Peter Scalia, A James O'Malley, Marie-Anne Durand, Philip P Goodney, Glyn Elwyn
Presenting time-based risks of stroke and death for Patients facing carotid stenosis treatment options: Patients prefer pie charts over icon arrays
Patient education and counseling
management pediatric femoral shaft fractures remains controversial particularly children ages 6 10 current push toward cost containment hospital type surgeon subspecialization emerged important factors influencing treatment decision thus present study use nationwide pediatric inpatient database compare incidence b demographic characteristics c hospital costs length stay e treatment method pediatric closed femoral shaft fractures admitted general versus childrens hospitals kids inpatient database kid queried patients aged 6 10 sustained closed femoral shaft fracture 2009 2012 patient records stratified childrens hospitals general hospitals primary outcome measures included method treatment total hospital costs length stay studentwelch testing analysis utilized compare continuous categorical outcomes respectively hospital types total incidence closed femoral shaft fractures decreased 2009 2012 1919 1581 patients p0020 proportion patients treated childrens hospitals 586 323 p0001 addition patients treated general hospitals likely receive open reduction internal fixation 453 vs 411 external fixation 41 vs 23 less likely managed closed reduction internal fixation 320 vs 397 treated childrens hospitals p0001 present study demonstrates decrease incidence closed femoral shaft fractures 6 10year old patients 2009 2012 well decreased definitive management childrens hospitals increased selection operative treatment addition treatment nonchildrens hospital associated decreased total inpatient costs decreased treatment closed reduction internal fixation favor open reduction internal fixation future studies seek identify specific surgical procedures performed match patients closely based specific fracture pattern prognostic level ii