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Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries

Fractures of the craniomaxillofacial (CMF) skeleton cause significant morbidity and mortality in low‐ and middle‐income countries (LMICs). Despite this, quality CMF trauma care is lacking for the majority of the world's population. There is a paucity of literature describing the costs of standa...

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Autores principales: Shaye, David A., Nwosu, Obinna, Ncogoza, Isaie, Nyabyenda, Victor, Tuyishimire, Gratien, Manana, Wayne, Taiwo, Abdurrazaq Olanrewaju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625666/
https://www.ncbi.nlm.nih.gov/pubmed/37933273
http://dx.doi.org/10.1002/oto2.92
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author Shaye, David A.
Nwosu, Obinna
Ncogoza, Isaie
Nyabyenda, Victor
Tuyishimire, Gratien
Manana, Wayne
Taiwo, Abdurrazaq Olanrewaju
author_facet Shaye, David A.
Nwosu, Obinna
Ncogoza, Isaie
Nyabyenda, Victor
Tuyishimire, Gratien
Manana, Wayne
Taiwo, Abdurrazaq Olanrewaju
author_sort Shaye, David A.
collection PubMed
description Fractures of the craniomaxillofacial (CMF) skeleton cause significant morbidity and mortality in low‐ and middle‐income countries (LMICs). Despite this, quality CMF trauma care is lacking for the majority of the world's population. There is a paucity of literature describing the costs of standard‐of‐care open reduction internal fixation (ORIF) for CMF fractures in LMICs. We consider the cost of a six‐hole plate with six screws (SHPS), standard materials used in ORIF for CMF fractures, as a percentage of gross domestic product (GDP) per capita to ascertain the cost burden to patients. Hospital pricing catalog data at 14 LMIC institutions were queried. On average, the SHPS cost represented 10.2% of the GDP per capita in sampled LMICs. We highlight manufacturing costs, import taxes, and lack of subsidized health care as factors contributing to the significant cost burden of ORIF in these areas. Future work should characterize additional financial and socioeconomic barriers to optimal CMF care.
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spelling pubmed-106256662023-11-06 Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries Shaye, David A. Nwosu, Obinna Ncogoza, Isaie Nyabyenda, Victor Tuyishimire, Gratien Manana, Wayne Taiwo, Abdurrazaq Olanrewaju OTO Open Scientific Briefing Fractures of the craniomaxillofacial (CMF) skeleton cause significant morbidity and mortality in low‐ and middle‐income countries (LMICs). Despite this, quality CMF trauma care is lacking for the majority of the world's population. There is a paucity of literature describing the costs of standard‐of‐care open reduction internal fixation (ORIF) for CMF fractures in LMICs. We consider the cost of a six‐hole plate with six screws (SHPS), standard materials used in ORIF for CMF fractures, as a percentage of gross domestic product (GDP) per capita to ascertain the cost burden to patients. Hospital pricing catalog data at 14 LMIC institutions were queried. On average, the SHPS cost represented 10.2% of the GDP per capita in sampled LMICs. We highlight manufacturing costs, import taxes, and lack of subsidized health care as factors contributing to the significant cost burden of ORIF in these areas. Future work should characterize additional financial and socioeconomic barriers to optimal CMF care. John Wiley and Sons Inc. 2023-11-05 /pmc/articles/PMC10625666/ /pubmed/37933273 http://dx.doi.org/10.1002/oto2.92 Text en © 2023 The Authors. OTO Open published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Scientific Briefing
Shaye, David A.
Nwosu, Obinna
Ncogoza, Isaie
Nyabyenda, Victor
Tuyishimire, Gratien
Manana, Wayne
Taiwo, Abdurrazaq Olanrewaju
Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries
title Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries
title_full Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries
title_fullStr Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries
title_full_unstemmed Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries
title_short Cost Burden of Rigid Internal Fixation in Craniomaxillofacial Trauma Care in Low‐ and Middle‐Income Countries
title_sort cost burden of rigid internal fixation in craniomaxillofacial trauma care in low‐ and middle‐income countries
topic Scientific Briefing
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625666/
https://www.ncbi.nlm.nih.gov/pubmed/37933273
http://dx.doi.org/10.1002/oto2.92
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