title: [Assessment of REC (Reduction in Earning Capacity) after Thermal Trauma as Part of the Appraisal Process for Statutory Accident Insurance in Germany (Part 2): The New REC Form Developed by Ottomann and Hartmann in 2010].
abstract: The calculation of REC forms the basis of expert opinions for the purposes of making accident insurance assessments after an occupational accident or an accident suffered en route while travelling to or from the workplace. The estimation of REC is based on a procedure quoted in the 1995 "Jahrbuch der Versicherungsmedizin" (Yearbook of Insurance Medicine) using a form developed by Henkel von Donnersmarck and Hoerbrand. The overall estimation of damages resulting from the accident comprises 3 main components, namely the functional impairment, the assessment of local findings and the resulting somatic and vegetative complaints. The criteria for all 3 components are nevertheless imprecise and open to a great deal of interpretation on the part of the evaluator, leading to a highly variable and subjective overall assessment of REC. The new REC form includes a modified factor-based categorisation of the scar quality and the localisation, so that assessment can now be carried out in a differentiated manner. Visible, stigmatising areas such as the neck are provided with their own Q values. The pigmental and textural alterations describing the scar quality are now more precisely defined. Considering the complexity of the somatic and vegetative alterations, more precise (objective) assessments can now be derived. The new REC form increases the validity and transparency of post-thermal trauma REC assessments for the purposes of making statutory accident insurance assessments.
authors.affiliation: Zentrum für Schwerbrandverletzte mit Plastischer Chirurgie Unfallkrankenhaus Berlin, Berlin.
authors.forename: C
authors.initials: C
authors.lastname: Ottomann
authors.affiliation: Klinik für Orthopädie, Unfallchirurgie und Wiederherstellungschirurgie, Zentrum für Schwerbrandverletzte, Marienhospital Stuttgart, Stuttgart.
authors.forename: M
authors.initials: M
authors.lastname: Rapp
authors.affiliation: Plastische Chirurgie, Clinica Vita, Berlin.
authors.forename: J C
authors.initials: JC
authors.lastname: Bruck
authors.affiliation: Zentrum für Schwerbrandverletzte mit Plastischer Chirurgie Unfallkrankenhaus Berlin, Berlin.
authors.forename: B
authors.initials: B
authors.lastname: Hartmann
mesh_terms: D002056:Burns / Q000145:classification* / Q000191:economics / Q000601:surgery*; D002921:Cicatrix / Q000145:classification / Q000175:diagnosis / Q000191:economics; D004185:Disability Evaluation; D005858:Germany; D006801:Humans; D007346:Insurance, Accident / Q000191:economics* / Q000331:legislation & jurisprudence*; D008501:Medical Records, Problem-Oriented; D009313:National Health Programs / Q000191:economics* / Q000331:legislation & jurisprudence*