<> PMID: 1952749 . So for every single taxable dollar we make over $78,950, Uncle Sam will hit us with a 22% federal tax (22 cents). Please click OK to confirm you are at least 18 years of age and are not offended by this material. A calculation for BSA is: BSA (in m2) If the amount plots above the 22nd percentile and the member has a functional impairment, the procedure is reconstructive. etic reasons, for mixed reasons, and for purely medical reasons, 132 of the same 220 surgeons responded. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. This calculator yields the required weight of tissue to remove with just knowledge of the patient's height and weight and the use of a straight edge. The Schnur Sliding Scale chart is an evaluation method used with individuals who are considering breast reduction. 22nd percentile on the schnur chart. This Schnur chart may be used to assess whether the amount of tissue that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic or reconstructive in nature. In determining the medical necessity of . Received April 9, 2018, and accepted for publication, after revision August 6, 2018. Boukovalas S, Padilla PL, Spratt H, Tran JP, Li RT, Boson AL, Howland N, Phillips LG. So I requested a copy via my public library and received a scan. 22. philadelphia events may 2022. <>stream Working with insurance companies New comments cannot be posted and votes cannot be cast. Bethesda, MD 20894, Web Policies Anesthesia will be given during the procedure, but. There is ample evidence that the practice of applying the Schnur Sliding Scale may be prohibitive to symptomatic patients seeking reduction mammaplasty and should be abandoned. Where does the Tail of the Dragon start and end? This site needs JavaScript to work properly. If the amount plots above the 22. nd. Policy Number : MP.004.24 Effective Date: April 1, 2023 Instructions for Use The beast candidate for breast reduction has fully developed breasts. %PDF-1.6 % We demonstrate and compare performance of this calculation by hand and by nomogram. This chart compares the quantity of removed breast tissue to your body surface area. and all women whose breast weight was greater than the 22nd percentile sought the procedure for medical reasons. July 21, 2009. Your message has been successfully sent to your colleague. And that doctor's site has an error: below the 22nd percentile was not deemed cosmetic in the Schnur study. Posted by May 23, 2021 capo gabinetto italia on 22nd percentile on the schnur chart . Dr. Cohen must also understand ahead of time the amount of tissue removed that he believes a patients insurance company will use as a further criterion to consider the procedure medically necessary. It compares the patients body surface area by the weight of breast tissue to be removed in surgery. What TV show has the character Corky?Corky ThatcherChris BurkePaige ThatcherTracey NeedhamTyler BenchfieldTommy PuettJesse McKennaChad LoweRona LiebermanMichele MathesonRebecca Becca ThacherKellie Martin. How much does 500 grams of breast tissue weigh? How do you cleanse your crystals and charge them? How do you search old text messages on iPhone? 0000040043 00000 n This scale was based on survey responses from 92 of 200 solicited plastic surgeons, who reported the height, weight, and amount of breast tissue removed from . novembro 21, 2021 Por Por Schnur Sliding Scale for Breast Reduction. BREAST-Q Outcomes before and after Bilateral Reduction Mammaplasty. Ann Plast Surg. He determined that women who fell above the 22nd percentile line were motivated for medical reasons and those below the 5th percentile were motivated by cosmetic reasons. Alternately, if body surface area and removed breast tissue weight are above the 22nd percentile, the procedure has met the required criteria to be considered medically necessary. Ann Plast Surg. This Schnur chart may be used to assess whether the amount of tissue (per breast) that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic or reconstructive in nature. Schnur et al (1991), at the request of third-party payers, developed a sliding scale. UnitedHealthcare determines eligibility based on the amount of tissue removed using the Schnur Chart. 