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Population Health Implications of Medical Tourism.

Abstract Fifteen million U.S. patients each year seek medical care abroad; however, there are no data on outcomes and follow-up of these procedures. This study aims to identify, evaluate, and survey patients presenting with complications from aesthetic procedures abroad and estimate their cost to the U.S. health care system.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plastic and reconstructive surgery
Publication Year Start




PMID- 28654593
OWN - NLM
STAT- In-Process
DA  - 20170627
LR  - 20170627
IS  - 1529-4242 (Electronic)
IS  - 0032-1052 (Linking)
VI  - 140
IP  - 1
DP  - 2017 Jul
TI  - Population Health Implications of Medical Tourism.
PG  - 66-74
LID - 10.1097/PRS.0000000000003459 [doi]
AB  - BACKGROUND: Fifteen million U.S. patients each year seek medical care abroad;
      however, there are no data on outcomes and follow-up of these procedures. This
      study aims to identify, evaluate, and survey patients presenting with
      complications from aesthetic procedures abroad and estimate their cost to the
      U.S. health care system. METHODS: A single-center retrospective review was
      conducted. A cohort of patients presenting with complications from aesthetic
      procedures performed abroad was generated. Demographic, complication, and cost
      data were compiled. Patients were surveyed to assess their overall experience.
      RESULTS: Over a 36-month period, 42 patients met inclusion criteria (one man and 
      41 women), with an average age of 35 +/- 11.4 years (range, 20 to 60 years).
      Comorbidities included four active smokers, two patients with hypertension, and
      one patient with diabetes. Average body mass index was 29 +/- 4.4 kg/m (range, 22
      to 38 kg/m). Procedures performed abroad included abdominoplasty (n = 28),
      liposuction (n = 20), buttock augmentation (n = 10), and breast augmentation (n =
      7), with several patients undergoing combined procedures. Eleven patients
      presented with abscesses and eight presented with wound dehiscence. Eight of the 
      18 patients who were surveyed were not pleased with their results and 11 would
      not go abroad again for subsequent procedures. Average cost of treating the
      complications was $18,211, with an estimated cost to the U.S. health care system 
      of $1.33 billion. The main payer group was Medicaid. CONCLUSIONS: Complications
      from patients seeking aesthetic procedures abroad will continues to increase.
      Patients should be encouraged to undergo cosmetic surgery in the United States to
      improve patient outcomes and satisfaction and because it is economically
      advantageous. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
FAU - Adabi, Kian
AU  - Adabi K
AD  - Bronx, N.Y. From the Montefiore Medical Center, Albert Einstein College of
      Medicine.
FAU - Stern, Carrie S
AU  - Stern CS
FAU - Weichman, Katie E
AU  - Weichman KE
FAU - Garfein, Evan S
AU  - Garfein ES
FAU - Pothula, Aravind
AU  - Pothula A
FAU - Draper, Lawrence
AU  - Draper L
FAU - Tepper, Oren M
AU  - Tepper OM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Plast Reconstr Surg
JT  - Plastic and reconstructive surgery
JID - 1306050
EDAT- 2017/06/28 06:00
MHDA- 2017/06/28 06:00
CRDT- 2017/06/28 06:00
AID - 10.1097/PRS.0000000000003459 [doi]
AID - 00006534-201707000-00015 [pii]
PST - ppublish
SO  - Plast Reconstr Surg. 2017 Jul;140(1):66-74. doi: 10.1097/PRS.0000000000003459.

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