Breast Reductions and insurance coverage. Can we kick the Schnur scale to the curb? Journal time!

Posted on April 14, 2023

woman sitting in fieldWhen I saw the title of this journal article I wasn’t going to read it. “Breast Hypertrophy: A Real Pain in the Back.” in the March 2023 Plastic and Reconstructive Surgery Journal. But I had a few moments, so I read the synopsis, and this really caught my eye.

Conclusion, “Quality of life scores are uniformly improved following breast reduction. Key findings include significant pain reduction and no evidence of spinal skeletal change. This is a finding of major importance in view of the practice of many insurance companies that use the Schnur scale. The Schnur scale associates a weight for resection with body size that is not directly predictive of pain relief. This may indicate the need for more precise or different guidelines based on these quantitative findings.”

Can we, should we, boot the Schnur scale?

I do tons of breast reductions. It is clear that they help all women. Period. It helps women who droop, and women who stoop. It helps those with big double Ds or smaller breasts that tickle your knees. There are two basic things to fix: SIZE/WEIGHT and DROOP.

FINDINGS:

They conclude breast reductions are awesome and should not be considered by the amount of tissue removed. Pain, posture, kyphosis, exercise tolerance, etc etc were all better. They use the MRI to refute “wear and tear” of the spine- so when patients do the breast reduction, they revert to a more neutral posture and REVERSE the skeletal changes.

My thoughts?

We have to ditch the Schnur scale to show “medical necessity.” Small reductions can cause significant improvement. Droop is as much of an issue for all the medical symptoms as the weight is. Small reductions for sure improve back pain, neck pain, ability to exercise, and self esteem.

The Schnur scale is sometimes ridiculous, requiring some of my patients to have large++ gram breast reductions, so big we couldn’t safely do that amount of gram reduction and still have a breast or a viable nipple. Some require removal of a weight which is equal to the total size of the breast (like doing a mastectomy!).

And again, it does. not. correlate. with. symptom. improvement.

I hope this study makes some traction with insurance coverage.