Evidence map›Paper›PMID 38033930›Full record

ArticleStrategies in trauma and limb reconstruction

How Much Does Paediatric Femoral Lengthening Cost? A Cost Comparison between Magnetic Lengthening Nails and External Fixators.

Mohamed Hafez, Nicolas Nicolaou, Amaka Offiah, Phillips Obasohan, Simon Dixon, Stephen Giles, Sanjeev Madan, James Alfred Fernandes

Open access · diamondAbstract read
In one paragraph

Article in Strategies in trauma and limb reconstruction. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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.

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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. What's new in pediatric lower limb reconstruction?Journal of children's orthopaedics · 2024
    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

8 authors at 4 institutions in 2 countries.

Mohamed HafezDepartment of Paediatric Trauma and Orthopaedic, Sheffield Children's Hospital, Sheffield, England, United Kingdom.ORCID https://orcid.org/0000-0001-9028-1296
Nicolas NicolaouDepartment of Paediatric Trauma and Orthopaedic, Sheffield Children's Hospital, Sheffield, England, United Kingdom.
Amaka OffiahDepartment of Oncology and Metabolism, University of Sheffield, Sheffield, United Kingdom.
Phillips ObasohanDepartment of Medical Statistics, School of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.
Simon DixonDepartment of Health Economics and Decision Science, School of Health and Related Research, Sheffield, United Kingdom.
Stephen GilesDepartment of Trauma and Orthopaedics, Sheffield Children's Hospital, Sheffield, England, United Kingdom.
Sanjeev MadanDepartment of Paediatric Limb Reconstruction, Sheffield Children's Hospital NHS Trust, Sheffield, England, United Kingdom.
James Alfred FernandesDepartment of Trauma and Orthopaedics, Sheffield Children's Hospital, Sheffield, England, United Kingdom.
Sheffield Children's Hospital · GBSheffield Children's NHS Foundation Trust · GBUniversity of Sheffield · GBDecision Sciences (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Motorised intramedullary lengthening nails are considered more expensive than external fixators for limb lengthening. This research aims to compare the cost of femoral lengthening in children using the PRECICE magnetic lengthening nail with external fixation. Methods: Retrospective analysis of 50 children who underwent femoral lengthening. One group included patients who were treated with PRECICE lengthening nails, the other group included patients who had lengthening with external fixation. Each group included 25 patients aged between 11 and 17 years. The patients in both groups were matched for age. Cost analysis was performed following micro-costing and analysis of the used resources during the different phases of the treatments. Results: Each group's mean patient age was 14.7 years. Lengthening nails were associated with longer operative times compared with external fixators, both for implantation and removal surgery ( Conclusion: The difference in the mean costs between femoral lengthening with lengthening nails versus external fixators was not statistically significant. Further research to review the effectiveness of the devices and the quality of life during the lengthening process is crucial for robust health economic evaluation. How to cite this article: Hafez M, Nicolaou N, Offiah A,

Indexed as

Cost analysisDistraction osteogenesisExternal fixator lengtheningFemoral lengtheningHybrid lengtheningIntramedullary lengtheningLengthening nailLimb lengtheningMotorised implantable nailShort stature

Identifiers

PMID38033930
PMCPMC10682557
OpenAlexW4378906875

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.