Distal Radius Fracture
Conditions
Keywords
Distal Radius Fracture, Cost, Buckle Fracture
Brief summary
This study evaluates the influence of cost information on decision-making for immobilization for treatment of distal radial buckle fractures. Half of the participants will receive cost information from an orthopaedic surgeon prior to making their decision for treatment, while the other half will receive cost information from another member of the study team after they had made their decision treatment.
Detailed description
Research has shown equipoise in treatment outcomes after casting and splinting for pediatric buckle fractures. Despite the similarly favorable treatment outcomes associated with both casting and splinting these fractures, there is wide disparities in cost between the two types of immobilization. However, cost information is not routinely presented to families during the discussion of immobilization types. The primary objective of this study is to determine if cost information influences family decision-making about immobilization type after pediatric buckle fractures. A secondary objective is to determine if the timing of and person disseminating the cost information changes the influence it has on families' decision-making.
Interventions
OTHERMonetary Cost of Immobilization Treatments
Information regarding the monetary cost of casting and splinting patient's buckle fracture to be presented to adult subject/payer.
OTHERPhysician
The monetary cost information is relayed by the patient's physician
OTHERStudy Team
The monetary cost information is relayed by a member of the study team
OTHERBefore Initial Treatment Decision
Monetary cost information is relayed during the initial consult, before the treatment decision is made.
OTHERAfter Initial Treatment Decision
Monetary cost information is relayed after the initial consult with the treating physician, after the treatment decision is made.
Sponsors
Children's Hospital of Philadelphia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
4 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* Males or females ages 4 to 14 years with a buckle fracture for which they will be treated with a cast or a splint. * Parental/guardian permission (informed consent) and, if appropriate, child assent. * Parent of a child ages 4 to 14 years with a buckle fracture that requires treatment with either a cast or a splint. * Parental/guardian permission (informed consent).
Exclusion criteria
* Non-English speaking subjects. * Parents/guardians or subjects who, in the opinion of the Investigator, may be non-compliant with study schedules or procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Monetary Cost of Immobilization's Influence on Treatment Decisions | 1 to 5 minutes | The outcome measure will evaluate whether monetary cost influenced payers' decisions to choose one immobilization treatment over the other (splinting vs. casting). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timing/Person Effect on Decision-Making | 1 to 5 minutes | A secondary objective is to determine if the timing of and person disseminating the cost information changes the influence it has on families' decision-making |
Countries
United States
Outcome results
None listed