[Regional electro-hyperthermia--technical principles, clinical results and health insurance aspects].
The method of electro-hyperthermia is based on the production of alternating currents from capacitive coupled electrodes. Because of the associated heating of body tissues, the electro-hyperthermia is promoted as an alternative to the more sophisticated methods of scientific hyperthermia, which find use in oncologic diseases. The analysis of technical data, however, reveals that the electro-hyperthermia is not qualified for a focused, effective and therapeutically useful heating of circumscribed target areas. Data from clinical studies demonstrating efficacy for defined indications are not available. The application of electro-hyperthermia is excluded form the German system of public health insurance. As proof of medical necessity cannot be provided, there is also no claim for reimbursement from private health insurance. According to legal regulations in Germany, an invoice as hyperthermia treatment is usually not possible. Rather, an item from the electrotherapy section of the official provision of medical fees (GOA) has to be chosen.
Abteilung Medizinische Beratung, ERGO Versicherungsgruppe AG, Köln.
Uwe
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Heyll
D004599:Electric Stimulation Therapy / Q000191:economics* / Q000295:instrumentation*; D005858:Germany; D006801:Humans; D006979:Hyperthermia, Induced / Q000191:economics* / Q000295:instrumentation*; D019458:Insurance Coverage / Q000191:economics* / Q000331:legislation & jurisprudence*; D009313:National Health Programs / Q000191:economics* / Q000331:legislation & jurisprudence*; D009369:Neoplasms / Q000191:economics* / Q000628:therapy*; D012051:Reimbursement Mechanisms / Q000191:economics / Q000331:legislation & jurisprudence; D016896:Treatment Outcome