Pub Date : 2023-11-07DOI: 10.1177/22925503231211347
Allen J. Tsai, Robert Lewis
{"title":"Are Burn Patients at Risk for Upper Extremity Amputations?","authors":"Allen J. Tsai, Robert Lewis","doi":"10.1177/22925503231211347","DOIUrl":"https://doi.org/10.1177/22925503231211347","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135475856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-03DOI: 10.1177/22925503231208451
Kevin Cheung, Holly Livock, Zoe Rubin, Ken Tang, Kevin Smit, Sasha Carsen
Controversy exists in the management of children presenting with clinical suspicion of a scaphoid fracture but normal radiographs. The purpose of this study was to prospectively evaluate the potential role for advanced imaging in children with suspected scaphoid fractures. Participants with clinical suspicion of a scaphoid fracture but 2 sets of radiographs negative for fracture were casted and underwent both computed tomography (CT) and magnetic resonance imaging (MRI). The primary outcome was the prevalence of scaphoid fracture and other imaging findings. Twenty-five participants were enrolled. Nine participants (36%) were found to have a scaphoid fracture on either CT or MRI. Concordance of CT and MRI was found in 64% of cases. Future studies are required to better understand the clinical significance of these injuries, the role of advanced imaging, and the most appropriate treatment in children with suspected scaphoid fractures.
{"title":"Understanding Pediatric Clinical Scaphoid Injuries: A Prospective Radiological Study","authors":"Kevin Cheung, Holly Livock, Zoe Rubin, Ken Tang, Kevin Smit, Sasha Carsen","doi":"10.1177/22925503231208451","DOIUrl":"https://doi.org/10.1177/22925503231208451","url":null,"abstract":"Controversy exists in the management of children presenting with clinical suspicion of a scaphoid fracture but normal radiographs. The purpose of this study was to prospectively evaluate the potential role for advanced imaging in children with suspected scaphoid fractures. Participants with clinical suspicion of a scaphoid fracture but 2 sets of radiographs negative for fracture were casted and underwent both computed tomography (CT) and magnetic resonance imaging (MRI). The primary outcome was the prevalence of scaphoid fracture and other imaging findings. Twenty-five participants were enrolled. Nine participants (36%) were found to have a scaphoid fracture on either CT or MRI. Concordance of CT and MRI was found in 64% of cases. Future studies are required to better understand the clinical significance of these injuries, the role of advanced imaging, and the most appropriate treatment in children with suspected scaphoid fractures.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"14 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135873901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-03DOI: 10.1177/22925503231210878
Ty Moore, Danya Nees, Samuel Jacobsen, Andriana Peña, Reece Anderson, Elizabeth Garrett, Jordan Staggs, Philo Waters, Mitchell Love, Bryan Dunford, Rigel Bacani, Kelsi Batioja, Matt Vassar
Background: Plastic surgery is routinely sought after for the treatment of breast cancer, cleft lip and palate, and gender-affirming care. Inequities exist in plastic surgery in regard to the epidemiology, diagnosis, treatment, and outcomes experienced by patients. The purpose of our scoping review was to (1) outline current literature addressing health inequities in plastic surgery and (2) draw attention to the gaps in this literature. Methods: This scoping review was developed following guidelines from the Joanna Briggs Institute and PRISMA extension for scoping reviews. An initial search of MEDLINE (via PubMed), Ovid Embase, Cochrane Database of Systematic Reviews, and Scopus databases was performed to locate published articles on health inequities in plastic surgery. Articles had to address at least one of the National Institutes of Health's inequity groups we examined. Results: After reviewing full text, 153 studies were included in our final sample. We found race/ethnicity (94/153) and age (90/153) to be the 2 most commonly evaluated inequities in the scoping review. We discovered that patient populations that were older had public or no insurance and/or were in historically marginalized racial/ethnic groups were often less likely to be offered plastic surgery treatments. Conclusion: This scoping review describes the current literature on health inequities in plastic surgery and highlights gaps in the literature that warrant further research. We found significant findings regarding how vulnerable patient populations are affected by health inequities. Research should be conducted to investigate these inequities more thoroughly and discover the best solutions to bridge the gaps in providing equitable care.
背景:整形手术是治疗乳腺癌、唇腭裂和性别确认护理的常规方法。整形手术在流行病学、诊断、治疗和患者经历的结果方面存在不公平。我们的范围综述的目的是:(1)概述当前关于整形手术中健康不平等的文献，(2)提请注意这些文献中的空白。方法:本范围审查是根据乔安娜布里格斯研究所和PRISMA扩展范围审查的指导方针制定的。对MEDLINE(通过PubMed)、Ovid Embase、Cochrane系统评价数据库和Scopus数据库进行了初步搜索，以定位已发表的关于整形外科健康不平等的文章。文章必须涉及我们研究过的美国国立卫生研究院(National Institutes of Health)不平等群体中的至少一个。结果:在审查全文后，153项研究被纳入我们的最终样本。我们发现种族/民族(94/153)和年龄(90/153)是范围评估中最常评估的两个不公平因素。我们发现，年龄较大或没有公共保险和/或历史上处于边缘的种族/民族群体的患者通常不太可能接受整形手术治疗。结论:这篇范围综述描述了目前关于整形手术中健康不平等的文献，并强调了文献中值得进一步研究的空白。我们发现了关于弱势患者群体如何受到卫生不平等影响的重要发现。应开展研究，更彻底地调查这些不平等现象，并找出最佳解决办法，弥合在提供公平护理方面的差距。
{"title":"Health Inequities in the Epidemiology, Diagnosis, Treatment, and Outcomes of Plastic Surgery: A Scoping Review","authors":"Ty Moore, Danya Nees, Samuel Jacobsen, Andriana Peña, Reece Anderson, Elizabeth Garrett, Jordan Staggs, Philo Waters, Mitchell Love, Bryan Dunford, Rigel Bacani, Kelsi Batioja, Matt Vassar","doi":"10.1177/22925503231210878","DOIUrl":"https://doi.org/10.1177/22925503231210878","url":null,"abstract":"Background: Plastic surgery is routinely sought after for the treatment of breast cancer, cleft lip and palate, and gender-affirming care. Inequities exist in plastic surgery in regard to the epidemiology, diagnosis, treatment, and outcomes experienced by patients. The purpose of our scoping review was to (1) outline current literature addressing health inequities in plastic surgery and (2) draw attention to the gaps in this literature. Methods: This scoping review was developed following guidelines from the Joanna Briggs Institute and PRISMA extension for scoping reviews. An initial search of MEDLINE (via PubMed), Ovid Embase, Cochrane Database of Systematic Reviews, and Scopus databases was performed to locate published articles on health inequities in plastic surgery. Articles had to address at least one of the National Institutes of Health's inequity groups we examined. Results: After reviewing full text, 153 studies were included in our final sample. We found race/ethnicity (94/153) and age (90/153) to be the 2 most commonly evaluated inequities in the scoping review. We discovered that patient populations that were older had public or no insurance and/or were in historically marginalized racial/ethnic groups were often less likely to be offered plastic surgery treatments. Conclusion: This scoping review describes the current literature on health inequities in plastic surgery and highlights gaps in the literature that warrant further research. We found significant findings regarding how vulnerable patient populations are affected by health inequities. Research should be conducted to investigate these inequities more thoroughly and discover the best solutions to bridge the gaps in providing equitable care.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"24 107","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135820635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two-Eyed Seeing (Aistotsastip) and the Medicine Wheel for the Plastic Surgeon","authors":"Bronwyn Burghardt, Haley Grace Shade, Claire Temple-Oberle","doi":"10.1177/22925503231211346","DOIUrl":"https://doi.org/10.1177/22925503231211346","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"276 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135273012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1177/22925503231210873
Michael J. Stein, Rod Rohrich
Technological innovation has fueled an evolving landscape in plastic surgery. Recently, artificial intelligence (AI) has demonstrated tremendous potential in enhancing our diagnostic ability, automating data acquisition for research purposes, and supplementing our intraoperative decision-making. Over the last two decades, advancements in AI enhanced pre- and intraoperative management of plastic surgery patients. However, the demand to keep plastic surgery patients out of hospital during the COVID-19 pandemic has recently inspired important AI innovations in postoperative care, such as telemedicine and remote patient monitoring. As we transition into the post-COVID era of medicine, these novel technologies will be critical in enhancing patient safety and satisfaction, while reducing rising healthcare costs. Herein, we review the basic principles of AI in plastic surgery and illustrate its significance in remote postoperative monitoring.
