Evidence map›Paper›PMID 25909303›Full record

ArticlePlastic and reconstructive surgery2015

A 5-Year Cost-Effectiveness Analysis of Silicone Metacarpophalangeal Arthroplasty in Patients with Rheumatoid Arthritis.

Lee Squitieri, Kevin C Chung, David W Hutton, Patricia B Burns, H Myra Kim, Elham Mahmoudi

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00124254 (An Outcome Study of Rheumatoid Hand Arthroplasty), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT00124254 nacompletednot on this map

An Outcome Study of Rheumatoid Hand Arthroplasty

TypeinterventionalSponsorUniversity of MichiganRan2003 to 2017Enrolled170ConditionsArthritis, RheumatoidArmsSilicone metacarpophalangeal joint arthroplasty, Usual care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Functional Outcomes for Meniscal Allograft Interposition Arthroplasty of the Hand.Plastic and reconstructive surgery. Global open · 2021
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Lee SquitieriLos Angeles, Calif.; and Ann Arbor, Mich. From the Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Southern California; the Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles; the Department of Surgery, Section of Plastic Surgery, and the Center for Statistical Consultation and Research, University of Michigan; and the Section of Plastic Surgery, University of Michigan Medical School.
Kevin C Chung
David W Hutton
Patricia B Burns
H Myra Kim
Elham Mahmoudi
Robert Wood Johnson Foundation · USUniversity of California, Los Angeles · USUniversity of Michigan–Ann Arbor · US

Funding

An Outcome Study of Rheumatoid Hand ArthroplastyR01AR047328 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2003 to 2016
$3.1M
Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS 2K24 AR053120-06NIAMS NIH HHS 2R01 AR047328-06NIAMS NIH HHS K24 AR053120NIAMS NIH HHS R01 AR047328
6 · The paper itself

Abstract

backgroundThere is a paucity of research evaluating the cost-effectiveness of surgical interventions for rheumatoid arthritis patients. Previous reports have challenged the sustainability of improved outcomes after silicone metacarpophalangeal arthroplasty. The authors conducted an economic evaluation of the long-term health outcomes after silicone metacarpophalangeal arthroplasty.

methodsThe authors performed a 5-year prospective cohort study of 170 patients with rheumatoid arthritis (73 surgical and 97 nonsurgical). Objective functional measurements and patient-rated outcomes using the Michigan Hand Outcomes Questionnaire and the Arthritis Impact Measurement Scale 2 were collected at 3 and 5 years. A cost-effectiveness analysis using direct costs from Medicare outpatient claims data (2006 to 2010) was performed to estimate the incremental cost-effectiveness ratios for both the Michigan and Arthritis Impact Measurement Scale 2 measurements.

resultsAt 5 years, the authors observed a statistically significant difference in upper extremity outcomes (Michigan Hand Outcomes Questionnaire) between the two groups, with surgical patients having higher outcomes. Costs associated with improved outcomes 5 years after surgery were $787 to $1150 when measured by the Michigan Hand Outcomes Questionnaire and $49,843 to $149,530 when measured by the Arthritis Impact scale. The incremental cost-effectiveness ratios did not substantially increase with their observed surgical revision rate of 5.5 percent (approximately 4 percent increase in incremental cost-effectiveness ratio) or with previously published long-term revision rates of 6.2 percent (approximately 6 percent increase in incremental cost-effectiveness ratio).

conclusionsShort-term improvements in upper extremity outcomes after silicone metacarpophalangeal arthroplasty are maintained over the 5-year follow-up period. These outcomes are achieved at a relatively low cost, even with the addition of potential surgical complications.

Indexed as

Health Care CostsAgedArthritis, RheumatoidArthroplastyCohort StudiesCost-Benefit AnalysisFemaleHand StrengthHumansMaleMetacarpophalangeal JointMiddle AgedPain MeasurementPostoperative PainProspective StudiesRadiography

Identifiers

PMID25909303
PMCPMC4804714
OpenAlexW2329950989

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.