0000000998 00000 n (1991) concluded that women whose removed breast weight was less than the 5th percentile sought the procedure for cosmetic reasons and all women whose breast weight was greater than the 22nd percentile sought the procedure for medical reasons. There is ample evidence that the practice of applying the Schnur Sliding Scale may be prohibitive to symptomatic patients seeking reduction mammaplasty and should be abandoned. How can I get my insurance to pay for breast reduction? All the rest of the women who fell in between the lines had mixed reasons. How long does a bearded dragon live with MBD? Comparative Accuracy of Clinical and Formula-Based Estimation of Resection Weight in Reduction Mammoplasty and Implications for Insurance Preapproval and Payment. This Schnur chart may be used to assess whether the amount of tissue (per breast) that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic or reconstructive in nature. First, a little background for anyone who is not versed in the Schnur Sliding Scale. Ml amount of tissue to be removed from either breast be greater than or equal to the 22nd percentile on the Schnur Scale? How Does Volume of Resection Relate to Symptom Relief for Reduction Mammaplasty Patients. endstream endobj startxref Breast Resection Weight Prediction and Insurance Reimbursement in Reduction Mammaplasty: Which Scale Is Reliable? modify the keyword list to augment your search. If the proposed total grams of tissue is less than the 22ndpercentile but greater than the 5thpercentile on the Modified Schnur scale, clinical documentation of circumstances to support the proposed tissue removal must be submitted for determination of medical necessity. C. POLICY For Special Needs Plan members, reference the below link to search for Applicable National Coverage Descriptions (NCD) and Local Coverage Descriptions (LCD): Taken from the Schnur Sliding Scale . ethan astaphan pictures. 22nd percentile on the schnur chart. If the amount plots above the 22nd percentile, and other co-criteria are met, breast reduction would be allowed; 2. Those lines (at the 22nd and 5th percentile) are the lines of the Schnurr Scale- or rather the line between medical and mixed (22nd percentile) is the Schnurr Scale number that insurance uses. endobj Dr. Cohen uses the Schnur Sliding Scale to help patients determine if their breast reduction is medically necessary and then present the proper information to insurance companies. This effect is especially marked in women who have a smaller frame and a bigger bust. If my claim is denied, I plan to use this in my appeal, as I fall between the two cut-offs. Many women report others commenting on how much slimmer and taller they look after reduction surgery. The Schnur scale The weight of tissue to be removed from each breast must be above the 22nd percentile on the Schnur Sliding Scale (Appendix A below) based on the individual's body surface area (BSA). $19,000 X 22% = $4,180 Tax Everything we do is designed to help our patients achieve their desired results. This evaluation method was developed by a plastic surgeon who did a study on women who required breast reduction surgery for medical reasons. Epub 2022 Jul 22. Cookie Notice This study was not designed for what insurance companies use it for. Average weight of tissue planned to be removed in each breast is above the 22nd percentile as referenced on the Schnur Sliding Scale based on the individual's body surface area (BSA) below: . However, they also need to know whether the procedure is considered medically necessary, as insurance companies typically pay for breast reduction if it is deemed so. /3600) *NOTE: If the proposed total grams of tissue is less than the 22nd percentile but greater than the 5th percentile on the Modified Schnur scale . %PDF-1.6 % What makes a breast reduction medically necessary? If the individual's body surface area and weight of breast tissue removed fall above the 22 nd percentile, then the surgery is considered medically reasonable and necessary with the appropriate criteria. 0000010932 00000 n hb``` ea ?i_c4hQm`!D;Dnj 2QwV&*\/>TQ|_0!; In a subsequent outcome study, based on questionnaire responses from women who had undergone reduction mammaplasty, Schnur and colleagues (1997) reported that in properly selected individuals . 0000013559 00000 n I couldn't find information on the 5th percentile anywhere. The authors concluded that the surgeries where the individual's BSA and the weight of tissue removed was above the 22nd percentile were all for reconstructive reasons, those below the 5th percentile were entirely cosmetic, and the ones that fell between were a mix of both and needed to be evaluated individually to determine which one they fell into. If the amount plots hbbd```b``>"HJ &"`RL2/` L^7d$M@`[Aq6@!+#iPL?c O Annals of Plastic Surgery82(3):316-319, March 2019. 22nd percentile on the schnur chart. Can I get a breast reduction if Im overweight? How Does Volume of Resection Relate to Symptom Relief for Reduction Mammaplasty Patients? %PDF-1.5 % Those women whose removed breast tissue weight was between the 5th and the 22nd . 