Miscellaneous

Effects of Workers’ Compensation on the Diagnosis and Surgical Treatment of Patients with Hand and Wrist Disorders

Day CS, Alexander M, Lal S, et al (Beth Israel Deaconess Med Ctr and Harvard Med School, Boston, MA) J Bone Joint Surg Am 92:2294-2299, 2010^§

Abstract

Background

Workers’ Compensation differs from standard insurance, and it is unclear how or if Workers’ Compensation insurance influences the diagnosis and treatment of hand and wrist disorders. The aim of this study was to compare the diagnosis and course of treatment of hand disorders between patients with Workers’ Compensation insurance and patients with standard insurance.

Methods

The complete medical records of patients who visited an academic orthopaedic hand clinic between January 2005 and January 2007 were reviewed, and information on patient history, utilization of diagnostic tests, diagnosis, surgery, and wait-time to surgery was collected. Patients with Workers’ Compensation insurance and those with other, third-party coverage were analyzed and compared. Patients without insurance were excluded from this study.

Results

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