背景:腹部轮廓术可以为腹部软组织松弛的患者提供功能和美容益处。尽管这些程序已经在住院患者中进行了研究,很少有研究描述卧床环境中的腹部轮廓手术。
目的:本分析的目的是使用过去四年的国家数据,研究功能性脂膜切除术和美容腹部成形术之间的患者人口统计学模式。
方法:使用全国门诊手术样本,我们分析了2016年至2019年的门诊腹部轮廓术.包括CPT15830的遭遇。使用ICDZ41.1或CPT15847修饰剂的程序被定义为美容腹部成形术的情况。
结果:包括95,289次相遇的加权估计,66,531(69.8%)功能性脂膜切除术和28,758(30.2%)美容腹部成形术。在有减肥手术史的患者中(23.8%;95%CI,22.3-25.4%),脂膜切除术和腹部成形术增加了28.5%(2016年为4,866例,2019年为6,254例).与接受腹部整容术的个体相比,接受功能性脂膜切除术的个体种族差异更大,有更多的合并症,更有可能来自低收入背景。
结论:近年来,在非卧床环境中进行腹部轮廓手术的比率有所增加,尤其是在以前进行过减肥手术的个体中。有重要的人口统计学和临床差异的患者进行功能性脂膜切除术和美容腹部成形术,包括主要付款人,合并症,和种族认同。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Abdominal contouring surgery can provide both functional and cosmetic benefits to patients with abdominal soft tissue laxity. Although these procedures have been studied in the inpatient setting, few studies describe abdominal contouring surgery in the ambulatory setting.
OBJECTIVE: The purpose of this analysis was to investigate patterns in patient demographics between functional
panniculectomy and cosmetic abdominoplasty using national data from the last four years.
METHODS: Using the Nationwide Ambulatory Surgery Sample, we analyzed outpatient abdominal contouring procedures between 2016 and 2019. Encounters with a CPT 15830 were included. Procedures with ICD Z41.1 or CPT 15847 modifiers were defined as cases of cosmetic abdominoplasty.
RESULTS: A weighted estimate of 95,289 encounters were included, with 66,531 (69.8%) functional
panniculectomy and 28,758 (30.2%) cosmetic abdominoplasty procedures. Among patients with a history of bariatric surgery (23.8%; 95% CI, 22.3-25.4%), there was a 28.5% (4,866 in 2016 vs 6,254 in 2019) increase in
panniculectomy and abdominoplasty. Compared with individuals who underwent cosmetic abdominoplasty, individuals who underwent functional
panniculectomy were more racially diverse, had more comorbidities, and were more likely to be from low-income backgrounds.
CONCLUSIONS: Rates of abdominal contouring surgery in the ambulatory setting have increased in recent years especially among individuals with previous bariatric surgery. There are important demographic and clinical differences between patients who underwent functional
panniculectomy and cosmetic abdominoplasty including primary payer, comorbidities, and racial identity.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .