{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:01:26Z","timestamp":1790370086253,"version":"4.1.0"},"reference-count":26,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[2013,5,1]],"date-time":"2013-05-01T00:00:00Z","timestamp":1367366400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:p> This paper reports the cost of outpatient venous thromboembolism (VTE) prophylaxis following 388 injuries of the lower limb requiring immobilisation in our institution, from a total of 7408 new patients presenting between May and November 2011. Prophylaxis was by either self-administered subcutaneous dalteparin (n = 128) or oral dabigatran (n = 260). The mean duration of prophylaxis per patient was 46 days (6 to 168). The total cost (pay and non-pay) for prophylaxis with dalteparin was \u00a3107.54 and with dabigatran was \u00a3143.99. However, five patients in the dalteparin group required nurse administration (\u00a323 per home visit), increasing the cost of dalteparin to \u00a31142.54 per patient. The annual cost of VTE prophylaxis in a busy trauma clinic treating 12 700 new patients (2010\/11), would be \u00a392 526.33 in the context of an income for trauma of \u00a31.82 million, which represents 5.3% of the outpatient tariff. <\/jats:p><jats:p> Outpatient prophylaxis in a busy trauma clinic is achievable and affordable in the context of the clinical and financial risks involved. <\/jats:p><jats:p> Cite this article: Bone Joint J 2013;95-B:673\u20137. <\/jats:p>","DOI":"10.1302\/0301-620x.95b5.30555","type":"journal-article","created":{"date-parts":[[2013,4,30]],"date-time":"2013-04-30T14:04:26Z","timestamp":1367330666000},"page":"673-677","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["The cost of outpatient venous thromboembolism prophylaxis following lower limb injuries"],"prefix":"10.1302","volume":"95-B","author":[{"given":"C. U.","family":"Menakaya","sequence":"first","affiliation":[{"name":"Hull and East Yorkshire NHS Trust, Anlaby\rRoad, Hull HU3 2JZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Pennington","sequence":"additional","affiliation":[{"name":"Hull and East Yorkshire NHS Trust, Anlaby\rRoad, Hull HU3 2JZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Muthukumar","sequence":"additional","affiliation":[{"name":"Hull and East Yorkshire NHS Trust, Anlaby\rRoad, Hull HU3 2JZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Joel","sequence":"additional","affiliation":[{"name":"Hull and East Yorkshire NHS Trust, Anlaby\rRoad, Hull HU3 2JZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. J.","family":"Ramirez Jimenez","sequence":"additional","affiliation":[{"name":"Hull and East Yorkshire NHS Trust, Anlaby\rRoad, Hull HU3 2JZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. J.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Hull and East Yorkshire NHS Trust, Anlaby\rRoad, Hull HU3 2JZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Mohsen","sequence":"additional","affiliation":[{"name":"Hull and East Yorkshire NHS Trust, Anlaby\rRoad, Hull HU3 2JZ, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2009.07737.x"},{"key":"r2","first-page":"CD006681","volume":"4","author":"Testroote M","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2008.02984.x"},{"key":"r4","doi-asserted-by":"crossref","first-page":"663","DOI":"10.18553\/jmcp.2005.11.8.663","volume":"11","author":"Bullano MF","year":"2005","journal-title":"J Manag Care Pharm"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1160\/TH11-02-0132"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1177\/1076029606293435"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4733.2003.00204.x"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.122.1.108"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1007\/s11239-009-0371-x"},{"key":"r10","unstructured":"No authors listed. Department of Health. Health Select Committee on the Prevention of VTE in Hospitalised Patients. Government\u2019s Response. July 2005. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsPolicyAndGuidance\/DH_4116284 (date last accessed 8 January 2013)."},{"key":"r11","unstructured":"No authors listed. National Institute for Health and Clinical Excellence. Costing statement: Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults. http:\/\/www.nice.org.uk\/nicemedia\/live\/12059\/42132\/42132.PDF (date last accessed 8 January 2013)."},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08607.x"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2007.02748.x"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61445-7"},{"key":"r15","unstructured":"No authors listed. Internal source. Department of Pathology, Hull and East Yorkshire Hospitals NHS, Trust, United Kingdom."},{"key":"r16","unstructured":"No authors listed. Internal source. Finance Department, Hull and East Yorkshire Hospitals NHS Trust, United Kingdom."},{"key":"r17","unstructured":"No authors listed. Personal Social Services Research Unit (PSSRU). Unit Costs of Health and Social Care 2011. http:\/\/www.pssru.ac.uk\/project-pages\/unit-costs\/2011\/index.php (date last accessed 8 January 2013)."},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199605000-00002"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.5.3364"},{"key":"r20","unstructured":"No authors listed. 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