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A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture

  • Authors:
    • Liang Ma
    • Lei Ma
    • Yu Chen
    • Yifeng Jiang
    • Qiang Su
    • Qian Wang
    • Yanhong Zhu
  • View Affiliations / Copyright

    Affiliations: School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, P.R. China, Department of Scientific Research Management, Shanghai General Hospital, Shanghai 200080, P.R. China, School of Economics and Management, Tongji University, Shanghai 200092, P.R. China
    Copyright: © Ma et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 1802-1812
    |
    Published online on: January 4, 2019
       https://doi.org/10.3892/etm.2019.7151
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Abstract

The aim of the present study was to compare the in‑hospital direct medical costs of patients with pelvic fracture treated with minimally invasive surgery (MIS) or open reduction and internal fixation (ORIF). A retrospective, single‑center, cohort, and comparative study was performed. Administrative information and clinical results, in addition to cost data, were collected and analyzed. A cost minimization analysis method was used to evaluate the costs of two different surgical techniques. A total of 128 patients diagnosed with pelvic fracture were included in this study; 62 were treated with MIS and 66 underwent ORIF. No significant difference was observed between the 2 groups in terms of patients' clinical baseline characteristics. The operative time, length of incision, intra‑operative blood loss, and post‑operative length of stay in the MIS group were significantly different compared with those in the ORIF group. The cost‑minimization analysis demonstrated that the cost effectiveness of MIS was better than ORIF as the MIS was associated with a significantly lower total in‑hospital direct medical cost ($8,900 vs. $5,786, P=0.032), compared with ORIF. The cost‑minimization analysis demonstrated that for similar clinical baseline characteristics as well as outcomes, there were differences in direct hospitalization cost of two surgical techniques, and MIS had a lower cost on average than ORIF.
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1 

Giannoudis PV, Grotz MR, Tzioupis C, Dinopoulos H, Wells GE, Bouamra O and Lecky F: Prevalence of pelvic fractures, associated injuries and mortality: The united kingdom perspective. J Trauma. 63:875–883. 2007. View Article : Google Scholar : PubMed/NCBI

2 

Poole GV, Ward EF, Muakkassa FF, Hsu HS, Griswold JA and Rhodes RS: Pelvic fracture from major blunt trauma. Outcome is determined by associated injuries. Ann Surg. 213:532–539. 1991. View Article : Google Scholar : PubMed/NCBI

3 

Gabbe BJ, de Steiger R, Esser M, Bucknill A, Russ MK and Cameron PA: Predictors of mortality following severe pelvic ring fracture: Results of a population-based study. Injury. 42:985–991. 2011. View Article : Google Scholar : PubMed/NCBI

4 

Pohlemann T, Stengel D, Tosounidis G, Reilmann H, Stuby F, Stöckle U, Seekamp A, Schmal H, Thannheimer A, Holmenschlager F, et al: Survival trends and predictors of mortality in severe pelvic trauma: Estimates from the german pelvic trauma registry initiative. Injury. 42:997–1002. 2011. View Article : Google Scholar : PubMed/NCBI

5 

Yoshihara H and Yoneoka D: Demographic epidemiology of unstable pelvic fracture in the united states from 2000 to 2009: Trends and in-hospital mortality. J Trauma Acute Care Surg. 76:380–385. 2014. View Article : Google Scholar : PubMed/NCBI

6 

White CE, Hsu JR and Holcomb JB: Haemodynamically unstable pelvic fractures. Injury. 40:1023–1030. 2009. View Article : Google Scholar : PubMed/NCBI

7 

Holstein JH, Culemann U and Pohlemann T: Working Group Mortality in Pelvic Fracture Patients: What are predictors of mortality in patients with pelvic fractures? Clin Orthop Relat Res. 470:2090–2097. 2012. View Article : Google Scholar : PubMed/NCBI

8 

Durkin A, Sagi HC, Durham R and Flint L: Contemporary management of pelvic fractures. Am J Surg. 192:211–223. 2006. View Article : Google Scholar : PubMed/NCBI

9 

El-Haj M, Bloom A, Mosheiff R, Liebergall M and Weil YA: Outcome of angiographic embolisation for unstable pelvic ring injuries: Factors predicting success. Injury. 44:1750–1755. 2013. View Article : Google Scholar : PubMed/NCBI