{"title":"Artificial Intelligence and Postoperative Monitoring in Plastic Surgery","authors":"Michael J. Stein, Rod Rohrich","doi":"10.1177/22925503231210873","DOIUrl":"https://doi.org/10.1177/22925503231210873","url":null,"abstract":"Technological innovation has fueled an evolving landscape in plastic surgery. Recently, artificial intelligence (AI) has demonstrated tremendous potential in enhancing our diagnostic ability, automating data acquisition for research purposes, and supplementing our intraoperative decision-making. Over the last two decades, advancements in AI enhanced pre- and intraoperative management of plastic surgery patients. However, the demand to keep plastic surgery patients out of hospital during the COVID-19 pandemic has recently inspired important AI innovations in postoperative care, such as telemedicine and remote patient monitoring. As we transition into the post-COVID era of medicine, these novel technologies will be critical in enhancing patient safety and satisfaction, while reducing rising healthcare costs. Herein, we review the basic principles of AI in plastic surgery and illustrate its significance in remote postoperative monitoring.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"57 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135327684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-23DOI: 10.1177/22925503231208449
Keeley D. Newsom, Arya A. Akhavan, Khoa D. Tran, Wendy Chen, Blair R. Peters, Gregory H. Borschel
Background: The LGBTQ + community faces discrimination within the workplace, with growing evidence emerging about the mistreatment of LGBTQ + surgeon trainees. The purpose of this study was to better understand the experiences of LGBTQ + surgeons in plastic and reconstructive surgery (PRS). Methods: A web-based survey was made available to all plastic surgeons who identified as LGBTQ + across the US and Canada from October 2021 to November 2022. The questionnaire used validated tools assessing “outness” and microaggressions, as well as rates of censorship of speech and/or mannerisms and experiences of discrimination. Outcomes were measured as frequencies and analyzed as a function of location (US vs Canada), gender identity (transgender and gender-diverse (TGD) versus cisgender), and level of training (attending vs in-training). Qualitative responses were also recorded. Results: A total of 43 self-identified LGBTQ + individuals engaged with the survey, 38 of which completed it (88%). Nearly all (96.8%) reported experiencing heteronormative microaggressions, 36.7% reported discrimination from plastic surgery attendings, and 73.3% censor themselves around Plastic Surgery attendings. TGD respondents were more likely to have experienced discrimination than cisgender respondents ( P < .01). One-third (33%) of respondents indicated that they hesitate to be out at their institution for fear of bias and/or discrimination. Conclusion: LGBTQ + plastic and reconstructive surgeons reported a significant amount of microaggressions, self-censorship, and discrimination while at work, and these experiences varied as a function of level of training and gender identity. PRS should strive to eliminate these mistreatments, educate its workforce, and address LGBTQ + underrepresentation within the field.
