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Annals of Global Health 2016Plastic surgery has a long-standing history of being deeply interconnected with global health. This paper reviews the current state of global health as it relates to... (Review)
Review
BACKGROUND
Plastic surgery has a long-standing history of being deeply interconnected with global health. This paper reviews the current state of global health as it relates to plastic surgery and makes forecasts for the future.
METHODS
This study reviews the most current literature on global plastic surgery, as well as offers insights based on our 2 senior authors' experiences. For our literature search, the MEDLINE database was queried using relevant keywords through both PubMed and OVID user interfaces.
FINDINGS
Early exposure to global plastic surgery often leads to a lifelong involvement. Formal integration of global surgery into residencies is becoming more common. Models of care for global plastic surgery range from small to large groups, spanning the full spectrum of reconstructive plastic surgery. The best of these groups have longitudinal relationships with their operative sites to allow for continuous care. Logistics and funding are crucial for successful care. Technological advances will make long-distance care more facile in the future.
CONCLUSIONS
Global plastic surgery is rewarding to both patient and physician. Plastic surgery has been and will continue to be committed to providing high-quality global health care.
Topics: Global Health; Humans; Internship and Residency; Plastic Surgery Procedures; Surgery, Plastic
PubMed: 27986234
DOI: 10.1016/j.aogh.2016.09.006 -
Medicina (Kaunas, Lithuania) Apr 2021Integrative medicine focuses on the human being as a whole-on the body, mind, and spirit-to achieve optimal health and healing. As a synthesis of conventional and...
BACKGROUND
Integrative medicine focuses on the human being as a whole-on the body, mind, and spirit-to achieve optimal health and healing. As a synthesis of conventional and complementary treatment options, integrative medicine combines the pathological with the salutogenetic approach of therapy. The aim is to create a holistic system of medicine for the individual. So far, little is known about its role in plastic surgery.
HYPOTHESIS
We hypothesize that integrative medicine based on a conventional therapy with additional anthroposophic therapies is very potent and beneficial for plastic surgery patients. Evaluation and consequence of the hypothesis: Additional anthroposophic pharmacological and non-pharmacological treatments are promising for all areas of plastic surgery. We are convinced that our specific approach will induce further clinical trials to underline its therapeutic potential.
Topics: Humans; Integrative Medicine; Plastic Surgery Procedures; Surgery, Plastic
PubMed: 33915729
DOI: 10.3390/medicina57040326 -
Aesthetic Plastic Surgery Aug 2023Understanding country differences in production and human capital in plastic surgery research is crucial in identifying current and future leaders in the field. In this...
BACKGROUND
Understanding country differences in production and human capital in plastic surgery research is crucial in identifying current and future leaders in the field. In this study, we document each country's human capital and productivity in plastic surgery research.
METHODS
A web scraping algorithm was deployed on PubMed to retrieve information on every publication and every first author in 10 major research outlets in plastic surgery between 2015 and 2021. Each country's human capital in the field is proxied by the number of first authors affiliated with that country. We compare aggregate patterns and volume trajectories of publications affiliated with 110 countries in the context of their human capital.
RESULTS
We find that over the studied period, two countries, the USA and China, are represented in roughly 50% and 45% of global research output and first authors, respectively, in plastic surgery. Specifically in the USA, California has the highest number of affiliated first authors and publications compared with other States.
CONCLUSIONS
Our findings reveal the clear dominance of the USA in plastic surgery research production. No specific US State stands out in the nation as much as the USA does in the global ranking of plastic surgery publications. This suggests that US plastic surgeons across the nation aim to publish. Our global analysis also suggests that countries with a higher share of first authors relative to their research output may have greater capacity to expand their research output in the future.
LEVEL OF EVIDENCE IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Topics: Humans; Surgery, Plastic; Plastic Surgery Procedures; Forecasting; China
PubMed: 36581778
DOI: 10.1007/s00266-022-03223-9 -
Facial Plastic Surgery Clinics of North... Aug 2015Systematic reviews and meta-analyses hold a unique position in the pyramid of evidence. They can provide transparent and rigorous summaries to answer many clinical... (Meta-Analysis)
Meta-Analysis Review
Systematic reviews and meta-analyses hold a unique position in the pyramid of evidence. They can provide transparent and rigorous summaries to answer many clinical questions in facial plastic surgery. They can also identify areas of research deficiency, create new knowledge, and support guidelines or policies. A well-conducted systematic review follows a structured process to minimize bias and ensure reproducibility. When appropriate, a meta-analysis is incorporated to provide a statistical synthesis that combines the results of individual studies. This powerful quantitative method is becoming more prevalent in facial plastic surgery. This article provides a practical framework to understand and conduct this valuable type of research.
