Clinical Approach to Plagiocephaly

Vaccari, R; Passarini, Alice

doi:10.1007/978-3-319-06118-4_5

Cited by 1 publication

(1 citation statement)

References 21 publications

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“…32 Certain orthotics, such as the DOC Band, require adjustment every week. 33 Usually ranging from $1500 to $3000, the cost of the cranial orthotic typically includes the helmet and required follow-ups for helmet adjustments. Most cranial orthotics “grow” with the infant, thanks to progressive and planned removal of the foam lining the orthotic.…”

Section: Treatment Burdenmentioning

confidence: 99%

Practical Review of the Cost of Diagnosis and Management of Positional Plagiocephaly

Watt

Alabdulkarim

Lee

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Positional plagiocephaly has garnered increased research interest since the introduction of the Back to Sleep campaign in the 1990s, and the subsequent increase in infants with cranial deformity. Research has focused on treatment outcomes and developing new modalities to address asymmetric heads. Little attention has been given to the cost of treatment and diagnosis. This study aimed to summarize the literature and provide an overview of the costs associated with a diagnosis of positional plagiocephaly. Methods: A literature review was performed by searching PubMed and Ovid Embase to identify studies pertaining to the “cost” of plagiocephaly diagnosis or treatment through direct financial factors, disturbance to daily routines (ie, through treatment prolongation), or related stress. Results: Twenty-nine peer-reviewed studies were included. Treatment options for plagiocephaly are stratified by severity and age of diagnosis, with different pathways available to treat different stages of asymmetry. The common factor across all treatment modalities is that earlier diagnosis unequivocally leads to better aesthetic outcomes and shorter treatment times. This leads to lower costs for treatment, a lower stress burden for parents, and lower costs for the healthcare system in the future through reduction of long-term effects. Our theoretical cost model suggests that early diagnosis at 4 months can lead to a treatment cost of $1495, when compared with $5195 for detection of deformity at or after 6 months. Conclusion: The dramatic cost disparity between early and late diagnosis highlights the need for reliable methods to accurately detect cranial deformity early in an infant’s life.

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Section: Treatment Burdenmentioning

confidence: 99%