{"title":"Experiences of LGBTQ + Plastic Surgeons in the US and Canada","authors":"Keeley D. Newsom, Arya A. Akhavan, Khoa D. Tran, Wendy Chen, Blair R. Peters, Gregory H. Borschel","doi":"10.1177/22925503231208449","DOIUrl":"https://doi.org/10.1177/22925503231208449","url":null,"abstract":"Background: The LGBTQ + community faces discrimination within the workplace, with growing evidence emerging about the mistreatment of LGBTQ + surgeon trainees. The purpose of this study was to better understand the experiences of LGBTQ + surgeons in plastic and reconstructive surgery (PRS). Methods: A web-based survey was made available to all plastic surgeons who identified as LGBTQ + across the US and Canada from October 2021 to November 2022. The questionnaire used validated tools assessing “outness” and microaggressions, as well as rates of censorship of speech and/or mannerisms and experiences of discrimination. Outcomes were measured as frequencies and analyzed as a function of location (US vs Canada), gender identity (transgender and gender-diverse (TGD) versus cisgender), and level of training (attending vs in-training). Qualitative responses were also recorded. Results: A total of 43 self-identified LGBTQ + individuals engaged with the survey, 38 of which completed it (88%). Nearly all (96.8%) reported experiencing heteronormative microaggressions, 36.7% reported discrimination from plastic surgery attendings, and 73.3% censor themselves around Plastic Surgery attendings. TGD respondents were more likely to have experienced discrimination than cisgender respondents ( P < .01). One-third (33%) of respondents indicated that they hesitate to be out at their institution for fear of bias and/or discrimination. Conclusion: LGBTQ + plastic and reconstructive surgeons reported a significant amount of microaggressions, self-censorship, and discrimination while at work, and these experiences varied as a function of level of training and gender identity. PRS should strive to eliminate these mistreatments, educate its workforce, and address LGBTQ + underrepresentation within the field.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"16 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135413182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-19DOI: 10.1177/22925503231208450
James Yang, Morgan Callahan, Alexis Buckley, Amaury Martinez, Felippe Sartorato, Lindsey Foran, Silvio Podda, John Paul Palu-Regan
Background: Social media has become a valuable platform for advertising. Instagram is one of the most popular platforms. Many plastic surgeons have utilized this platform to promote themselves and their practices. Having followers on Instagram can provide validity and expand the reach to potential clients. We aim to compare Instagram practices of top 10 plastic surgeon Instagram accounts to those with 10 to 100,000 followers. Methods: Top 10 plastic surgeon Instagram accounts were selected using Google and Instagram search features. Additional plastic surgeon Instagram accounts were selected using Instagram search feature. Each account was evaluated for average number of contents posted daily as well as media type (videos vs photos) of contents posted between November 1, 2022, and February 20, 2023. Statistical analysis was performed using double-tailed unpaired student t test to compare the top 10 account group to the 1000 to 10,000 follower group and 10,000 to 100,000 follower group. Results: When comparing the 1000 to 10,000 follower group and 10,000 to 100,000 follower group to the top 10 plastic surgeon Instagram accounts, there were no significant differences in average number of posts, number of pictures posts, number of video posts, and percentage of video posts. Conclusions: Although this study did not demonstrate a significant difference between Instagram account practices of plastic surgeons with millions of followers to those with 1000 to 100,000, it provides valuable information regarding posting practices of plastics surgeons on Instagram.
{"title":"Instagram Practices of Successful Plastic Surgeon Accounts: Is There a Magic Formula?","authors":"James Yang, Morgan Callahan, Alexis Buckley, Amaury Martinez, Felippe Sartorato, Lindsey Foran, Silvio Podda, John Paul Palu-Regan","doi":"10.1177/22925503231208450","DOIUrl":"https://doi.org/10.1177/22925503231208450","url":null,"abstract":"Background: Social media has become a valuable platform for advertising. Instagram is one of the most popular platforms. Many plastic surgeons have utilized this platform to promote themselves and their practices. Having followers on Instagram can provide validity and expand the reach to potential clients. We aim to compare Instagram practices of top 10 plastic surgeon Instagram accounts to those with 10 to 100,000 followers. Methods: Top 10 plastic surgeon Instagram accounts were selected using Google and Instagram