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Evaluation and economic impact analysis of different treatment options for ankle distortions in occupational accidents

Amaryllis Audenaert, Jente Prims, Genserik LL Reniers, Dirk Weyns, PETER MAHIEU and Emmanuel Audenaert UGent (2010) JOURNAL OF EVALUATION IN CLINICAL PRACTICE. 16(5). p.933-939
abstract
Rationale, aims and objectives: Appropriate use of diagnostic and treatment modalities are essential for rational use of resources. The aim of this study is to evaluate the use of diagnostic modalities and different treatment options and their economic impacts following an acute ankle distortion resulting from an occupational accident. We evaluated the type-of-treatment impact on the victims' course of recovery as well as its impact on the associated accident costs. Research was carried out in Belgium. Methods: An ankle distortion victims' database consisting of 200 cases of (Belgian) occupational accidents during the period 2005-2007 was analysed. Results: Patients who were prescribed immobilization or the use of adjuvant support or physical therapy (118 cases) were not employed during a period of 37 days on average, with a mean total cost of 3140.14 Euros caused by the ankle sprain. Patients without any adjuvant therapy (82 cases) were characterized by an unemployment rate of 15 days on average, and a total cost of 1077.86 Euros. Cast immobilization, although its application is not supported by evidence-based literature, was still applied in 36% of the population studied and resulted in the longest average absence of work of 42 days with an obvious significant increase in medical and total costs. Conclusions: Our results show a high rate of inappropriate use of cast immobilizations for ankle distortions. From an economic point of view and for the same clinical endpoint (being full resumption of the occupational activities), simple conventional treatment, consisting of rest, ice, compression and elevation at diagnosis with allowance of early weight bearing in the further clinical course, leads to the quickest full resumption of activities in combination with the lowest medical costs, if compared with any other kind of treatment.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
SPRAIN, INJURIES, DECISION RULES, treatment, guidelines, economic impact, ankle sprain, LIGAMENT, MOBILIZATION, RUPTURE, FOOT
journal title
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
J. Eval. Clin. Pract.
volume
16
issue
5
pages
933 - 939
Web of Science type
Article
Web of Science id
000281897100012
JCR category
MEDICINE, GENERAL & INTERNAL
JCR impact factor
1.003 (2010)
JCR rank
82/151 (2010)
JCR quartile
3 (2010)
ISSN
1356-1294
DOI
10.1111/j.1365-2753.2009.01231.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1062528
handle
http://hdl.handle.net/1854/LU-1062528
date created
2010-10-22 11:41:45
date last changed
2016-12-19 15:44:34
@article{1062528,
  abstract     = {Rationale, aims and objectives: Appropriate use of diagnostic and treatment modalities are essential for rational use of resources. The aim of this study is to evaluate the use of diagnostic modalities and different treatment options and their economic impacts following an acute ankle distortion resulting from an occupational accident. We evaluated the type-of-treatment impact on the victims' course of recovery as well as its impact on the associated accident costs. Research was carried out in Belgium.
Methods: An ankle distortion victims' database consisting of 200 cases of (Belgian) occupational accidents during the period 2005-2007 was analysed.
Results: Patients who were prescribed immobilization or the use of adjuvant support or physical therapy (118 cases) were not employed during a period of 37 days on average, with a mean total cost of 3140.14 Euros caused by the ankle sprain. Patients without any adjuvant therapy (82 cases) were characterized by an unemployment rate of 15 days on average, and a total cost of 1077.86 Euros. Cast immobilization, although its application is not supported by evidence-based literature, was still applied in 36\% of the population studied and resulted in the longest average absence of work of 42 days with an obvious significant increase in medical and total costs.
Conclusions: Our results show a high rate of inappropriate use of cast immobilizations for ankle distortions. From an economic point of view and for the same clinical endpoint (being full resumption of the occupational activities), simple conventional treatment, consisting of rest, ice, compression and elevation at diagnosis with allowance of early weight bearing in the further clinical course, leads to the quickest full resumption of activities in combination with the lowest medical costs, if compared with any other kind of treatment.},
  author       = {Audenaert, Amaryllis and Prims, Jente and Reniers, Genserik LL and Weyns, Dirk and MAHIEU, PETER and Audenaert, Emmanuel},
  issn         = {1356-1294},
  journal      = {JOURNAL OF EVALUATION IN CLINICAL PRACTICE},
  keyword      = {SPRAIN,INJURIES,DECISION RULES,treatment,guidelines,economic impact,ankle sprain,LIGAMENT,MOBILIZATION,RUPTURE,FOOT},
  language     = {eng},
  number       = {5},
  pages        = {933--939},
  title        = {Evaluation and economic impact analysis of different treatment options for ankle distortions in occupational accidents},
  url          = {http://dx.doi.org/10.1111/j.1365-2753.2009.01231.x},
  volume       = {16},
  year         = {2010},
}

Chicago
Audenaert, Amaryllis, Jente Prims, Genserik LL Reniers, Dirk Weyns, PETER MAHIEU, and Emmanuel Audenaert. 2010. “Evaluation and Economic Impact Analysis of Different Treatment Options for Ankle Distortions in Occupational Accidents.” Journal of Evaluation in Clinical Practice 16 (5): 933–939.
APA
Audenaert, A., Prims, J., Reniers, G. L., Weyns, D., MAHIEU, P., & Audenaert, E. (2010). Evaluation and economic impact analysis of different treatment options for ankle distortions in occupational accidents. JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 16(5), 933–939.
Vancouver
1.
Audenaert A, Prims J, Reniers GL, Weyns D, MAHIEU P, Audenaert E. Evaluation and economic impact analysis of different treatment options for ankle distortions in occupational accidents. JOURNAL OF EVALUATION IN CLINICAL PRACTICE. 2010;16(5):933–9.
MLA
Audenaert, Amaryllis, Jente Prims, Genserik LL Reniers, et al. “Evaluation and Economic Impact Analysis of Different Treatment Options for Ankle Distortions in Occupational Accidents.” JOURNAL OF EVALUATION IN CLINICAL PRACTICE 16.5 (2010): 933–939. Print.