ARTICLES RELATED TO ELECTRICAL BONE STIMULATION
ECONOMIC BURDEN OF ILLNESS AMONG US PATIENTS EXPERIENCING FRACTURE NON-UNION WU N, LEE Y, SEGINA D, BENJAMIN N, BOULANGER L., MURRAY H, WILCOX T SUMMARY: Given the growing prevalence of diabetes and the increased risk of impaired healing for diabetic patients, the costs associated with obtaining successful fracture repair will continue to be substantial for patients and payor alike. As such, the purpose of this study was to explore the resource use and healthcare costs associated with electrical bone growth stimulation (EBGS), low-intensity pulsed ultrasound (LIPUS) and neither (No-stim) in managing fracture non-unions within both diabetic and non-diabetic patients. Medical and pharmacy claims were used to identify both diabetic and non- diabetic subjects who were newly diagnosed with a fracture nonunion. Overall, 11,628 non-union patients were included in the study with a breakdown of 29.5% of the electrical bone growth stimulators (EBGS) group, 12.3% in the low intensity pulsed ultrasound (LIPUS) group and 58.2% in the no stim group. At 1-year post nonunion diagnosis, EBGS treated patients were predicted to have significantly less healthcare associated costs than LIPUS treated patients (mean: $21, 632 vs. $23,964, p<0.01) and the no-stim patients (mean: $21,632 vs. $23,843, p<0.01). Additionally, EBGS treated patients were significantly less likely to receive fracture- related treatments when compared to LIPUS patients (33.6% vs. 43.2%, P < 0.01) and patients that received no stimulation (33.6% vs. 60.3%, P < 0.01). This concluded that, for both diabetic and non-diabetic patients, the use of EBGS resulted in significantly lower healthcare costs for the treatment of non-union.
“ FOR BOTH DIABETIC AND NON-DIABETIC PATIENTS, THE USE OF EBGS RESULTED IN SIGNIFICANTLY LOWER HEALTHCARE COSTS ”
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