Topics: Face; Humans; Plastic Surgery Procedures; Surgery, Plastic
PubMed: 26208766
DOI: 10.1016/j.fsc.2015.04.001 -
European Review For Medical and... Nov 2021The issue of prevention of thromboembolism in plastic surgery is a rather controversial subject. The actual frequency of VTE among plastic surgery patients is probably... (Review)
Review
OBJECTIVE
The issue of prevention of thromboembolism in plastic surgery is a rather controversial subject. The actual frequency of VTE among plastic surgery patients is probably higher than we know. Although several studies have shown that chemoprophylaxis likely increases rates of re-operative hematoma by less than one percent, surgeons are strongly resistant to adopting chemoprophylaxis due to the fear of increased bleeding and its complications.
MATERIALS AND METHODS
A literature review was conducted. The 2012 ACCP guidelines suggest the use of the 2005 Caprini score as the most widely used and well-validated individualized risk-stratification tool. We propose a modified 2005 Caprini score, with specific changes pertaining to plastic surgery, in which we combine a patient risk stratification model and a procedure-driven approach explicitly indicating what procedures have to be considered at high or low risk.
RESULTS
The risk of venous thromboembolism in plastic surgery cannot be disregarded. However, the plastic surgery literature still lacks high-level evidence for appropriate means of VTE prophylaxis, although an increasing amount of attention has been paid to the topic. We suggest the development of an international guideline, based on plastic surgical data, using a validated risk assessment model, which combines the surgical risk with the patient-related risk.
CONCLUSIONS
Determining the proper venous thromboembolism prophylaxis is a clinical decision that should be made on a patient-to-patient basis. The algorithm presented in this article is meant to simplify this complex problem and to help expedite and clarify the decision-making process.
Topics: Algorithms; Humans; Postoperative Complications; Risk Assessment; Risk Factors; Surgery, Plastic; Venous Thromboembolism
PubMed: 34787863
DOI: 10.26355/eurrev_202111_27103 -
Annals of Plastic Surgery Feb 2021In light of the most competitive match in history, the plastic and reconstructive surgery application process is in the midst of unprecedented times due to the COVID-19...
In light of the most competitive match in history, the plastic and reconstructive surgery application process is in the midst of unprecedented times due to the COVID-19 pandemic. In-person visiting subinternships and interview processes have transitioned to online formats. The American Council of Academic Plastic Surgeons, program directors, coordinators, faculty, and residents have demonstrated an outstanding commitment to providing meaningful experiences for prospective applicants. The passion of the field of plastic and reconstructive surgery is palpable, and the innovative virtual experiences have resulted in the formation of a community despite the lack of in-person experiences.
Topics: COVID-19; Internship and Residency; Personnel Selection; Plastic Surgery Procedures; Surgery, Plastic; United States
PubMed: 33095553
DOI: 10.1097/SAP.0000000000002568 -
The Journal of Craniofacial SurgeryPlastic surgery has grown rapidly over the past decade, with increasing scientific output. The emergence of coronavirus disease 2019 (COVID-19) has a considerable impact...
BACKGROUND
Plastic surgery has grown rapidly over the past decade, with increasing scientific output. The emergence of coronavirus disease 2019 (COVID-19) has a considerable impact on plastic surgery.
OBJECTIVE
To identify trends in published literature in plastic surgery from 2011 to 2021. To explore the impact of COVID-19 on scientific research output through bibliometric analysis methods.
METHODS
Web of Science was searched by authors on December 23, 2021. Published papers about plastic surgery over the last decade were analyzed. The search output was imported into VOSviewer for science mapping.
RESULTS
The actual number of papers related to plastic surgery during the COVID-19 period was higher than expected one. For scientific outputs in plastic surgery, keywords about surgical practice had a high frequency. "Reconstruction," "effect," "flap," "tissue," "defect," "model" maintained a high level of heat before and after COVID-19. The heat of "risk," "complication," "review," "infection," "cohort," and "meta-analysis" increased after the outbreak of COVID-19. The international collaboration showed an upward trend despite the impact of COVID-19. From the perspective of the volume of plastic surgery publications, some journals had a more positive performance compared to the pre-epidemic period. The proportion of original articles decreased after the spread of COVID-19 from 70.26% to 63.84%.
CONCLUSION
Although the COVID-19 has a profound impact on the healthcare industry, the bibliographic data reveals an increasing scientific output in the field of plastic surgery over time. For plastic surgery, high-frequency terms, research hotspots, popular journals, article types, and international collaboration have changed under the influence of COVID-19.
Topics: Humans; Surgery, Plastic; COVID-19; Plastic Surgery Procedures; Bibliometrics; Publications
PubMed: 36184772
DOI: 10.1097/SCS.0000000000009021 -
Health Care Analysis : HCA : Journal of... Sep 2018This article introduces a Special Issue comprising four papers emerging from the Beauty Demands Network project, and maps key issues in the beauty debate. The...
