Post-bariatric contour deformity correction: an endeavour to establish objective criteria nationally

Autor: Jérémy Brühlmann, Ioana Lese, Adriaan O. Grobbelaar, Claudia Fischlin, Mihai Constantinescu, Radu Olariu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Swiss Medical Weekly, Vol 152, Iss 0910 (2022)
Druh dokumentu: article
ISSN: 1424-3997
DOI: 10.4414/SMW.2022.w30131
Popis: BACKGROUND: A marked increase in bariatric surgery has led to higher numbers of patients with contour deformities after massive weight loss seeking plastic surgical correction. Insurance coverage for these post-bariatric interventions is highly subjective and a common set of objective criteria has not yet been established. AIM: The aim was to evaluate the factors influencing insurance coverage for post-bariatric surgery, focusing on finding objective, reproducible criteria. METHODS: This was a retrospective single centre chart review of all post-bariatric patients with redundant skin requesting body contouring surgery from 2013 to 2018. Demographic, bariatric and surgical, as well as insurance information were collected. A logistic regression model was used to identify predictors of successful insurance coverage. RESULTS: 116 Patients were included in the study. Insurance approval for post-bariatric body contouring surgery was obtained for only 47 patients (41%). Mentioning the term “medical indication” in the application letter was associated with a 15.2 times higher rate of receiving a positive answer (p
Databáze: Directory of Open Access Journals