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Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,

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Page 1: Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,

Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures

by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser, and Kevin J. Bozic

J Bone Joint Surg AmVolume 96(19):1612-1620

October 1, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,

AO classification of intertrochanteric (type 31-A) femoral fractures.

Eric Swart et al. J Bone Joint Surg Am 2014;96:1612-1620

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,

Decision tree model used to predict cost and outcome as a function of fixation type.

Eric Swart et al. J Bone Joint Surg Am 2014;96:1612-1620

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,

Relationship between the incremental failure rate with sliding hip screws (SHS) and the incremental cost-effectiveness ratio (ICER) of intramedullary nail use.

Eric Swart et al. J Bone Joint Surg Am 2014;96:1612-1620

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,

Two-way sensitivity analysis evaluating the relationship of the additional cost of the intramedullary nail (IMN) (compared with that of the sliding hip screw [SHS]) versus the

incremental failure risk of the sliding hip screw needed to offset the additional...

Eric Swart et al. J Bone Joint Surg Am 2014;96:1612-1620

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,

Cost acceptability curve depicting the results of the probabilistic statistical analysis for three different fracture types.

Eric Swart et al. J Bone Joint Surg Am 2014;96:1612-1620

©2014 by The Journal of Bone and Joint Surgery, Inc.