This article introduces a Special Issue comprising four papers emerging from the Beauty Demands Network project, and maps key issues in the beauty debate. The introduction first discusses the purpose of the Network; to consider the changing demands of beauty across disciplines and beyond academia. It then summarises the findings of the Network workshops, emphasising the complex place of notions of normality, and the different meanings and functions attached to 'normal' in the beauty context. Concerns are raised here about the use of normal to justify and motivate engaging in beauty practices such as cosmetic surgery and 'non-invasive' procedures. Other workshop findings included the recognition of beauty as increasingly a global value rather than a culturally distinct ideal, and the understanding that there is no clear distinction between beauty practices that are considered standard and those that are considered extreme. These themes, especially the concerns around understanding of normal, are reflected in the recommendations made by the Network in its Briefing Paper, which are presented next in this introduction. A further theme picked up by these recommendations is the extent to which individuals who are not traditionally vulnerable may be so in the beauty context. Finally, the introduction highlights the key matters covered in the four papers of the Special Issue: regulatory concerns around cosmetic surgery tourism; the impact of digitally altered images from psychological and philosophical perspectives; the ethics of genetic selection for fair skin; and the attraction and beauty of the contemporary athletic body.
Topics: Beauty; Body Image; Humans; Social Norms; Surgery, Plastic; Women
PubMed: 29987446
DOI: 10.1007/s10728-018-0360-3 -
Journal of Graduate Medical Education Apr 2017With increasing public awareness of and greater coverage for gender-confirming surgery by insurers, more transgender patients are likely to seek surgical transition. The...
BACKGROUND
With increasing public awareness of and greater coverage for gender-confirming surgery by insurers, more transgender patients are likely to seek surgical transition. The degree to which plastic surgery and urology trainees are prepared to treat transgender patients is unknown.
OBJECTIVE
We assessed the number of hours dedicated to transgender-oriented education in plastic surgery and urology residencies, and the impact of program director (PD) attitudes on provision of such training.
METHODS
PDs of all Accreditation Council for Graduate Medical Education-accredited plastic surgery (91) and urology (128) programs were invited to participate. Surveys were completed between November 2015 and March 2016; responses were collected and analyzed.
RESULTS
In total, 154 PDs (70%) responded, and 145 (66%) completed the survey, reporting a yearly median of 1 didactic hour and 2 clinical hours of transgender content. Eighteen percent (13 of 71) of plastic surgery and 42% (31 of 74) of urology programs offered no didactic education, and 34% (24 of 71) and 30% (22 of 74) provided no clinical exposure, respectively. PDs of programs located in the southern United States were more likely to rate transgender education as unimportant or neutral (23 of 37 [62%] versus 39 of 105 [37%]; = .017). PDs who rated transgender education as important provided more hours of didactic content (median, 1 versus 0.75 hours; = .001) and clinical content (median, 5 versus 0 hours; < .001).
CONCLUSIONS
A substantial proportion of plastic surgery and urology residencies provide no education on transgender health topics, and those that do, provide variable content. PD attitudes toward transgender-specific education appear to influence provision of training.
Topics: Curriculum; Education, Medical, Graduate; Humans; Internship and Residency; Surgery, Plastic; Transgender Persons; United States; Urology
PubMed: 28439350
DOI: 10.4300/JGME-D-16-00417.1 -
Plastic and Reconstructive Surgery Mar 2014A critical element of a thriving academic plastic surgery program is the quality of faculty. A decline in recruitment and retention of faculty has been attributed to the...
BACKGROUND
A critical element of a thriving academic plastic surgery program is the quality of faculty. A decline in recruitment and retention of faculty has been attributed to the many challenges of academic medicine. Given the substantial resources required to develop faculty, academic plastic surgery has a vested interest in improving the process of faculty recruitment and retention.
METHODS
The American Council of Academic Plastic Surgeons Issues Committee and the American Society of Plastic Surgeons/Plastic Surgery Foundation Academic Affairs Council surveyed the 83 existing programs in academic plastic surgery in February of 2012. The survey addressed the faculty-related issues in academic plastic surgery programs over the past decade. Recruitment and retention strategies were evaluated. This study was designed to elucidate trends, and define best strategies, on a national level.
RESULTS
Academic plastic surgery programs have added substantially more full-time faculty over the past decade. Recruitment efforts are multifaceted and can include guaranteed salary support, moving expenses, nurse practitioner/physician's assistant hires, protected time for research, seed funds to start research programs, and more. Retention efforts can include increased compensation, designation of a leadership appointment, protected academic time, and call dilution.
CONCLUSIONS
Significant change and growth of academic plastic surgery has occurred in the past decade. Effective faculty recruitment and retention are critical to a successful academic center. Funding sources in addition to physician professional fees (institutional program support, grants, contracts, endowment, and so on) are crucial to sustain the academic missions.
Topics: Career Mobility; Faculty, Medical; Humans; Personnel Selection; Surgery, Plastic
PubMed: 24572885
DOI: 10.1097/01.prs.0000438045.06387.63