Resource utilisation associated with single digit Dupuytren's contracture treated with either surgery or injection of collagenase Clostridium histolyticum

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@article{e17e90ffcbd84c7b8cc36e406cdd3095,
title = "Resource utilisation associated with single digit Dupuytren's contracture treated with either surgery or injection of collagenase Clostridium histolyticum",
abstract = "The gold standard treatment for Dupuytren's contracture is surgical excision of the cord. A non-surgical treatment with collagenase clostridium histolyticum injection is available but appears costly.Objectives: To provide data on resource consumption related to surgical and non-surgical treatment for Dupuytren's contracture.Design and Participants: Twenty patients with a single digit Dupuytren's contracture, 10 treated with surgical excision, and 10 treated with a single injection of collagenase.Measurements: Minutes spent in theatre, number of follow-up appointments, time to skin healing, and patients return to normal activities of daily living.Results: The injection group was significantly better regarding theatre time (p < 0.0001), follow-up appointments (p = 0.048), skin healing time (p < 0.001), and return to normal activities of daily living (p = 0.02) than the operated group.Conclusions: There are significant personal and health economic differences between the two methods of treatment which may influence local choice.",
keywords = "Resources, Dupuytren's Contracture, Surgery, Injection, Xiapex",
author = "B Povlsen and Shields, {A M} and Bhabra, {G S}",
year = "2014",
doi = "10.1142/s021881041450021x",
language = "English",
volume = "19",
pages = "205--209",
journal = "Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand",
issn = "0218-8104",
publisher = "World Scientific",
number = "02",

}

RIS

TY - JOUR

T1 - Resource utilisation associated with single digit Dupuytren's contracture treated with either surgery or injection of collagenase Clostridium histolyticum

AU - Povlsen, B

AU - Shields, A M

AU - Bhabra, G S

PY - 2014

Y1 - 2014

N2 - The gold standard treatment for Dupuytren's contracture is surgical excision of the cord. A non-surgical treatment with collagenase clostridium histolyticum injection is available but appears costly.Objectives: To provide data on resource consumption related to surgical and non-surgical treatment for Dupuytren's contracture.Design and Participants: Twenty patients with a single digit Dupuytren's contracture, 10 treated with surgical excision, and 10 treated with a single injection of collagenase.Measurements: Minutes spent in theatre, number of follow-up appointments, time to skin healing, and patients return to normal activities of daily living.Results: The injection group was significantly better regarding theatre time (p < 0.0001), follow-up appointments (p = 0.048), skin healing time (p < 0.001), and return to normal activities of daily living (p = 0.02) than the operated group.Conclusions: There are significant personal and health economic differences between the two methods of treatment which may influence local choice.

AB - The gold standard treatment for Dupuytren's contracture is surgical excision of the cord. A non-surgical treatment with collagenase clostridium histolyticum injection is available but appears costly.Objectives: To provide data on resource consumption related to surgical and non-surgical treatment for Dupuytren's contracture.Design and Participants: Twenty patients with a single digit Dupuytren's contracture, 10 treated with surgical excision, and 10 treated with a single injection of collagenase.Measurements: Minutes spent in theatre, number of follow-up appointments, time to skin healing, and patients return to normal activities of daily living.Results: The injection group was significantly better regarding theatre time (p < 0.0001), follow-up appointments (p = 0.048), skin healing time (p < 0.001), and return to normal activities of daily living (p = 0.02) than the operated group.Conclusions: There are significant personal and health economic differences between the two methods of treatment which may influence local choice.

KW - Resources

KW - Dupuytren's Contracture

KW - Surgery

KW - Injection

KW - Xiapex

UR - http://europepmc.org/abstract/med/24875504

U2 - 10.1142/s021881041450021x

DO - 10.1142/s021881041450021x

M3 - Article

C2 - 24875504

VL - 19

SP - 205

EP - 209

JO - Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand

JF - Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand

SN - 0218-8104

IS - 02

ER -