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For actively working adults aged 65–70, the cost-utility compared with revision amputation is less studied. This decision-tree cost-effectiveness analysis from a societal perspective in China used data from Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, evaluating ICER with DASH and TAM outcomes plus surgical, rehabilitation, and indirect costs. One-way and probabilistic sensitivity analyses tested result robustness.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cost-utility-analysis-of-thumb-replantation-in-working-patients-aged-between-65-70-in-china/427596/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cost-utility-analysis-of-thumb-replantation-in-working-patients-aged-between-65-70-in-china/427596.png","ImageObject",300,407,{"name":92,"@type":93},"Margaret","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-03","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What comparison does the study evaluate?","Question",{"text":112,"@type":113},"The study compares thumb replantation with revision amputation in working patients aged 65–70 in China.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which outcome measures are used to assess functional recovery?",{"text":117,"@type":113},"Functional recovery is assessed using the DASH score and total active motion (TAM) degree.",{"name":119,"@type":110,"acceptedAnswer":120},"How is cost-effectiveness quantified and tested?",{"text":121,"@type":113},"Cost-effectiveness is summarized by the incremental cost-effectiveness ratio (ICER), and robustness is evaluated with one-way and probabilistic sensitivity analyses.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427596,1790916506,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Innovation in Aging, 2025, Vol. 9, No. S2 633  \ndemonstrated superior functional outcomes with lower DASH scores (mean 25.31 vs. 29.75) and higher TAM degrees (mean 106.78 vs. 44.62) compared to revision amputation (both p \u003C 0.001) . Replantation also incurred lower total costs (183,195.36 CNY vs. 198,055.67 CNY). The ICER for replantation was-3346.28 CNY per unit improvement in DASH score and-239.08 CNY per unit improvement in TAM degree, indicating cost savings alongside better outcomes. Thumb replantation is a cost-effective intervention for actively working elderly patients in China, offering superior functional outcomesand lower overall costs compared to revision amputation.  \nSESSION 4575 (PAPER)   \nMEDICAL DECISION-MAKING AND PROGNOSTIC  \nINSIGHT IN LATER LIFE: ETHICS, ECONOMICS,  \nAND ACCESS  \nAbstract citation ID: igaf122.2164  \nCOST-UTILITY ANALYSIS OF THUMB REPLANTATION  \nIN WORKING PATIENTS AGED BETWEEN 65-70  \nIN CHINA  \nJing Bai, Yale University, New Haven, Connecticut, United States  \nThumb replantation plays a critical role in restoring hand function after traumatic amputation, significantly impacting grip strength, dexterity, and quality of life. While typically recommended for younger patients, its utility in actively working individuals aged 65–70 remains underexplored. This study evaluates the cost-utility of thumb replantation compared to revision amputation in this demographic in China, focusing on economic and functional outcomes. A decision-tree-based cost-effectiveness analysis was conducted from a societal perspective using data from Shanghai Jiao Tong University Affiliated Sixth People’s Hospital. Patients aged 65–70 who underwent thumb replantation or revision amputation were included. The primary outcome was the incremental cost-effectiveness ratio (ICER), with functional recovery assessed via Disabilities of the Arm, Shoulder, and Hand (DASH) score and total active motion (TAM) degree. Cost data included surgical, rehabilitation, and indirect costs (e.g., lost wages) . Sensitivity analyses (one-way and probabilistic) were performed to assess the robustness of the results. Replantation","cbCaity5Kfk2o39a","https://ap.wps.com/l/cbCaity5Kfk2o39a","pdf",589564,"English","# MEDICAL DECISION-MAKING AND PROGNOSTIC INSIGHT IN LATER LIFE: ETHICS, ECONOMICS, AND ACCESS\n## COST-UTILITY ANALYSIS OF THUMB REPLANTATION IN WORKING PATIENTS AGED BETWEEN 65-70 IN CHINA","[{\"question\":\"What comparison does the study evaluate?\",\"answer\":\"The study compares thumb replantation with revision amputation in working patients aged 65–70 in China.\"},{\"question\":\"Which outcome measures are used to assess functional recovery?\",\"answer\":\"Functional recovery is assessed using the DASH score and total active motion (TAM) degree.\"},{\"question\":\"How is cost-effectiveness quantified and tested?\",\"answer\":\"Cost-effectiveness is summarized by the incremental cost-effectiveness ratio (ICER), and robustness is evaluated with one-way and probabilistic sensitivity analyses.\"}]","COST-UTILITY ANALYSIS OF THUMB REPLANTATION IN WORKING PATIENTS AGED BETWEEN 65-70 IN CHINA | PDF",1790644303]