391 0 obj <>stream I am currently a 38DD with severe upper back and shoulder pain. Body Surface Area (BSA) (m. 2) Minimum Grams of Breast Tissue to be Removed. The Schnur Sliding Scale chartis an evaluation method for physicians to use on individuals considering breast reduction surgery. Your weight should be stable. startxref Will you still be able to buy Godiva chocolate? Schnur Sliding Scale. 7e=ES[E75*X>p>> Uif #6 If the amount plots above the 22nd percentile and the member has a Functional Impairment, the procedure is reconstructive. Conflicts of interest and sources of funding: none declared. 0 The Schnur group presented a nomogram for calculating BSA and a scale in the form of a table for guiding a determination of whether the patient is a . payers had adopted it, many had also misused it.11, Schnur pointed out that if a payer used weight of resected tissue as a coverage criterion, then if the weight fell below the 5th percentile, the reduction mammaplasty would be considered cosmetic; if above the 22nd percentile, it would be considered Reduction Mammaplasty: Cosmetic or Reconstructive Procedure? Some error has occurred while processing your request. This evaluation method was developed by a plastic surgeon who did a study on women who required breast reduction surgery for medical reasons. Lower 5% Lower 22% 1.35 127 199 1.40 139 218 1.45 152 238 1.50 166 260 1.55 181 284 1.60 198 310 . survey of plastic surgeons, Schnur et al. doi: 10.1097/PRS.0000000000005712. Below the 5th percentile was deemed cosmetic and between the 5th and 22nd were considered a mix of both. hb```-y eaX&pSa )FIw-~'/AHD zn@Z%201fgiS1JLYLnL}ySU cx$cP10-^ How do I backup my iPhone when I get a new one? I looked at the Schnur scale table and base on my weight and body surface area (1.41-1.45) the threshold value per breast for me would be 238 per breast. How to Calculate Percentile. 2019 Jul;144(1):18e-27e. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Posted by May 23, 2021 capo gabinetto italia on 22nd percentile on the schnur chart . All the published Schnur Scales only include the 22nd percentile. (1991) determined that women whose removed breast weight was above the 22nd percentile were likely to receive the procedure for medical reasons. endobj Plast Reconstr Surg. So far so good Those women whose removed breast tissue weight was . They presented a very cogent argument for selecting three groups of patients: those with medical indications for operation, those who merit review, and those whose operation could be considered cosmetic. To convert inches to centimeters, multiply inches by 2.54. Should I be worried if I have silverfish? Archived post. This patient was suffering from the usual complex of symptoms including back, neck, and shoulder pain, bra strap grooving, and difficulty with exercise due to her heavy breasts. Redefining the Role of Resection Weight Prediction in Reduction Mammaplasty and Breaking the "One-Scale-Fits-All" Paradigm. 0000044323 00000 n Will I look thinner after breast reduction? Why wont my Apple Watch pair with my new iPhone? Wolters Kluwer Health, Inc. and/or its subsidiaries. What is the 22nd percentile Schnur scale? The surgeon at my first consult said I was borderline in the eyes of insurance as in I may not be big enough for coverage so just wonder if anyone can give me some insight! To convert pounds to kilograms, multiply pounds by 0.4536. You may be eligible for coverage if the amount of breast tissue your surgeon plans to remove exceeds the 22nd percentile on the Schnur chart. <. 0000003061 00000 n In a survey of plastic surgeons, Schnur et al. 0000006152 00000 n Arrange n number of data points in ascending order: x 1, x 2, x 3, . Schnur pointed out that if a payer used weight of resected tissue as a coverage criterion, then if the weight fell below the 5th percentile, the reduction mammaplasty would be considered cosmetic; if above the 22nd percentile, it would be considered medically necessary; and if between these cutpoints, it would be considered on a case-by-case basis. x n. Calculate the rank r for the percentile p you want to find: r = (p/100) * (n - 1) + 1. What is the 22nd percentile on the Schnur chart? 0000041762 00000 n This calculator yields the required weight of tissue to remove with just knowledge of the patient's height and weight and the use of a straight edge. 0000001470 00000 n This patient is a 23 year old female who flew in from out of state to my practice with interest in breast reduction surgery. Please enable scripts and reload this page. Posted by May 23, 2021 capo gabinetto italia on 22nd percentile on the schnur chart . How much weight is taken off with a breast reduction? endstream endobj startxref Save my name, email, and website in this browser for the next time I comment. This Schnur chart may be used to assess whether the amount of tissue (per breast) that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic or reconstructive in nature. 5th percentile, the reduction mammaplasty would be considered cosmetic; if above the 22nd percentile, it would be considered medically necessary; and if between these cutpoints, it would be considered on a case-by-case basis. Reduction mammaplasty: cosmetic or reconstructive procedure? While this practice continues, our simplified Schnur Sliding Scale nomogram is meant to help easily determine the insurer-required minimum breast resection weight and thereby both improve patient counseling prior to planning surgery and assist the surgeon with achieving insurer reimbursement for the procedure while avoiding rejected claims. E-mail: [emailprotected]. xref J}pqmMJIo+\=w[`%&>A Q("X@J8]\A 0 This Schnur chart may be used to assess whether the amount of tissue (per breast) that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic or reconstructive in nature. 0000000935 00000 n In 1991, Dr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area (BSA) of the patient. They presented a very cogent argument for selecting three groups of patients: those with medical indications for operation, those who merit review, and those whose operation could be considered cosmetic. Search for Similar Articles 1. Privacy Policy. You can calculate your BSA (body surface area) here. Schnur Scale: an evaluation method for physicians to use on individuals considering . This patient had all of the classic symptoms of oversized breasts including neck pain, back pain, bra strap grooving, shoulder discomfort, and difficulty with physical activity Average grams of tissue per breast to be removed, LEARN MORE ABOUT BREAST REDUCTION SURGERY, 465 N Roxbury Dr., Suite 750Beverly Hills, CA 90210, Dr. Cohen's Perspective: Breast Augmentation & Enhancement, You can calculate your BSA (body surface area) here. Mosteller: BSA (m) = SQRT{ [ height (cm) x weight (kg)] / 3600 }. 0000007705 00000 n and all women whose breast weight was greater than the 22nd percentile sought the procedure for medical reasons. We have combined the scale and the BSA nomogram for a simplified nomogram calculator that facilitates rapid determination of anticipated tissue weight of resection for a patient of a given size. Square root of height (inches) x weight (lbs) divided by 3131. doi: 10.1097/PRS.0000000000007605. Insurance companies took this information, created a chart based on the 22nd percentile, and use it to deny all procedures that don't meet that. Here's the data that includes 5th percentile values (image below) https://docs.google.com/spreadsheets/d/1MOQpsG0do5Gy0x3ihKbYPWvhoyEL87EzF4qpelN1JVU/edit?usp=sharing. This method was developed by a plastic surgeon for use in a study to determine the number of women who had breast reduction surgery for medical reasons only. 1341 0 obj Women who would like to reduce the size of their breasts usually know they want the procedure in order to achieve a lighter, more attractive breast shape. 1340 0 obj The Schnur group presented a nomogram for calculating BSA and a scale in the form of a table for guiding a determination of whether the patient is a reconstructive patient as opposed to an aesthetic patient. Archived post. Wampler AT, Powelson IA, Homa K, Freed GL. 0000000716 00000 n 1. 1374 0 obj Average weight of tissue planned to be removed in each breast, is above the 22nd percentile on the Schnur Sliding Scale based on the patient's body surface area (BSA) This Schnur chart may be used to assess whether the amount of tissue (per breast) that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic The most reliable method for evaluating your eligibility for breast reduction is the Schnur Sliding Scale, which allows Dr. Omidi to determine the right tissue amount to be removed from each breast. (1991) concluded that women whose removed breast weight was less than the 5th percentile sought the procedure for cosmetic reasons and all women whose breast weight was greater than the 22nd percentile sought the procedure for medical reasons. For example, the familiar Schnur sliding scale was devised as a nomogram that relates resected breast weight to body surface area and defines surgeries resulting in resection weights above the 22nd percentile as being reconstructive, whereas those below the fifth percentile as cosmetic. Taken from the Schnur Sliding Scale . Asked By: Mom-To-4 in North Carolina. Ann Plast Surg. 0000000016 00000 n P L Schnur 1 , J G Hoehn, D M Ilstrup, M J Cahoy, C P Chu. This chart compares the quantity of removed breast tissue to your body surface area. A o@NK*|tQr Q^N\,VP10i_@H306iNQ 59 0 obj <>stream . The commonly used Schnur Sliding Scale suggests that resection weights above the 22nd percentile should be regarded as reconstructive, while resection weights falling below the fifth percentile should be deemed cosmetic.8 However, from a scientific standpoint, the basis for developing this scale is flawed. Body surface area, along with average HVM@+QVQ*9PeK`U0$AD?