Cost-effectiveness of Operative Versus Non-operative Management of Acute Achilles Tendon Ruptures.

ABSTRACT:

Background

The management of acute Achilles tendon ruptures is controversial, and most injuries are treated with surgery in the USA. The cost utility of operative versus non-operative treatment of acute Achilles tendon injury is unclear.

Questions/purposes

The purpose of this study was to compare the cost-effectiveness of operative versus functional non-operative treatment of acute Achilles tendon ruptures.

Methods

A Markov cost-utility analysis was conducted from the societal perspective using a 2-year time horizon. Hospital costs were derived from New York State billing data, and physician and rehabilitation costs were derived from the Medicare physician fee schedule. Indirect costs of missed work were calculated using estimates from the US Bureau of Labor Statistic

SUBMITTER: Koltsov JCB 

PROVIDER: S-EPMC6974171 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature