ArticlePlastic and reconstructive surgery2014
Economic analysis of revision amputation and replantation treatment of finger amputation injuries.
Article in Plastic and reconstructive surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
- Cost-utility studies in upper limb orthopaedic surgery: a systematic review of published literature.The bone & joint journal · 2018Pooled it
- Operative timing and surgical complexity in hand trauma: a multicenter analysis of replantation and non-replantation centers in Germany.Archives of orthopaedic and trauma surgery · 2026Article
- Proficiency and Difficulty Scoring Tools for Finger Replantation.JAMA network open · 2025Article
- An endemic threat of agricultural mechanization: Hand injuries caused by electric pruning shears.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Trends in Digit Replantation and Revision Amputation in the United States From 2009 to 2019.Journal of hand surgery global online · 2024Article
- Current trends in digital replantation-a narrative review.Annals of translational medicine · 2024Review
- Traumatic Finger Amputations: Epidemiology and Mechanism of Injury, 2010-2019.Hand (New York, N.Y.) · 2024Article
- Patient-Reported Mental Health Outcomes After Single-Digit Non-thumb Traumatic Amputation in Adults.Eplasty · 2023Article
- Great Toe Transplantation.Seminars in plastic surgery · 2022Review
- Preoperative Deficiency Anemia in Digital Replantation: A Marker of Disparities, Increased Length of Stay, and Hospital Cost.Journal of hand and microsurgery · 2022Article
- Variation in Surgeon Proficiency Scores and Association With Digit Replantation Outcomes.JAMA network open · 2021Article
- Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations.Journal of hand and microsurgery · 2020Article
- Disparities in Access to Care Following Traumatic Digit Amputation.Hand (New York, N.Y.) · 2020Article
- Perioperative Thromboprophylaxis in Digital Replantation: A Systematic Review.Plastic and reconstructive surgery. Global open · 2020Article
- Cost-Effectiveness of Initial Revision Digit Amputation Performed in the Emergency Department Versus the Operating Room.Hand (New York, N.Y.) · 2020Article
- Cost-effectiveness of Finger Replantation Compared With Revision Amputation.JAMA network open · 2019Article
- Bionic reconstruction : Restoration of extremity function with osseointegrated and mind-controlled prostheses.Wiener klinische Wochenschrift · 2019Article
- Article
- The Psychometric Properties of a Self-Administered, Open-Source Module for Valuing Metastatic Epidural Spinal Cord Compression Utilities.PharmacoEconomics - open · 2019Article
- Burden of Hand Maladies in US Emergency Departments.Hand (New York, N.Y.) · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe purpose of this study was to perform a cost-utility analysis to compare revision amputation and replantation treatment of finger amputation injuries across a spectrum of injury scenarios.
methodsThe study was conducted from the societal perspective. Decision tree models were created for the reference case (two-finger amputation injury) and seven additional injury scenarios for comparison. Inputs included cost, quality of life, and probability of each health state. A Web-based time trade-off survey was created to determine quality-adjusted life-years for health states; 685 nationally representative adult community members were invited to participate in the survey. Overall cost and quality-adjusted life-years for revision amputation and replantation were calculated for each decision tree. An incremental cost-effectiveness ratio was calculated if a treatment was more costly but more effective.
resultsThe authors had a 64 percent response rate (n = 437). Replantation treatment had greater costs and quality-adjusted life-years compared with revision amputation in all injury scenarios. Replantation of single-digit injuries had the highest incremental cost-effectiveness ratio ($136,400 per quality-adjusted life-year gained). Replantation of three- and four-digit amputation injuries had relatively low cost-to-benefit ratios ($27,100 and $23,800 per quality-adjusted life-year, respectively). Replantation for distal thumb amputation had a relatively low incremental cost-effectiveness ratio ($26,300 per quality-adjusted life-year) compared with replantation of nonthumb distal amputations ($60,200 per quality-adjusted life-year).
conclusionsThe relative cost per quality-adjusted life-year gained with replantation treatment varied greatly among the injury scenarios. Situations in which indications for replantation are debated had higher cost per quality-adjusted life-year gained. This study highlights variability in value for replantation among different injury scenarios.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.