NCT04032873

Distal Radius Buckle Fracture RCT

Influence of Cost Information on Cast vs. Splint Decision-Making After Pediatric Buckle Fractures: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 129 (actual)
• Sponsor: Children's Hospital of Philadelphia · Academic / Other
• Sex: All
• Age: 4 Years – 14 Years
• Healthy volunteers: Not accepted

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.

Conditions

• Distal Radius Fracture

Interventions

Type	Name	Description
OTHER	Monetary Cost of Immobilization Treatments	Information regarding the monetary cost of casting and splinting patient's buckle fracture to be presented to adult subject/payer.
OTHER	Physician	The monetary cost information is relayed by the patient's physician
OTHER	Study Team	The monetary cost information is relayed by a member of the study team
OTHER	Before Initial Treatment Decision	Monetary cost information is relayed during the initial consult, before the treatment decision is made.
OTHER	After Initial Treatment Decision	Monetary cost information is relayed after the initial consult with the treating physician, after the treatment decision is made.

Timeline

• Start date: 2017-05-31
• Primary completion: 2019-10-09
• Completion: 2019-10-09
• First posted: 2019-07-25
• Last updated: 2021-02-03

Locations

1 site across 1 country: United States