{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:06:48Z","timestamp":1788498408649,"version":"build-2803163510"},"reference-count":29,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,5,31]],"date-time":"2020-05-31T00:00:00Z","timestamp":1590883200000},"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":[[2020,12]]},"abstract":"<jats:p>The United Kingdom National Institute for Health and Care Excellence considers a procedure to be cost-effective if the cost per quality-adjusted life year gained falls below a threshold of \u00a320,000\u2013\u00a330,000 (\u20ac22,600\u201333,900; US$24,600\u2013$36,900). This study used cost per quality-adjusted life year methodology to determine the cost-utility ratio of A1 pulley release. Pre- and postoperative EuroQol 5 Dimensions 5 Likert scores were collected prospectively over 6\u00a0years from 192 patients. The median pre- and postoperative indices derived from the EuroQol 5 Dimensions 5 Likert scores were significantly different at 0.77 and 0.80. The mean life expectancy was 21\u00a0years. The mean number of quality-adjusted life years gained was 1 per patient. The mean cost-utility ratio per patient was \u00a332,308 (\u20ac36,508; US$39,730) and \u00a316,154 (\u20ac18,254; US$19,869) at 1 and 2\u00a0years, respectively. Provided the benefit of surgery was maintained over the remaining life expectancy, the cost-utility ratio decreased to \u00a31537 (\u20ac1737; US$1891) per patient. A1 pulley release is cost-effective provided the benefit is maintained for 2\u00a0years. The procedure is also associated with a statistically significant improvement in quality of life.<\/jats:p>\n                  <jats:p>Level of evidence: III<\/jats:p>","DOI":"10.1177\/1753193420926420","type":"journal-article","created":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T01:00:22Z","timestamp":1590973222000},"page":"1083-1086","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["A cost-utility analysis of open A1 pulley release for the treatment of trigger finger"],"prefix":"10.1177","volume":"45","author":[{"given":"Paul H. 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