Dupuytren's Contracture Management and Costs in England
Author Information
Author(s): Robert A Gerber, Richard Perry, Robin Thompson, Christopher Bainbridge
Primary Institution: Pfizer Global Development Headquarters
Hypothesis
What are the clinical management patterns and associated costs of Dupuytren's contracture in England over a five-year period?
Conclusion
Fasciectomy was the most common surgical procedure for Dupuytren's contracture in England, with a notable increase in day-case procedures over inpatient operations.
Supporting Evidence
- Over 5 years, 75,157 admissions for Dupuytren's contracture were recorded, with 64,506 analyzed.
- Mean admissions per year were stable at 12,901.
- Day-case admissions increased from 42% in 2003-2004 to 62% in 2007-2008.
- 91% of procedures performed were fasciectomy.
- Total estimated costs for 2010-2011 were £41,576,141.
Takeaway
This study looked at how Dupuytren's contracture is treated in England and found that more people are having their surgeries done as day cases instead of staying overnight in the hospital.
Methodology
Data from Hospital Episode Statistics were analyzed for patients with Dupuytren's contracture over a five-year period, focusing on demographics, procedures, and costs.
Potential Biases
There may be inaccuracies in the Hospital Episode Statistics database, but these are assumed to be random and not systematic.
Limitations
The study does not include outpatient procedures or those treated in the private sector, which may limit the generalizability of the findings.
Participant Demographics
80% male (mean age 63), 20% female (mean age 66).
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website