#T]:"(kcp]'u_sngA05]}+OR2=Rf0UC>>]!8=J A breast reduction surgery is deemed medically necessary if the patients body surface area and weight of breast tissue removed are above the 22nd percentile. 0 Our team understands which procedures are considered medically necessary by insurance companies and what criteria they use to determine this. What BMI do you need for breast reduction? Use of the Schnur Sliding Scale, which suggests a minimum amount of breast tissue to be removed for the procedure to be considered medically necessary, based on the patient's body I know some people have been denied due to solely the Schnur scale despite other factors like pain/rashes/etc and I want to know if that could happen to me. doi: 10.1097/SAP.0000000000001885. For more information, please see our I previously posted asking if anyone knew how to find the 5th percentile on the Schnur scale. You may search for similar articles that contain these same keywords or you may How do I find my account number on my debit card? If r is an integer then the data value at location r, x r, is the percentile p: p = x r. since if ri = r and is an integer then rf does not exist or rf . It compares the patient's body surface area by the weight of breast tissue to be removed in surgery. Reddit and its partners use cookies and similar technologies to provide you with a better experience. 2022 Freewareppc Situs Download Aplikasi Gratis Untuk PC, 2012 kia sportage camshaft position sensor location, Ethiopian Airlines Hostess Registration 2022. 0000005391 00000 n What is the best time to treat for grubs? 1991 Sep;27(3):232-7 . Plast Reconstr Surg. Schnur pointed out that if a payer used weight of resected tissue as a coverage criterion, then if the weight fell below the 5th percentile, the reduction mammaplasty would be considered cosmetic; if above the 22nd percentile, it would be considered medically necessary; and if between these cutpoints, it would be considered on a case-by-case basis. utilizing this scale, Schnur et al. Comparative Accuracy of Clinical and Formula-Based Estimation of Resection Weight in Reduction Mammoplasty and Implications for Insurance Preapproval and Payment, Privacy Policy (Updated December 15, 2022). Expected tissue removal of at least one of the following: a. Lower 5% Lower 22% 1.35 127 199 1.40 139 218 1.45 152 238 1.50 166 260 1.55 181 284 1.60 198 310 . Reduction mammaplastythe Schnur sliding scale revisited. I couldn't find information on the 5th percentile anywhere. This sliding scale was based on survey responses of 92 of 200 solicited plastic surgeons, who reported the height, weight, and amount of breast tissue removed from each breast from the last 15 to 20 reduction mammaplasties that had been performed. MeSH Are poem titles italicized or underlined? SV8^UIUkU* While this practice continues, our simplified Schnur Sliding Scale nomogram is meant to help easily determine the insurer-required minimum breast resection weight and thereby both improve patient counseling prior to planning surgery and assist the surgeon with achieving insurer reimbursement for the procedure while avoiding rejected claims. The body surface area in meters squared (m2) is calculated using the Mosteller formula as follows: a. https://docs.google.com/spreadsheets/d/1MOQpsG0do5Gy0x3ihKbYPWvhoyEL87EzF4qpelN1JVU/edit?usp=sharing. 1999;42:107-8. Will Xbox Series X ever be in stock again? 0000002327 00000 n If only one breast meets the Schnur scale criteria; breast tissue may be removed from the other breast in order to achieve symmetry. and our This Schnur chart may be used to assess whether the amount of tissue (per breast) that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic or reconstructive in nature. 