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2025-05-07T04:27:41
RDF description of Outcomes of name-brand versus generic cephalomedullary nail fixation for intertrochanteric and subtrochanteric fractures: a matched cohort study - http://repository.healthpartners.com/individual/document-rn35061
Hip
Drugs and Drug Therapy
Cohort Studies
Orthopedics
Surgery
8
Outcomes of name-brand versus generic cephalomedullary nail fixation for intertrochanteric and subtrochanteric fractures: a matched cohort study
<p>This study aims to compare 90-day and 6-month outcomes and implant costs of intertrochanteric and subtrochanteric fracture fixation using cephalomedullary nails (CMNs) from a single name-brand company to fixation using generic CMNs. This was a retrospective matched cohort study. All CMN procedures for a single surgeon in a single US metropolitan institution from 2021 to 2022 were identified using current procedural terminology codes. Nearest neighbor 1:1 matching was conducted between the name-brand and generic cohorts controlling for (1) age, (2) American Society of Anesthesiologists score, and (3) Charlson Comorbidity Index. A total of 50 patients were successfully matched (25 namebrand versus 25 generic). The average implant cost per case for the name-brand group was $3,587 versus $1,615 for the generic group. Cost of disposables averaged $109 for the generic implant sets versus $916 for the name-brand (P < 0.001). Overall, a cost savings of 61% could be generated per case with the use of generic implants and disposables. Fixation of intertrochanteric and subtrochanteric fractures using generic CMNs produces similar outcomes compared with using name-brand CMNs for approximately half the implant cost.<p>
Fractures
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public
document-rn35061
Economics
22151
Retrospective Studies
10.5435/JAAOSGlobal-D-23-00186
38062
2024-03-14T20:32:48.401-05:00
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews