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CIGNA Refusal to Cover
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07/25/2010 03:56
callie 
07/25/2010 03:56
callie 
Re: CIGNA Refusal to Cover

JPcyclist,

You made the same omission as Wolfgang. "The recurrence rate in the LF (limited fasciectomy) group was 23.8% (compared to 85 percent in NA group). Recurrences occurred after a mean of 3.7 years." There were fewer than 1/3 the number of recurrences in the group representing limited fasciectomies as compared to group with NA.

But, it is a personal decision with each procedure having its advantages.

07/26/2010 00:12
JPCyclist 
07/26/2010 00:12
JPCyclist 
Re: CIGNA Refusal to Cover

Callie,

Your last sentence is the important one: "But, it is a personal decision with each procedure having its advantages." For me the six weeks recovery only once would be enough. But I would not rule out LF under certain circumstances.

As long as hand specialists are aware of NA, and even if they don't offer it themselves, if they can articulate the advantages and disadvantages of each treatment for their patients AND as long as the insurance companies recognize NA as a viable treatment, then we are ok. Unfortunately, we are not there yet!

07/26/2010 02:21
callie 
07/26/2010 02:21
callie 
Re: CIGNA Refusal to Cover

JPcyclist,

Choice is great. There are many people who would avoid surgery if at all possible. That was my thinking before I had my limited fasciectomy. I saw all of the pictures and all of the "possible" side effects and there was no way I wanted surgery. My finger was at 90 degrees and felt there was no choice. For me the surgery was no problem and not nearly as bad as I was led to believe it might be. Never had any pain even though it looked like I should feel pain. Now 8 1/2 years later there is still zero sign of Dupuytren's in my hand.

I am continually encouraged that there are tens of thousands of limited fasciectomies performed annually and very very few people complain about the results. I would expect hundreds of people to be on this forum complaining about bad results if bad results were as widespread as suggested.

So choice is good. The longer I go without having the return of Dupuytren's, the easier it will be for me to choose a limited fasciectomy instead of NA. If I would have had poor results from surgery I'm sure the decision would have been the opposite if my other hand needs a procedure. Thanks for the discussion.

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