0 Note: The scale above is taken from the Schnur Sliding Scale and shows the BSA and associated grams of breast tissue to be removed to meet the 22nd percentile where women are likely to have a reduction mammoplasty primarily for medical reasons. hb```g``f`a` L@q -/7ZXs] jP``HQ~F'%L& And voila! . tissue that is planned to be removed in each breast above the 22nd percentile on the Schnur Sliding Scale (see Appendix) based on the individual's body surface . If the individual's body surface area and weight of breast tissue removed fall below the lower 22nd percentile, then the surgery . endstream BU0 j5 0000003849 00000 n Ml more than 500 grams of tissue be removed from each breast? My insurance company states according to the Schnur Sliding scale, I would need 527 grams removed from each breast as one criteria. . How do you French braid your own hair easy steps? If body surface area and breast tissue weight removed are above the 22 nd percentile, then the surgery will be deemed . If the amount plots above the 22ndpercentile and the member has a Functional Impairment, the procedure is reconstructive. %%EOF This patient is a 36-year-old female who presented to my medicaloffice with complaints of breast size larger than desired with severe drooping, which caused back, neck, shoulder pain, bra strap grooves, and difficulty with fitting into clothes and exercising. AbstractBackground. You may be eligible for coverage if the amount of breast tissue your surgeon plans to remove exceeds the 22nd percentile on the Schnur chart. The Schnur Sliding Scale chart is an evaluation method used with individuals who are considering breast reduction. Please try after some time. The patients body surface area and average weight of breast tissue removed is incorporated into this chart. Average weight of tissue planned to be removed in each breast is above the 22nd percentile as referenced on the Schnur Sliding Scale based on the individual's body surface area (BSA). Federal government websites often end in .gov or .mil. Do you have to lose weight before breast reduction? Before Should You Have Breast Reduction When You Are Overweight? This method was developed by a plastic surgeon for use in a . Please enable it to take advantage of the complete set of features! 23. . 1999 Jan;42(1):107-8. . So instead of taking home just $14,820 - I get to keep my entire $19,000. Schnur Sliding Scale (Schnur, et al., Ann Plast Surg. Documentation of patient's body surface area (BSA), based on the Schnur Sliding Scale (SSS), in which the patient's breast weight (per breast) is estimated at greater than the 22nd percentile line Refer to SSS and calculation of BSA at the end of the Rationale Section) consisting of breast tissue, not fatty tissue to be removed. I understand what my BSA is and what the corresponding amount of tissue that would need to be removed according to the scale. (grams) 22nd percentile Body Surface Area (BSA m) Weight of tissue removed per breast (grams) 22nd percentile 1.35 350 2.00 628 1.40 350 2.05 687 . By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. 0000001370 00000 n Dr. Cohens insurance authorization team works to help patients who need medically necessary operations get these approved prior to their surgery. Unauthorized use of these marks is strictly prohibited. If you plan on losing weight it is better to do so before surgery. If they are below the 22nd percentile, breast reduction is not deemed medically necessary. Wolters Kluwer Health <<8CD364E2581BCE4D970CF038F561BF58>]/Prev 172982>> While this practice continues, our simplified Schnur Sliding Scale nomogram is meant to help easily determine the insurer-required minimum breast resection weight and thereby both improve patient counseling prior to planning surgery and assist the surgeon with achieving insurer reimbursement for the procedure while avoiding rejected claims. Insurance companies took this information, created a chart based on the 22nd percentile, and use it to deny all procedures that don't meet that. How much is 900 grams in breast reduction? She also had significant back, neck and shoulder pain due to extremely large breasts. Your BMI is 35 (based on your height and weight) it is considered best practice to operate on a patient that has a BMI of, How Much Do DDD Breasts Weigh? Would you like email updates of new search results? All rights reserved. 2022 Oct 1;150(4):723e-730e. %PDF-1.4 % To convert pounds to kilograms, multiply pounds by 0.4536. This calculator yields the required weight of tissue to remove with just knowledge of the patient's height and weight and the use of a straight edge. rmLK#43P8 %tL G-< Where is the mitochondria located and what is its function? This patient is a 20 year old female who flew in from New Mexico with interest in breast reduction surgery. Schnur (1999) reviewed the use of the sliding scale as a coverage criterion and 10, 22 Despite this, a study by Frey and colleagues 9 using a representative survey of American insurance companies found 12 of 15 utilize the Schnur scale to determine weight resection requirements and 14 of . Schnur Sliding Scale (SSS) Calculation of Body Surface Area (BSA), as shown in the following (using centimeters for height and kilograms for weight): BSA = the square root of ( [height x weight] 3600).
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