Complications of Cosmetic Surgery Tourism: Case Series and Cost Analysis
| Autor: | Kristen A Klement, John A. LoGiudice, Rakel M. Zarb, Robert J. Havlik, James R. Sanger, John N. Jensen, Erin L. Doren, Margaret Gallagher, Anne Argenta, Chelsea Venditto, William W. Dzwierzynski, Patrick C. Hettinger |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
MEDLINE 030230 surgery Preoperative care Cost burden Tourism 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Postoperative Complications Medical Tourism Medicine Humans Surgery Plastic Cosmetic procedures Retrospective Studies business.industry General Medicine Evidence-based medicine Surgery Cost analysis Costs and Cost Analysis Complication business |
| Zdroj: | Aesthetic surgery journal. 41(5) |
| ISSN: | 1527-330X |
| Popis: | Background Cosmetic surgery tourism is increasing exponentially. Patients seek cosmetic procedures within the United States and abroad, lured by lower cost procedures, shorter waiting lists, and affordable airfare and hotel accommodations. Unfortunately, operations are often performed by non–board-certified plastic surgeons, sometimes not even by plastic surgeons. Preoperative counseling, frequently limited to a video-chat with an office secretary, provides inadequate discussion regarding potential complications. Postoperative care is careless and rarely involves the operating surgeon. Complications are frequent, with management falling into the hands of plastic surgeons unfamiliar with the patient’s care. Furthermore, the physician, rather than the patient or hospital, faces the largest cost burden. Objectives The authors sought to explore their institution’s experience treating complications of cosmetic tourism and investigate associated costs. Methods The retrospective review of 16 patients treated for complications related to cosmetic surgery tourism plus cost analysis revealed a substantial discrepancy between money saved by undergoing surgery abroad and massive costs accrued to treat surgical complications. Results The most common complication was infection, often requiring surgery or IV antibiotics on discharge. Mean cost per patient was $26,657.19, ranging from $392 (single outpatient visit) to $154,700.79 (prolonged admission and surgery). Overall, the hospital retained 63% of billed charges, while physicians retained only 9%. The greatest amount paid by any single patient was $2635.00 by a patient with private insurance. Conclusions Cosmetic tourism has severe medical repercussions for patients and complications that burden hospitals, physicians, and the US medical system. Physicians treating the complications suffer the greatest financial loss. Level of Evidence: 4 |
| Databáze: | OpenAIRE |
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