmentioning
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“…A more recent study concluded that patients who received nonunion surgery had total medical costs that averaged $6289 higher than patients who received LIPUS only [36]. LIPUS-only treatment of nonunion was projected to result in a cost savings of $4 billion annually in the United States [36]. NICE concluded that ''successful use of [LIPUS] may eliminate the need for surgery and its associated complications'' [35].…”
Section: Discussionmentioning
“…LIPUS use in such cases was calculated to result in a cost savings of $1726 per patient, due to avoidance of surgery [35]. A more recent study concluded that patients who received nonunion surgery had total medical costs that averaged $6289 higher than patients who received LIPUS only [36]. LIPUS-only treatment of nonunion was projected to result in a cost savings of $4 billion annually in the United States [36].…”
Section: Discussionmentioning
“…37 These studies supplement our results for the efficacy of LIPUS for treating scaphoid fractures both acutely, following surgery, and at the stage of nonunion. The economic appeal of LIPUS treatment was not directly measured in these studies; however, research by Mehta et al 27 showed a reduction in cost of over $6,000 when comparing operative with LIPUS treatment of fracture nonunions. Clinical efficacy and economic advantage thus contribute toward making LIPUS a viable treatment option for the orthopedic surgeon who is faced with a scaphoid nonunion in the face of a suboptimal or reluctant surgical candidate.…”
Section: Discussionmentioning
“…Unfortunately, 5–10% of fractures result in either nonunion or delayed union (2, 3). Moreover, the annual cost of treatment of bone fractures is up to $21 billion in the United States (4). Therefore, there is a critical need for novel therapies to accelerate bone fracture healing.…”
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