search features. Additional plastic surgeon Instagram accounts were selected using Instagram search feature. Each account was evaluated for average number of contents posted daily as well as media type (videos vs photos) of contents posted between November 1, 2022, and February 20, 2023. Statistical analysis was performed using double-tailed unpaired student t test to compare the top 10 account group to the 1000 to 10,000 follower group and 10,000 to 100,000 follower group. Results: When comparing the 1000 to 10,000 follower group and 10,000 to 100,000 follower group to the top 10 plastic surgeon Instagram accounts, there were no significant differences in average number of posts, number of pictures posts, number of video posts, and percentage of video posts. Conclusions: Although this study did not demonstrate a significant difference between Instagram account practices of plastic surgeons with millions of followers to those with 1000 to 100,000, it provides valuable information regarding posting practices of plastics surgeons on Instagram.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135780247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-09DOI: 10.1177/22925503231203216
Emma Wells-Durand, Angela Buchel, Young Ji Tuen, Richard Thomson, John Staples, Travis L Gibson, Angelina Y C Loo, Brian McClung, Sheryl Palm, Jugpal S. Arneja
Introduction: This study aims to describe the burden of care (BoC) for the management of patients with nonsyndromic cleft lip and palate (CLP) by identifying provider burden, characterizing an interaction burden, and calculating an economic burden associated with their health system interactions. Methods: A retrospective chart review was conducted of patients with nonsyndromic CLP treated at a pediatric tertiary hospital between January 1, 1999, and April 30, 2021. Healthcare utilization data for inpatient and outpatient interactions were extracted. Community outpatient data were obtained from affiliated specialists. Bottom-up microcosting was utilized for hospital costing, the provincial tariff guide for provider reimbursement, and zip code for calculating patient costs. Results: In total, 58 patients identified with CLP had a median of 148.5 healthcare interactions (consults/follow-ups/surgeries) between the ages of 0 and 18 years. Patients had a median of 10.5 surgical procedures, and a median 135.8 outpatient interactions. The most used specialty service was orthodontics, with a median of 71.5 orthodontic interactions per patient. The median cost of care, including direct hospital costs, physician costs, community healthcare costs, and indirect costs, was $73,398. Conclusions: Patients born with nonsyndromic CLP have a very high frequency of healthcare encounters, out of proportion to cost associated with healthcare, suggesting an overall significant BoC.
{"title":"What Does Cleft Lip and Palate Care Cost? The Time and Economic-Associated Burden of Care From Birth to Maturity","authors":"Emma Wells-Durand, Angela Buchel, Young Ji Tuen, Richard Thomson, John Staples, Travis L Gibson, Angelina Y C Loo, Brian McClung, Sheryl Palm, Jugpal S. Arneja","doi":"10.1177/22925503231203216","DOIUrl":"https://doi.org/10.1177/22925503231203216","url":null,"abstract":"Introduction: This study aims to describe the burden of care (BoC) for the management of patients with nonsyndromic cleft lip and palate (CLP) by identifying provider burden, characterizing an interaction burden, and calculating an economic burden associated with their health system interactions. Methods: A retrospective chart review was conducted of patients with nonsyndromic CLP treated at a pediatric tertiary hospital between January 1, 1999, and April 30, 2021. Healthcare utilization data for inpatient and outpatient interactions were extracted. Community outpatient data were obtained from affiliated specialists. Bottom-up microcosting was utilized for hospital costing, the provincial tariff guide for provider reimbursement, and zip code for calculating patient costs. Results: In total, 58 patients identified with CLP had a median of 148.5 healthcare interactions (consults/follow-ups/surgeries) between the ages of 0 and 18 years. Patients had a median of 10.5 surgical procedures, and a median 135.8 outpatient interactions. The most used specialty service was orthodontics, with a median of 71.5 orthodontic interactions per patient. The median cost of care, including direct hospital costs, physician costs, community healthcare costs, and indirect costs, was $73,398. Conclusions: Patients born with nonsyndromic CLP have a very high frequency of healthcare encounters, out of proportion to cost associated with healthcare, suggesting an overall significant BoC.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135095619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-04DOI: 10.1177/22925503231203224
