Cost-effectiveness of cast treatment vs. surgery in elderly patients with substantially displaced intra-articular distal radius fractures: A trial-based economic evaluation

Although cast treatment had lower direct costs, these were offset by higher informal and secondary care costs. Surgical treatment offered clinically relevant short-term benefits. From a societal perspective, surgery appears to be the more favorable option for elderly patients with displaced distal radius fractures.

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Publication Details

Journal
PLoS ONE
Published
2026-01-30
DOI
https://doi.org/10.1371/journal.pone.0339489
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
Field-Weighted Citation Impact
0.00

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article

Cost-effectiveness of cast treatment vs. surgery in elderly patients with substantially displaced intra-articular distal radius fractures: A trial-based economic evaluation

Johanna M. van Dongen, Gerald Arnoldus Kraan, Nienke W. Willigenburg, Dirk P. ter Meulen et al.
PLoS ONE
Orthopedic Surgery and Rehabilitation
article

Cost-effectiveness of cast treatment vs. surgery in elderly patients with substantially displaced intra-articular distal radius fractures: A trial-based economic evaluation

Johanna M. van Dongen, Gerald Arnoldus Kraan, Nienke W. Willigenburg, Dirk P. ter Meulen, Niels W.L. Schep, on behalf of the AMORE Study Group, Rudolf W. Poolman, J. Carel Goslings, Ydo V. Kleinlugtenbelt
article en

Abstract

Although cast treatment had lower direct costs, these were offset by higher informal and secondary care costs. Surgical treatment offered clinically relevant short-term benefits. From a societal perspective, surgery appears to be the more favorable option for elderly patients with displaced distal radius fractures.

PLoS ONEVol. 21(1)
Leiden University Medical Center (NL), Reinier de Graaf Hospital (NL), OLVG (NL), Maasstad Ziekenhuis (NL), Deventer Ziekenhuis (NL), Vrije Universiteit Amsterdam (NL)
Amsterdam University Medical Centers, ZonMw
Decent work and economic growth
Openalex Percentile: Top 73%
Orthopedic Surgery and Rehabilitation
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