Evidence map›Paper›PMID 36627128›Full record

ArticleCMAJ open

A population-based study of the direct longitudinal health care costs of upper extremity trauma in patients aged 18-65 years.

Heather L Baltzer, Gillian Hawker, Priscila Pequeno, J Charles Victor, Murray Krahn

Erratum issuedAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Heather L BaltzerDepartment of Surgery (Baltzer), University of Toronto; University Health Network (Baltzer); Women's College Research Institute (Hawker); Institute of Health Policy, Management and Evaluation (Hawker, Victor), University of Toronto; ICES Central (Pequeno, Victor, Krahn); Toronto Health Economics and Technology Assessment Collaborative (Krahn, Baltzer), University of Toronto, Toronto, Ont. heather.baltzer@uhn.ca.
Gillian HawkerDepartment of Surgery (Baltzer), University of Toronto; University Health Network (Baltzer); Women's College Research Institute (Hawker); Institute of Health Policy, Management and Evaluation (Hawker, Victor), University of Toronto; ICES Central (Pequeno, Victor, Krahn); Toronto Health Economics and Technology Assessment Collaborative (Krahn, Baltzer), University of Toronto, Toronto, Ont.
Priscila PequenoDepartment of Surgery (Baltzer), University of Toronto; University Health Network (Baltzer); Women's College Research Institute (Hawker); Institute of Health Policy, Management and Evaluation (Hawker, Victor), University of Toronto; ICES Central (Pequeno, Victor, Krahn); Toronto Health Economics and Technology Assessment Collaborative (Krahn, Baltzer), University of Toronto, Toronto, Ont.
J Charles VictorDepartment of Surgery (Baltzer), University of Toronto; University Health Network (Baltzer); Women's College Research Institute (Hawker); Institute of Health Policy, Management and Evaluation (Hawker, Victor), University of Toronto; ICES Central (Pequeno, Victor, Krahn); Toronto Health Economics and Technology Assessment Collaborative (Krahn, Baltzer), University of Toronto, Toronto, Ont.
Murray KrahnDepartment of Surgery (Baltzer), University of Toronto; University Health Network (Baltzer); Women's College Research Institute (Hawker); Institute of Health Policy, Management and Evaluation (Hawker, Victor), University of Toronto; ICES Central (Pequeno, Victor, Krahn); Toronto Health Economics and Technology Assessment Collaborative (Krahn, Baltzer), University of Toronto, Toronto, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUpper extremity (UE) trauma represents a common reason for emergency department visits, but the longitudinal economic burden of this public health issue is unknown. This study assessed the 3-year attributable health care use and expenditure after UE trauma requiring acute surgical intervention, with specific focus on injuries that affect function of the hand and wrist.

methodsWe conducted an incidence-based, propensity score-matched cohort study (2006-2014) in Ontario, Canada, using linked administrative health care data to identify case patients and matched control patients. We matched adults with hand, wrist and UE nerve trauma requiring surgery 1:4 to control patients. We compared total direct health care costs, including 1-year pre-index costs, between case and control patients using a differences-in-difference methodology. The primary outcome was attributable health care costs within 3 years of injury.

resultsWe matched patients with trauma (

interpretationHealth care expenditure increased more than fivefold in the year after UE trauma surgery and remained greater than the matched cohort for the subsequent 2 years. Those with more serious injuries and post-injury visits for mental health were associated with higher costs, requiring further study for this public health issue. The mean 1-year pre-injury and 1-year post-injury total costs were $1710 and $9350, respectively.

Indexed as

Delivery of Health CareHealth Care CostsAdultCohort StudiesHumansOntarioUpper Extremity

Identifiers

PMID36627128
PMCPMC9842100

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.