Distal Radius Buckle Fracture RCT

Children's Hospital of Philadelphia129 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

129

Conditions

Distal Radius Fracture

Interventions

Monetary Cost of Immobilization TreatmentsOTHER

Information regarding the monetary cost of casting and splinting patient's buckle fracture to be presented to adult subject/payer.

PhysicianOTHER

The monetary cost information is relayed by the patient's physician

Study TeamOTHER

The monetary cost information is relayed by a member of the study team

Eligibility

Sex: ALLMin age: 4 YearsMax age: 14 Years

Medical Language ↔ Plain English

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.

Locations (1)

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

Monetary Cost of Immobilization's Influence on Treatment Decisions

The outcome measure will evaluate whether monetary cost influenced payers' decisions to choose one immobilization treatment over the other (splinting vs. casting).

Time frame: 1 to 5 minutes

Secondary Outcomes

Timing/Person Effect on Decision-Making

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

Time frame: 1 to 5 minutes

Data from ClinicalTrials.gov

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