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A Bundled Payment Model for Pediatric Distal Radius Fractures: Defining an Episode of Care.


ABSTRACT:

Background

Distal radius fractures are the most common fracture of childhood, occurring in ∼1 per 100 children annually. Given the high incidence of these fractures, we explored feasibility of a bundled payment model. We determined the total treatment costs for each child and identified components of fracture management that contributed to variations in cost.

Methods

We retrospectively reviewed all hospital and physician costs related to the treatment of closed distal radius fractures at a large academic children's hospital. We included all children age 2 to 15 years treated by an orthopaedic surgeon for an isolated closed distal radius fracture between 2013 and 2015. We compared total treatment costs by fracture management approach. We then estimated the contribution of eac

SUBMITTER: Godfrey JM 

PROVIDER: S-EPMC6226020 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature