Chelsea & Westminster NHS Trust, 369 Fulham Rd, Chelsea, London, SW10 9NH, UK.
Imperial College School of Medicine, Kensington, London, SW7 2DD, UK.
Aesthetic Plast Surg. 2020 Apr;44(2):586-594. doi: 10.1007/s00266-019-01571-7. Epub 2019 Dec 12.
Cosmetic tourism is a global commodity, but patients seeking treatment for complications of international cosmetic tourism appear to be on the rise. We calculate the financial burden to a single NHS trust and summarise the literature, reviewing the implications of cosmetic tourism and summarising available guidance to assist surgeons in this ethically challenging, but expanding, field.
Hospital episodes for patients with complications from cosmetic tourism between January 2016 and March 2017 were retrieved using the patient management system. The coding department provided the episode costs. A literature search was conducted using Medline, EMBASE and HBE identifying 273 English abstracts. The abstracts were reviewed for relevance followed by assessment of the 48 selected full articles by all authors and 17 papers contained relevant, new information.
Eleven patients underwent management for complications of cosmetic surgery, most commonly infection, with a sum of 29 inpatient episodes and total cost of £259,732.
Our study illustrates the management of complications of cosmetic surgery carries a high cost. This is not an experience limited to just this trust in the UK. Internationally, healthcare systems are evolving to raise the safety profile for cosmetic tourists, some going the extra mile to accommodate healthcare tourists, reaping the financial reward. Following the examination of the literature, we query whether NHS trusts should heighten their presence as providers of private services on the international market, eliminating numerous medical-ethic concerns associated with substandard cosmetic tourism.
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.
美容旅游是一种全球性的商品，但似乎寻求治疗国际美容旅游并发症的患者人数正在上升。我们计算了单一国民保健制度信托基金的财务负担，并总结了文献，综述了美容旅游的影响，并总结了可用的指南，以帮助外科医生在这个具有挑战性但不断扩大的领域中遵循伦理规范。
使用患者管理系统检索 2016 年 1 月至 2017 年 3 月期间因美容旅游并发症就诊的患者的住院记录。编码部门提供了住院费用。使用 Medline、EMBASE 和 HBE 进行文献检索，共检索到 273 篇英文摘要。对摘要进行相关性评估，然后由所有作者对 48 篇选定的全文进行评估，其中 17 篇论文包含相关的新信息。
11 名患者因美容手术并发症接受治疗，最常见的是感染，共 29 例住院病例，总费用为 259732 英镑。
我们的研究表明，美容手术并发症的治疗费用很高。这不仅是英国这家信托基金的经验。在国际上，医疗保健系统正在发展，以提高对美容游客的安全性，一些国家甚至不遗余力地为医疗游客提供服务，从中获得经济回报。在对文献进行审查后，我们质疑国民保健制度信托基金是否应该加强其在国际市场上作为私人服务提供商的地位，消除与低标准美容旅游相关的许多医疗伦理问题。
证据等级 V：本刊要求作者为每篇文章分配一个证据等级。有关这些循证医学评级的完整描述，请参考目录或在线作者指南 www.springer.com/00266。