10 

Ooi CK, Goh HK, Tay SY and Phua DH: Patients with pelvic fracture: What factors are associated with mortality? Int J Emerg Med. 3:299–304. 2010. View Article : Google Scholar : PubMed/NCBI

11 

Pike C, Birnbaum HG, Schiller M, Sharma H, Burge R and Edgell ET: Direct and indirect costs of non-vertebral fracture patients with osteoporosis in the us. Pharmacoeconomics. 28:395–409. 2010. View Article : Google Scholar : PubMed/NCBI

12 

Hauschild O, Strohm PC, Culemann U, Pohlemann T, Suedkamp NP, Koestler W and Schmal H: Mortality in patients with pelvic fractures: Results from the German pelvic injury register. J Trauma. 64:449–455. 2008. View Article : Google Scholar : PubMed/NCBI

13 

Davis JM, Stinner DJ, Bailey JR, Aden JK and Hsu JR: Skeletal Trauma Research Consortium: Factors associated with mortality in combat-related pelvic fractures. J Am Acad Orthop Surg. 20 Suppl 1:S7–S12. 2012. View Article : Google Scholar : PubMed/NCBI

14 

Demetriades D, Karaiskakis M, Velmahos GC, Alo K, Murray J and Chan L: Pelvic fractures in pediatric and adult trauma patients: Are they different injuries? J Trauma. 54:1146–1151. 2003. View Article : Google Scholar : PubMed/NCBI

15 

Lunsjo K, Tadros A, Hauggaard A, Blomgren R, Kopke J and Abu-Zidan FM: Associated injuries and not fracture instability predict mortality in pelvic fractures: A prospective study of 100 patients. J Trauma. 62:687–691. 2007. View Article : Google Scholar : PubMed/NCBI

16 

Li CL: Clinical comparative analysis on unstable pelvic fractures in the treatment with percutaneous sacroiliac screws and sacroiliac joint anterior plate fixation. Eur Rev Med Pharmacol Sci. 18:2704–2708. 2014.PubMed/NCBI

17 

Chen HW, Liu GD, Fei J, Yi XH, Pan J, Ou S and Zhou JH: Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: A comparative study. J Orthop Sci. 17:580–587. 2012. View Article : Google Scholar : PubMed/NCBI

18 

Cole PA, Gauger EM, Anavian J, Ly TV, Morgan RA and Heddings AA: Anterior pelvic external fixator versus subcutaneous internal fixator in the treatment of anterior ring pelvic fractures. J Orthop Trauma. 26:269–277. 2012. View Article : Google Scholar : PubMed/NCBI

19 

Vaidya R, Colen R, Vigdorchik J, Tonnos F and Sethi A: Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: Initial clinical series. J Orthop Trauma. 26:1–8. 2012. View Article : Google Scholar : PubMed/NCBI

20 

Giannoudis PV, Grotz MR, Papakostidis C and Dinopoulos H: Operative treatment of displaced fractures of the acetabulum. A meta-analysis. J Bone Joint Surg Br. 87:2–9. 2005. View Article : Google Scholar : PubMed/NCBI

21 

Guthrie HC, Owens RW and Bircher MD: Fractures of the pelvis. J Bone Joint Surg Br. 92:1481–1488. 2010. View Article : Google Scholar : PubMed/NCBI

22 

Lindsay A, Tornetta P III, Diwan A and Templeman D: Is closed reduction and percutaneous fixation of unstable posterior ring injuries as accurate as open reduction and internal fixation? J Orthop Trauma. 30:29–33. 2016. View Article : Google Scholar : PubMed/NCBI

23 

Cole PA, Dyskin EA and Gilbertson JA: Minimally-invasive fixation for anterior pelvic ring disruptions. Injury. 46 Suppl 3:S27–S34. 2015. View Article : Google Scholar : PubMed/NCBI

24 

Bi C, Wang Q, Nagelli C, Wu J, Wang Q and Wang J: Treatment of unstable posterior pelvic ring fracture with pedicle screw-rod fixator versus locking compression plate: A comparative study. Med Sci Monit. 22:3764–3770. 2016. View Article : Google Scholar : PubMed/NCBI

25 

Vaidya R, Martin AJ, Roth M, Nasr K, Gheraibeh P and Tonnos F: Infix versus plating for pelvic fractures with disruption of the symphysis pubis. Int Orthop. 41:1671–1678. 2017. View Article : Google Scholar : PubMed/NCBI

26 

Drummond ME, Sculpher MJ and Torrance GW: Methods for the economic evaluations of health care programs, 3rd edition. J Epidemiol Commun Heath. 60:822–823. 2006.

27 

Elzohairy MM and Salama AM: Open reduction internal fixation versus percutaneous iliosacral screw fixation for unstable posterior pelvic ring disruptions. Orthop Traumatol Surg Res. 103:223–227. 2017. View Article : Google Scholar : PubMed/NCBI

28 

Wu T, Chen W, Zhang Q, Li X, Lv HZ, Yang G and Zhang YZ: Therapeutic effects of minimally invasive adjustable and locking compression plate for unstable pelvic fractures via posterior approach. Int J Clin Exp Med. 8:827–835. 2015.PubMed/NCBI

29 

Bramos A, Velmahos GC, Butt UM, Fikry K, Smith RM and Chang Y: Predictors of bleeding from stable pelvic fractures. Arch Surg. 146:407–411. 2011. View Article : Google Scholar : PubMed/NCBI

30 

Aprato A, Joeris A, Tosto F, Kalampoki V, Stucchi A and Massè A: Direct and indirect costs of surgically treated pelvic fractures. Arch Orthop Trauma Surg. 136:325–330. 2016. View Article : Google Scholar : PubMed/NCBI

31 

Wiedel AP, Norlund A, Petrén S and Bondemark L: A cost minimization analysis of early correction of anterior crossbite-a randomized controlled trial. Eur J Orthod. 38:140–145. 2016. View Article : Google Scholar : PubMed/NCBI

32 

Chien LC, Cheng HM, Chen WC and Tsai MC: Pelvic fracture and risk factors for mortality: A population-based study in Taiwan. Eur J Trauma Emerg Surg. 36:131–137. 2010. View Article : Google Scholar : PubMed/NCBI

33 

Johnsen NV, Penson DF, Reynolds WS, Milam DF, Dmochowski RR and Kaufman MR: Cost-effective management of pelvic fracture urethral injuries. World J Urol. 35:1617–1623. 2017. View Article : Google Scholar : PubMed/NCBI

34 

Engel GL: The need for a new medical model: A challenge for biomedicine. Science. 196:129–136. 1977. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Ma L, Ma L, Chen Y, Jiang Y, Su Q, Wang Q and Zhu Y: A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture. Exp Ther Med 17: 1802-1812, 2019.
APA
Ma, L., Ma, L., Chen, Y., Jiang, Y., Su, Q., Wang, Q., & Zhu, Y. (2019). A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture. Experimental and Therapeutic Medicine, 17, 1802-1812. https://doi.org/10.3892/etm.2019.7151
MLA
Ma, L., Ma, L., Chen, Y., Jiang, Y., Su, Q., Wang, Q., Zhu, Y."A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture". Experimental and Therapeutic Medicine 17.3 (2019): 1802-1812.
Chicago
Ma, L., Ma, L., Chen, Y., Jiang, Y., Su, Q., Wang, Q., Zhu, Y."A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture". Experimental and Therapeutic Medicine 17, no. 3 (2019): 1802-1812. https://doi.org/10.3892/etm.2019.7151
Copy and paste a formatted citation
x
Spandidos Publications style
Ma L, Ma L, Chen Y, Jiang Y, Su Q, Wang Q and Zhu Y: A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture. Exp Ther Med 17: 1802-1812, 2019.
APA
Ma, L., Ma, L., Chen, Y., Jiang, Y., Su, Q., Wang, Q., & Zhu, Y. (2019). A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture. Experimental and Therapeutic Medicine, 17, 1802-1812. https://doi.org/10.3892/etm.2019.7151
MLA
Ma, L., Ma, L., Chen, Y., Jiang, Y., Su, Q., Wang, Q., Zhu, Y."A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture". Experimental and Therapeutic Medicine 17.3 (2019): 1802-1812.
Chicago
Ma, L., Ma, L., Chen, Y., Jiang, Y., Su, Q., Wang, Q., Zhu, Y."A cost minimization analysis comparing minimally‑invasive with open reduction surgical techniques for pelvic ring fracture". Experimental and Therapeutic Medicine 17, no. 3 (2019): 1802-1812. https://doi.org/10.3892/etm.2019.7151
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