title: [Delay of professional activity recovery after implant based breast augmentation surgery: Influence of healthcare coverage].
abstract: OBJECTIVE
  The main goal is to determine if the delay before going back to work after implant-based breast augmentation surgery is influenced by the healthcare coverage criteria.
  
  
  METHODS
  In this retrospective, single center based study, patients who underwent implant-based breast augmentation surgery (excluding reconstructive surgery) in the past 3 years with a minimum follow-up of 1 month were questioned by telephone. Patients who had early postoperative complications, or no professional activity, were excluded. The demographic and perioperative data were collected and two groups were compared: those who were covered by the healthcare system and those who were not.
  
  
  RESULTS
  Sixty patients were included. The two groups were comparable concerning the demographic (age, BMI, children, work intensity, smoking status, comorbidity) and surgical data (surgical approach, type, volume and position of the implant, operative time and drainage). There was a significant difference between the groups concerning the delay of return to work (P=0.0001): 18.4 days for reimbursed patients versus 9.45 days for patients without healthcare coverage.
  
  
  CONCLUSIONS
  For the same implant-based breast augmentation surgery, and for the same population, the duration of postoperative recovery period doubles for the patients for whom surgery is reimbursed by the healthcare system.
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité, 75205 Paris cedex 13, France; Hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France. Electronic address: chatel_harold@hotmail.com.
authors.forename: H
authors.initials: H
authors.lastname: Chatel
authors.affiliation: Service de chirurgie cancérologique, institut Curie, université de Versailles-Saint-Quentin-en-Yvelines, 35, rue Dailly, 92220 Saint-Cloud, France.
authors.forename: C
authors.initials: C
authors.lastname: Bonneau
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité, 75205 Paris cedex 13, France; Hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: M K
authors.initials: MK
authors.lastname: De Fremicourt
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité, 75205 Paris cedex 13, France; Hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Revol
authors.affiliation: Université Paris Diderot, Sorbonne Paris Cité, 75205 Paris cedex 13, France; Hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Mazouz Dorval
mesh_terms: D000328:Adult; D019928:Breast Implantation; D005260:Female; D005602:France; D006801:Humans; D019458:Insurance Coverage; D016462:Mammaplasty; D008875:Middle Aged; D009313:National Health Programs; D012189:Retrospective Studies; D062707:Return to Work / Q000706:statistics & numerical data*
keywords: Arrêt de travail; Augmentation mammaire par prothèse; Breast augmentation with prosthesis; Breast implant; Chirurgie remboursée; Implant mammaire; Reimbursed surgery; Sick leave