Cosmetic breast augmentation in Australia: a cost of complication study

Main Article Content

George S Miller
Suzanne Robinson
Christopher M Reid
David J Hunter-Smith

Keywords

Breast, Prostheses and Implants, Plastic surgery, Cost Analysis., economics

Abstract

Background: Treatment of complications from cosmetic breast augmentation is subsidised by government funding in Australia.


Aim: We aimed to estimate the total cost to the Australian public health system of the treatment of complications following cosmetic breast augmentation.


Method: Using the PRISMA 2009 statement, a systematic review was conducted to find articles reporting on complications following cosmetic breast augmentation. A quantitative analysis was performed to calculate overall complication rates.


An economic cost analysis was performed on data from procedures performed in Australia between 2000-01 and 2014-15. We modelled costs to the public health system for this period and projected costs to the year 2030.


Results: Thirty-nine articles were identified for inclusion in the quantitative analysis of complication rates following cosmetic breast augmentation. Economic modelling showed an estimated cost of over A$10 million just for surgeons’ and surgical assistants’ fees to treat complications between 2000 and 2015. We forecast over A$50 million for this cost over the subsequent fifteen years. Total health spending on complications is estimated to have been almost A$200 million between 2000 and 2015.


Conclusion: This study illustrates the significant economic cost to the Australian health system created by complications following cosmetic breast augmentation. We believe this study reinforces the importance of the Australian breast device registry (ABDR) to further guide regulation, economic policy and health policy.


 

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