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The Bone & Joint Journal
Vol. 100-B, Issue 11 | Pages 1416 - 1423
1 Nov 2018
Rajan PV Qudsi RA Dyer GSM Losina E

Aims

The aim of this study was to assess the quality and scope of the current cost-effectiveness analysis (CEA) literature in the field of hand and upper limb orthopaedic surgery.

Materials and Methods

We conducted a systematic review of MEDLINE and the CEA Registry to identify CEAs that were conducted on or after 1 January 1997, that studied a procedure pertaining to the field of hand and upper extremity surgery, that were clinical studies, and that reported outcomes in terms of quality-adjusted life-years. We identified a total of 33 studies that met our inclusion criteria. The quality of these studies was assessed using the Quality of Health Economic Analysis (QHES) scale.


Bone & Joint 360
Vol. 6, Issue 3 | Pages 21 - 24
1 Jun 2017


Bone & Joint 360
Vol. 8, Issue 4 | Pages 29 - 32
1 Aug 2019


Bone & Joint 360
Vol. 8, Issue 4 | Pages 25 - 29
1 Aug 2019


Bone & Joint 360
Vol. 8, Issue 3 | Pages 29 - 31
1 Jun 2019


Bone & Joint 360
Vol. 8, Issue 3 | Pages 13 - 16
1 Jun 2019


Bone & Joint 360
Vol. 6, Issue 2 | Pages 18 - 20
1 Apr 2017


Bone & Joint 360
Vol. 5, Issue 4 | Pages 23 - 25
1 Aug 2016


Bone & Joint 360
Vol. 5, Issue 6 | Pages 27 - 29
1 Dec 2016


Bone & Joint 360
Vol. 7, Issue 6 | Pages 21 - 23
1 Dec 2018


Bone & Joint 360
Vol. 5, Issue 3 | Pages 12 - 14
1 Jun 2016


Bone & Joint 360
Vol. 6, Issue 1 | Pages 19 - 21
1 Feb 2017


Bone & Joint 360
Vol. 7, Issue 3 | Pages 38 - 39
1 Jun 2018
Das A


Bone & Joint 360
Vol. 7, Issue 4 | Pages 22 - 25
1 Aug 2018


Bone & Joint 360
Vol. 7, Issue 3 | Pages 18 - 21
1 Jun 2018


The Bone & Joint Journal
Vol. 98-B, Issue 8 | Pages 1009 - 1010
1 Aug 2016
Haddad FS


Bone & Joint 360
Vol. 7, Issue 3 | Pages 21 - 24
1 Jun 2018


The Journal of Bone & Joint Surgery British Volume
Vol. 94-B, Issue 9 | Pages 1246 - 1252
1 Sep 2012
Penning LIF de Bie RA Walenkamp GHIM

A total of 159 patients (84 women and 75 men, mean age of 53 (20 to 87)) with subacromial impingement were randomised to treatment with subacromial injections using lidocaine with one of hyaluronic acid (51 patients), corticosteroid (53 patients) or placebo (55 patients). Patients were followed up for 26 weeks. The primary outcome was pain on a visual analogue score (VAS), and secondary outcomes included the Constant Murley score, shoulder pain score, functional mobility score, shoulder disability questionnaire and pain-specific disability score. The different outcome measures showed similar results. After three, six and 12 weeks corticosteroid injections were superior to hyaluronic acid injections and only at six weeks significantly better than placebo injections. The mean short-term reduction in pain on the VAS score at 12 weeks was 7% (sd 2.7; 97.5% confidence interval (CI) 0.207 to 1.55; p = 0.084) in the hyaluronic acid group, 28% (sd 2.8; 97.5% CI 1.86 to 3.65; p < 0.001) in the corticosteroid group and 23% (sd 3.23; 97.5% CI 1.25 to 3.26; p < 0.001) in the placebo group. At 26 weeks there was a reduction in pain in 63% (32 of 51) of patients in the hyaluronic acid group, 72% (38 of 53) of those in the corticosteroid group and 69% (38 of 55) of those in the placebo group.

We were not able to show a convincing benefit from hyaluronic acid injections compared with corticosteroid or placebo injections. Corticosteroid injections produced a significant reduction in pain in the short term (three to 12 weeks), but in the long term the placebo injection produced the best results.


Bone & Joint 360
Vol. 4, Issue 5 | Pages 21 - 22
1 Oct 2015

The October 2015 Spine Roundup360 looks at: Traumatic spinal cord injury under the spotlight; The odontoid peg nonunion; Driving and spinal surgery; Drains and antibiotics post-spinal surgery; Vertebroplasty and kyphoplasty equally effective; Who will benefit from steroid injections?; Back pain following lumbar discectomy


Bone & Joint 360
Vol. 6, Issue 4 | Pages 18 - 20
1 Aug 2017