The report is available in English with a Dutch summary - KCE
The report is available in English with a Dutch summary - KCE
The report is available in English with a Dutch summary - KCE
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<strong>KCE</strong> Reports 77 Orthodontics 159<br />
7.9.3.6 Interval duration between prestation 305631 and 305675<br />
Table 61 shows the mean and median number of days lapsed between 305631 and<br />
305675 acts (2nd part of orthodontic appliance, can be prescribed only after at least 6<br />
treatment months of active treatment (6 times 305616)), <strong>with</strong> the standard deviation (st<br />
d), the IQR as well as the m<strong>in</strong>imum and maximum range.<br />
Table 61: Number of days lapsed between 305631 and 305675 acts (2nd part<br />
of orthodontic appliance, can be prescribed only after at least 6 treatment<br />
months of active treatment (6 times 305616))<br />
mean <strong>in</strong>t median <strong>in</strong>t std <strong>in</strong>t q1 <strong>in</strong>t q3 <strong>in</strong>t m<strong>in</strong> <strong>in</strong>t max <strong>in</strong>t<br />
305675 305675 305675 305675 305675 305675 305675<br />
291,9 219,5 218,3 183 301 56 1699<br />
Source: Common Sickness Funds Agency (IMA/AIM), February 2008<br />
<strong>The</strong> median <strong>in</strong>terval duration until the "second part of appliance" (prestation of 305675,<br />
which can be attested after 6 treatment months, i.e. around after 180 days) <strong>is</strong> 219.5<br />
days, which <strong>is</strong> after +- 7 real months; the IQR range <strong>is</strong> from 183 to 301 days.<br />
Concern<strong>in</strong>g the m<strong>in</strong>imum <strong>in</strong>terval, a m<strong>is</strong>take must have occurred as it <strong>is</strong> not legal to<br />
perform the 305675 act, before an <strong>in</strong>terval of at least 180 days. For the maximum<br />
<strong>in</strong>terval of 1699 days, a plausible explanation could be that the treatment <strong>is</strong> <strong>in</strong>terrupted<br />
by the practitioner and restarted at a later stage. As th<strong>is</strong> implies an <strong>in</strong>terruption of 56. 6<br />
months (or 4.7 years), th<strong>is</strong> <strong>is</strong> a rather long period for an <strong>in</strong>terruption of the treatment.<br />
• <strong>The</strong> median <strong>in</strong>terval duration between prestation 305631 and 305675,<br />
which can be attested after 6 treatment months, <strong>is</strong> 219.5 days<br />
(approximately 7 months).<br />
• <strong>The</strong> median "treatment month" has a duration of 36.6 days<br />
• A treatment <strong>in</strong>terval has an <strong>in</strong>terquartile range from 183 to 301 days.<br />
• As the 305675 act can legally only be performed after an <strong>in</strong>terval of at<br />
least 180 days, a m<strong>in</strong>imum <strong>in</strong>terval of 56 days <strong>is</strong> not possible.<br />
• For the maximum <strong>in</strong>terval of 1699 days, a plausible explanation could be<br />
that the treatment <strong>is</strong> <strong>in</strong>terrupted by the practitioner and restarted at a<br />
later stage. An <strong>in</strong>terruption of 56.6 months (or 4.7 years), <strong>is</strong> however<br />
extreme.<br />
7.9.4 CM/MC data<br />
For the assessment of treatment duration, data were also provided from a third source,<br />
namely the Chr<strong>is</strong>telijke Mutualiteit / Mutualité Chrétienne (CM/MC).<br />
Table 62 shows the General orthodontic consumption of prestation 305631 (start of<br />
orthodontic treatment) and monthly activation v<strong>is</strong>its (305616 RIZIV/INAMI-acts) by a<br />
sample of 3 to 18 year olds who started their orthodontic treatment <strong>in</strong> the year 2000<br />
(representative sample from 4.3 million CM/MC-members)