{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:05:27Z","timestamp":1777853127296,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,11,27]],"date-time":"2017-11-27T00:00:00Z","timestamp":1511740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>Given the limitations of conventional radiography in the diagnosis of suspected scaphoid fractures on presentation, advanced imaging, particularly magnetic resonance imaging, is a useful additional investigation. We carried out a systematic review of the economic evidence for the use of advanced imaging in the management of suspected scaphoid fractures. Fifteen articles were included in the review. Owing to the heterogeneity of study designs, the type and timing of interventions and the economic analyses performed, direct comparisons between the 15 studies were difficult. From a health care perspective, little could be concluded regarding the economic implications of the use of advanced imaging in clinical practice. However, from a societal perspective, the evidence favours the use of advanced imaging in the management of suspected scaphoid fractures as it does appear to lead to overall cost-savings.<\/jats:p>","DOI":"10.1177\/1753193417742553","type":"journal-article","created":{"date-parts":[[2017,11,27]],"date-time":"2017-11-27T05:35:44Z","timestamp":1511760944000},"page":"642-651","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["The economic evidence for advanced imaging in the diagnosis of suspected scaphoid fractures: systematic review of evidence"],"prefix":"10.1177","volume":"43","author":[{"given":"Tiago","family":"Rua","sequence":"first","affiliation":[{"name":"School of Biomedical Engineering and Imaging Sciences, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Parkin","sequence":"additional","affiliation":[{"name":"Department of Primary Care & Public Health Sciences, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicky","family":"Goh","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering and Imaging Sciences, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"McCrone","sequence":"additional","affiliation":[{"name":"Department of Health Services and Population Research, King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sam","family":"Gidwani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,11,27]]},"reference":[{"key":"bibr1-1753193417742553","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2012-202219"},{"key":"bibr2-1753193417742553","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2014.986627"},{"key":"bibr3-1753193417742553","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.007435"},{"key":"bibr4-1753193417742553","doi-asserted-by":"publisher","DOI":"10.1177\/0036933013496950"},{"key":"bibr5-1753193417742553","unstructured":"Centre for Reviews and Dissemination. 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The Cochrane Collaboration, 2011. http:\/\/handbook.cochrane.org (accessed 12 October 2017)."},{"key":"bibr11-1753193417742553","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.01.003"},{"key":"bibr12-1753193417742553","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00099"},{"key":"bibr13-1753193417742553","doi-asserted-by":"publisher","DOI":"10.1002\/jmrs.153"},{"key":"bibr14-1753193417742553","unstructured":"Machin E, Blackham J, Benger J.\n                      GEMNet guideline: Management of suspected scaphoid fractures in the emergency department\n                      . College of Emergency Medicine, 2013. http:\/\/www.rcem.ac.uk\/RCEM\/Quality_Policy\/Clinical_Standards_Guidance\/RCEM_Guidance\/RCEM\/Quality-Policy\/Clinical_Standards_Guidance\/RCEM_Guidance.aspx (accessed 25 October 2017)."},{"key":"bibr15-1753193417742553","doi-asserted-by":"publisher","DOI":"10.1016\/j.rx.2011.06.012"},{"key":"bibr16-1753193417742553","doi-asserted-by":"publisher","DOI":"10.1308\/003588408X300948"},{"key":"bibr17-1753193417742553","unstructured":"NICE. Appendix 11: Data extraction form for economic studies. 2011. https:\/\/www.nice.org.uk\/guidance\/cg42\/evidence\/guidance-appendix-11-pdf-195023345 (accessed 12 October 2017)."},{"key":"bibr18-1753193417742553","unstructured":"NICE. Methods for the development of NICE public health guidance, 3rd edn. 2012. https:\/\/www.nice.org.uk\/process\/pmg4\/chapter\/introduction (accessed 12 October 2017)."},{"key":"bibr19-1753193417742553","unstructured":"OECD. 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