Costs and Consequences of Three Common Orthopedic Procedures on the Upper Extremity

NCT01954433 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 450

Last updated 2020-10-22

No results posted yet for this study

Summary

This study compares costs and effectiveness / utility of three common orthopedic surgeries in shoulder and hand from the perspective of the Swiss health system and the clinic.

The cost of health care is continuously rising, making economic considerations part of the decision process, in particular for the allocation of available resources. However, cost-effectiveness and cost-utility studies of interventions in the upper extremities are rare. The purpose of this study is to gain more information and to provide a basis for the decision process.

Conditions

  • Degenerative Arthritis of Left Glenohumeral Joint
  • Degenerative Arthritis of Right Glenohumeral Joint
  • Rotator Cuff Tear Arthropathy
  • Rotator Cuff Tear
  • Trapeziometacarpal Osteoarthritis

Interventions

PROCEDURE

Operated TSA Patients

Total shoulder prosthesis: Anatomic or reverse total shoulder replacement is a well-standardized procedure usually performed under general anesthesia with the patient in a beach-chair position

PROCEDURE

Operated RCR Patients

Arthroscopic rotator cuff tear reconstruction. The shoulder arthroscopy is performed according to internal and international standard procedure with patients positioned in beach-chair position under general anesthesia.

PROCEDURE

Resection interposition suspension arthroplasty (RISA)

One of five surgical techniques can be used in this study, as routinely performed by each surgeon: 1. RISA with FCR-Ligament (flexor carpi radialis ligament) modified according to Epping 2. RISA with FCR-Ligament modified according to Weilby 3. RISA with APL-Ligament (abductor pollicis longus ligament) 4. RISA with Graftjacket modified according to Weilby 5. Resection arthroplasty

Sponsors & Collaborators

  • Winterthur Institute of Health Economics (WIG), Switzerland

    collaborator UNKNOWN
  • Schulthess Klinik

    lead OTHER

Principal Investigators

  • Matthias P Flury, Dr. med. · Schulthess Klinik

  • Laurent Audigé, DVM PhD · Schulthess Klinik

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2013-11-30
Primary Completion
2019-06-07
Completion
2020-10-12

Countries

  • Switzerland

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01954433 on ClinicalTrials.gov