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Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study

OBJECTIVES: The aim of this study was to evaluate the cost of surgical treatment for primary ulnar nerve entrapment (UNE) borne by the public sector in Finland. DESIGN: Registry-based cost description study. SETTING: Primary and secondary care throughout Finland. PARTICIPANTS: We identified all the...

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Autores principales: Hannula, Aarni, Miettinen, Laura, Lampainen, Kaisa, Ryhänen, Jorma, Torkki, Paulus, Hulkkonen, Sina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10255115/
https://www.ncbi.nlm.nih.gov/pubmed/37263693
http://dx.doi.org/10.1136/bmjopen-2022-068964
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author Hannula, Aarni
Miettinen, Laura
Lampainen, Kaisa
Ryhänen, Jorma
Torkki, Paulus
Hulkkonen, Sina
author_facet Hannula, Aarni
Miettinen, Laura
Lampainen, Kaisa
Ryhänen, Jorma
Torkki, Paulus
Hulkkonen, Sina
author_sort Hannula, Aarni
collection PubMed
description OBJECTIVES: The aim of this study was to evaluate the cost of surgical treatment for primary ulnar nerve entrapment (UNE) borne by the public sector in Finland. DESIGN: Registry-based cost description study. SETTING: Primary and secondary care throughout Finland. PARTICIPANTS: We identified all the patients diagnosed with primary UNE in the whole population of Finland from 2011 to 2015 from the Care Register for Health Care. From these patients, we identified those who had undergone ulnar nerve release during the year they were diagnosed or the following year. INTERVENTIONS: Open ulnar nerve release. OUTCOME MEASURES: The primary outcome measure was cost borne by the public sector in 2015 euros. The cost of surgery was based on the diagnosis-related group prices. We calculated the cost of a single visit to a primary care physician, an electroneuromyography examination, a preoperative visit to a hand surgeon and a follow-up appointment by telephone in specialised care for each patient. These unit costs were provided by the Finnish Institute for Health and Welfare and the same costs were used for each patient. We obtained the number of reimbursed sick days and the total amount reimbursed to each patient in euros within the 2 years after diagnosis from the Social Insurance Institution of Finland. RESULTS: During our study period, approximately 1786 primary UNE diagnoses were made yearly, and on average, 876 (49%) of patients received surgical treatment annually. The surgery-related cost per patient averaged at EUR 1341 (43%) and reimbursed sick leaves at EUR 952 (30%) during this period. The annual cost of surgical treatment for UNE borne by the public sector in Finland varied between EUR 3082 and EUR 3213 per patient. CONCLUSIONS: The average cost of surgical treatment for UNE in Finland was EUR 3140 per patient between 2011 and 2015.
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spelling pubmed-102551152023-06-10 Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study Hannula, Aarni Miettinen, Laura Lampainen, Kaisa Ryhänen, Jorma Torkki, Paulus Hulkkonen, Sina BMJ Open Surgery OBJECTIVES: The aim of this study was to evaluate the cost of surgical treatment for primary ulnar nerve entrapment (UNE) borne by the public sector in Finland. DESIGN: Registry-based cost description study. SETTING: Primary and secondary care throughout Finland. PARTICIPANTS: We identified all the patients diagnosed with primary UNE in the whole population of Finland from 2011 to 2015 from the Care Register for Health Care. From these patients, we identified those who had undergone ulnar nerve release during the year they were diagnosed or the following year. INTERVENTIONS: Open ulnar nerve release. OUTCOME MEASURES: The primary outcome measure was cost borne by the public sector in 2015 euros. The cost of surgery was based on the diagnosis-related group prices. We calculated the cost of a single visit to a primary care physician, an electroneuromyography examination, a preoperative visit to a hand surgeon and a follow-up appointment by telephone in specialised care for each patient. These unit costs were provided by the Finnish Institute for Health and Welfare and the same costs were used for each patient. We obtained the number of reimbursed sick days and the total amount reimbursed to each patient in euros within the 2 years after diagnosis from the Social Insurance Institution of Finland. RESULTS: During our study period, approximately 1786 primary UNE diagnoses were made yearly, and on average, 876 (49%) of patients received surgical treatment annually. The surgery-related cost per patient averaged at EUR 1341 (43%) and reimbursed sick leaves at EUR 952 (30%) during this period. The annual cost of surgical treatment for UNE borne by the public sector in Finland varied between EUR 3082 and EUR 3213 per patient. CONCLUSIONS: The average cost of surgical treatment for UNE in Finland was EUR 3140 per patient between 2011 and 2015. BMJ Publishing Group 2023-06-01 /pmc/articles/PMC10255115/ /pubmed/37263693 http://dx.doi.org/10.1136/bmjopen-2022-068964 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Surgery
Hannula, Aarni
Miettinen, Laura
Lampainen, Kaisa
Ryhänen, Jorma
Torkki, Paulus
Hulkkonen, Sina
Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study
title Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study
title_full Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study
title_fullStr Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study
title_full_unstemmed Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study
title_short Cost of surgical treatment for ulnar nerve entrapment in Finland, 2011–2015: a registry-based cost description study
title_sort cost of surgical treatment for ulnar nerve entrapment in finland, 2011–2015: a registry-based cost description study
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10255115/
https://www.ncbi.nlm.nih.gov/pubmed/37263693
http://dx.doi.org/10.1136/bmjopen-2022-068964
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