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This study showed no clinically relevant difference in Patient-Rated Wrist Evaluation at 52 weeks between surgery and a cast for patients with scaphoid waist fractures.

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Joseph Dias 1, Stephen Brealey 2,*, Liz Cook 2, Caroline Fairhurst 2, Sebastian Hinde 3, Paul Leighton 4, Surabhi Choudhary 5, Matthew Costa 6,7, Catherine Hewitt 2, Stephen Hodgson 8, Laura Jefferson 2,9, Kanagaratnam Jeyapalan 1, Ada Keding 2, Matthew Northgraves 2, Jared Palmer 1, Amar Rangan 2,6, Gerry Richardson 3, Nicholas Taub 10, Garry Tew 2,11, John Thompson 10, David Torgerson 2

1 University Hospitals of Leicester NHS Trust, Leicester, UK
2 Alcuin Research Resource Centre Building, Department of Health Sciences, University of York, York, UK
3 Centre for Health Economics, University of York, York, UK
4 School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham, UK
5 Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
6 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
7 Kadoorie Centre, John Radcliffe Hospital, Oxford, UK
8 Department of Orthopaedic Surgery, Bolton NHS Foundation Trust, Royal Bolton Hospital, Bolton, UK
9 Department of Health Sciences, University of York, York, UK
10 Department of Health Sciences, University of Leicester, Leicester, UK
11 Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UK
* Corresponding author Email: stephen.brealey@york.ac.uk

Declared competing interests of authors: Matthew Costa is a member of the General Board for the Health Technology Assessment (HTA) programme (2016 to present) and the HTA Themed Surgery Board (2012–13). Matthew Costa also does consultancy work for industry, although not in relation to this study, and his institution has received money from the National Institute for Health Research (NIHR) and from industry, as well as charitable grants, for other research into musculoskeletal trauma. Catherine Hewitt is a member of the NIHR HTA Commissioning Board (2015–present). Amar Rangan received grants from NIHR during the conduct of the study and grants from DePuy International Ltd (Leeds, UK) and Orthopaedic Research UK (London, UK) outside the submitted work. David Torgerson reports that he was a member of the following committees that are part of the funding agency for this trial: HTA Commissioning Board (2006–10), HTA Medicines for Children Themed Call (2005–6) and NIHR Clinical Trials Unit Standing Advisory Committee (2010–14).

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