{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:40:25Z","timestamp":1783021225396,"version":"3.54.6"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Proximal humerus fractures are becoming more prevalent with associated increases in operative management. This study aimed to compare costs between operative and non\u2010operative management of these fractures in an Australian population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cost\u2010analysis was performed in a cohort of patients initially managed at a Level 1 Trauma Centre between January 2010 and December 2018, who sustained a proximal humerus fracture following a road traffic injury. Patients were identified using ICD\u201010\u2010AM coding and matched to the Victorian Orthopaedic Trauma Outcome Registry. This cohort was linked with data from the state's no\u2010fault third\u2010party insurer for transport injuries to obtain total claims cost data for the acute admission, subsequent admissions, and rehabilitation costs in Australian dollars.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 113 patients met the inclusion criteria; 31 non\u2010operative and 81 operative. The mean (SD) age was 50.1 (20.3) years in the non\u2010operative group and 44.0 (15.8) in the operative group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.10). In the non\u2010operative group, 87% of patients sustained other injuries compared with 76% of patients in the operative group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.30). The median total treatment cost in the non\u2010operative group was A$48\u2009982 compared to A$36\u2009457 in the operative group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.99). Median subsequent admission costs for the respective groups were A$9\u2009643 and A$8\u2009378 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.77) and median rehabilitation costs were A$6\u2009016 and A$4\u2009754 respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.95).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Healthcare associated costs did not differ significantly in trauma patients with proximal humerus fractures regardless of management undertaken. Concerns regarding healthcare costs should not impact on surgical decision\u2010making when managing these fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70669","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T12:30:13Z","timestamp":1775737813000},"page":"1594-1599","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Comparison of the Costs of Managing Proximal Humerus Fractures in a Cohort of Patients Injured in Road Traffic Incidents Under the Transport Accident Commission Scheme in the State of Victoria"],"prefix":"10.1111","volume":"96","author":[{"given":"Filip","family":"Cosic","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery The Alfred  Melbourne Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne 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