Division of Plastic and Reconstructive Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY.
Aesthet Surg J. 2021 Feb 12;41(3):358-369. doi: 10.1093/asj/sjaa225.
In efforts to help alleviate the strain placed on healthcare during the COVID-19 pandemic, the American Society of Plastic Surgery recommended suspending elective procedures on March 19, 2020. When this suspension was enacted, it was unknown when cases would resume.
This analysis aimed to estimate the regional economic impact of the pandemic specifically with regards to elective, aesthetic surgical procedures. As knowledge regarding the effects of the pandemic has grown, the authors then evaluated the accuracy of the projected estimates compared with actual events.
Utilizing the American Society of Plastic Surgery 2018 Plastic Surgery Statistics Report, regional case volume and surgeons' fees were obtained for the top 5 aesthetic procedures. Models developed by the Institute for Health Metrics and Evaluation were employed to estimate the anticipated duration of suspension by utilizing the date that no ventilators would be required for COVID-19 patients. This duration was utilized to calculate the volume of cases that would not occur.
These estimates predict up to 1.3 billion fewer dollars will be collected in surgeons' fees, representing a 20% loss compared with 2018. The South Atlantic region is predicted to have the greatest number of operating room days lost. However, the Mountain and Pacific regions are estimated to have the greatest loss in case volume and surgeons' fees.
The cumulative impact of the pandemic on life, society, and the economy is tremendous. This analysis may help guide surgeons' responses during and after the crisis.
为了帮助缓解 COVID-19 大流行期间医疗保健系统的压力，美国整形外科学会于 2020 年 3 月 19 日建议暂停择期手术。该暂停措施实施时，尚不清楚何时恢复手术。
本分析旨在专门评估大流行对择期、美容手术的区域性经济影响。随着对大流行影响的了解不断增加，作者随后评估了预测估计值与实际事件的准确性。
利用美国整形外科学会 2018 年整形手术统计报告，获取了前 5 种美容手术的区域病例量和外科医生费用。使用卫生计量与评估研究所开发的模型，根据 COVID-19 患者不再需要呼吸机的日期来估计预期的暂停时间，从而估算未发生的病例量。
这些估计值预测外科医生的收费将减少高达 13 亿美元，与 2018 年相比下降了 20%。预计南大西洋地区将失去最多的手术室天数。然而，山区和太平洋地区预计将出现最大的病例量和外科医生费用损失。
大流行对生命、社会和经济的累积影响是巨大的。本分析可能有助于指导外科医生在危机期间和之后的应对。