Rawan ElAbd, Tyler Safran, Joshua Vorstenbosch
{"title":"Invited Discussion: Examination of Sensory Recovery of Breasts Reconstructed With Silicone Breast Implants After Nipple-Sparing Mastectomy","authors":"Rawan ElAbd, Tyler Safran, Joshua Vorstenbosch","doi":"10.1177/22925503231203224","DOIUrl":"https://doi.org/10.1177/22925503231203224","url":null,"abstract":"","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135597261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-26DOI: 10.1177/22925503231201634
Jouseph O. Barkho, Cameron Leveille, Alex Pozdnyakov, Kyrillos M. Faragalla, Neil K. Sengupta, Chloe R. Wong, Harsha Shanthanna, Forough Farrokhyar, Matthew C. McRae
Background: Understanding opioid prescription, consumption, and the factors related to these is important to prescribe opioids responsibly. Our primary purpose is to determine the factors predicting opioid prescription, and the secondary purpose is to examine the factors predicting opioid tablet consumption. Methods: A prospective cohort was evaluated using 2 surveys. The primary outcome was type of prescription given (opioid vs non-opioid). The secondary outcome was the number of opioid tablets consumed at the second survey. Demographics, the pain catastrophizing scale, and patient health questionnaire-4 (PHQ-4) for depression and anxiety were collected. Statistics included Chi-Square, student's t-test, univariable, and multivariate regression analyses. Results: Four hundred and forty patients completed the first survey, of which 193 completed the second. Two-hundred and fourteen (49%) patients received an opioid prescription. Opioids were given most often after: surgery in the main operating room (OR 23.6 [10.0-55.2]), breast or abdomen (OR 11.1 [1.2-101.1]), upper limb (OR 4.0 [1.7-9.3]), and less often after dermatologic surgery (OR 0.2 [0.1-0.5]). Among patients who received opioids, a mean of 10 opioid tablets were consumed at the post-operative survey. More tablets were consumed when: age was less than 60 ( P < .05), with pre-operative opioid use ( P = .03), and with a high score on the PHQ-4 ( P = .002). Conclusions: The patterns of opioid prescription and consumption after outpatient Plastic Surgery are elucidated. Plastic surgeons over-estimate patients’ opioid requirements. Potentially less opioids could be prescribed in the minor procedure room without an increase in pain crises. Public health campaigns should focus on the proper disposal of unused opioid tablets.
{"title":"A Prospective Analysis of Opioid Prescription, Consumption, and Psychometric Correlations in Outpatient Plastic Surgery Procedures","authors":"Jouseph O. Barkho, Cameron Leveille, Alex Pozdnyakov, Kyrillos M. Faragalla, Neil K. Sengupta, Chloe R. Wong, Harsha Shanthanna, Forough Farrokhyar, Matthew C. McRae","doi":"10.1177/22925503231201634","DOIUrl":"https://doi.org/10.1177/22925503231201634","url":null,"abstract":"Background: Understanding opioid prescription, consumption, and the factors related to these is important to prescribe opioids responsibly. Our primary purpose is to determine the factors predicting opioid prescription, and the secondary purpose is to examine the factors predicting opioid tablet consumption. Methods: A prospective cohort was evaluated using 2 surveys. The primary outcome was type of prescription given (opioid vs non-opioid). The secondary outcome was the number of opioid tablets consumed at the second survey. Demographics, the pain catastrophizing scale, and patient health questionnaire-4 (PHQ-4) for depression and anxiety were collected. Statistics included Chi-Square, student's t-test, univariable, and multivariate regression analyses. Results: Four hundred and forty patients completed the first survey, of which 193 completed the second. Two-hundred and fourteen (49%) patients received an opioid prescription. Opioids were given most often after: surgery in the main operating room (OR 23.6 [10.0-55.2]), breast or abdomen (OR 11.1 [1.2-101.1]), upper limb (OR 4.0 [1.7-9.3]), and less often after dermatologic surgery (OR 0.2 [0.1-0.5]). Among patients who received opioids, a mean of 10 opioid tablets were consumed at the post-operative survey. More tablets were consumed when: age was less than 60 ( P < .05), with pre-operative opioid use ( P = .03), and with a high score on the PHQ-4 ( P = .002). Conclusions: The patterns of opioid prescription and consumption after outpatient Plastic Surgery are elucidated. Plastic surgeons over-estimate patients’ opioid requirements. Potentially less opioids could be prescribed in the minor procedure room without an increase in pain crises. Public health campaigns should focus on the proper disposal of unused opioid tablets.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134960952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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