TY - JOUR
T1 - Resource utilization in clubfoot management
AU - Halanski, Matthew A.
AU - Huang, Jen Chen
AU - Walsh, Stewart J.
AU - Crawford, Haemish A.
PY - 2009/5
Y1 - 2009/5
N2 - Both private and socialized healthcare systems require treatments to be not only effective, but also cost-efficient. Although the Ponseti method of clubfoot treatment is effective, its cost-effectiveness has not been demonstrated. We compared the difference in resource use between two prospective cohorts treated for clubfoot by either the Ponseti method or below-knee casting followed by primary surgical release in the socialized healthcare system of New Zealand. Using these cohorts and US billing data, costs of treating these cohorts in the US healthcare system were also calculated. Treatment of initial deformity, recurrences, and complications in both cohorts were included in the final assessment. Twenty-six patients (40 feet) were enrolled in the Ponseti cohort and 29 (46 feet) in the primary surgical cohort. For most patients, the Ponseti method was more cost-effective than the primary surgical treatment in both healthcare systems. The cost of treating both cohorts was lower in the socialized system than in the US healthcare system. Level of Evidence: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
AB - Both private and socialized healthcare systems require treatments to be not only effective, but also cost-efficient. Although the Ponseti method of clubfoot treatment is effective, its cost-effectiveness has not been demonstrated. We compared the difference in resource use between two prospective cohorts treated for clubfoot by either the Ponseti method or below-knee casting followed by primary surgical release in the socialized healthcare system of New Zealand. Using these cohorts and US billing data, costs of treating these cohorts in the US healthcare system were also calculated. Treatment of initial deformity, recurrences, and complications in both cohorts were included in the final assessment. Twenty-six patients (40 feet) were enrolled in the Ponseti cohort and 29 (46 feet) in the primary surgical cohort. For most patients, the Ponseti method was more cost-effective than the primary surgical treatment in both healthcare systems. The cost of treating both cohorts was lower in the socialized system than in the US healthcare system. Level of Evidence: Level II, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
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U2 - 10.1007/s11999-008-0674-9
DO - 10.1007/s11999-008-0674-9
M3 - Article
C2 - 19172369
AN - SCOPUS:64849083918
SN - 0009-921X
VL - 467
SP - 1171
EP - 1179
JO - Clinical Orthopaedics and Related Research
JF - Clinical Orthopaedics and Related Research
IS - 5
ER -