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Health utility values, treatment success rates, and transition probabilities were derived from the published literature. Costs were determined on the basis of the typical patient undergoing each treatment strategy at our institution. Outcome measures included costs, quality\u2010adjusted life\u2010years (QALYs), and the incremental cost\u2010effectiveness ratio (ICER).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean total costs resulting from nonoperative management and early arthroscopic debridement were $5,330 and $21,672, respectively. On average, early arthroscopic debridement produced an additional 0.64 QALYS, resulting in an ICER of $25,245\/QALY, which falls well below the widely accepted $50,000 willingness\u2010to\u2010pay (WTP) threshold. Overall, early arthroscopic debridement was determined to be the preferred cost\u2010effective strategy in 69% of patients included in the microsimulation model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results of the Monte Carlo microsimulation and probabilistic sensitivity analysis demonstrated early arthroscopic debridement to be a cost\u2010effective treatment strategy for the majority of stable OCD lesions of the capitellum. Although early arthroscopic debridement was associated with higher total costs, the increase in QALYS that resulted from early surgery was enough to justify the cost difference based on an ICER substantially below the $50,000 WTP threshold.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, economic computer simulation model.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2023.100836","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T17:47:25Z","timestamp":1701971245000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Early Arthroscopic Debridement May Be More Cost\u2010Effective Than Nonoperative Management for Symptomatic Osteochondritis Dissecans Lesions of the Capitellum"],"prefix":"10.1002","volume":"6","author":[{"given":"Jacob F.","family":"Oeding","sequence":"first","affiliation":[{"name":"School of Medicine Mayo Clinic Alix School of Medicine Rochester Minnesota U.S.A."},{"name":"Oslo Sports Trauma Research Center Norwegian School of Sport Sciences Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan R.","family":"Graden","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron J.","family":"Krych","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaquin","family":"Sanchez\u2010Sotelo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan 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