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Plastic and Reconstructive Surgery Sep 2010The nature and extent of medicine's relationship with the medical industry is currently a heated issue in medicine. Although the ethical implications of this... (Review)
Review
BACKGROUND
The nature and extent of medicine's relationship with the medical industry is currently a heated issue in medicine. Although the ethical implications of this relationship have been widely discussed in medical journals and the popular media, it is unknown how the current interest in industry issues has affected plastic surgery. The aim of this systematic review was to characterize the literature of the past two decades that examines plastic surgery's relationship with the medical industry.
METHODS
Three medical databases were searched using plastic surgery and industry-related search terms. The quality of selected articles was assessed by two reviewers. The specific data abstracted included the venue of the industry interaction discussed within the article: (1) physician education programs, (2) research partnerships, and (3) clinical settings. Within each of these categories, a comprehensive taxonomy was created to categorize the thematic content of the articles' discussions.
RESULTS
Of the 465 articles gleaned by the search, 21 met the inclusion and exclusion criteria and were included in the final review. All 21 articles were of a review or editorial nature, and the majority (57 percent) discussed the nature or effects of industry's presence within the clinical setting.
CONCLUSIONS
This systematic review revealed the literature's cursory analysis of plastic surgery's relationship with the medical industry. This project highlighted the need for plastic surgery to examine the ethical implications of industry's support and engagement within the field. Improving this literature is necessary for plastic surgeons to understand and adhere to current standards on acceptable practices.
Topics: Industry; Interdisciplinary Communication; Surgery, Plastic; United States
PubMed: 20811241
DOI: 10.1097/PRS.0b013e3181e60569 -
The Journal of Surgical Research Nov 2020There is a paucity of research comparing journal articles that accrue numerous citations with those that accrue few citations over time. Understanding differences...
BACKGROUND
There is a paucity of research comparing journal articles that accrue numerous citations with those that accrue few citations over time. Understanding differences between journal articles can help direct investigators in designing and conducting their research.
METHODS
Using advanced bibliometric tools, we queried four plastic surgery journals (Journal of Reconstructive Microsurgery, Annals of Plastic Surgery, Plastic and Reconstructive Surgery, and Microsurgery) for primary research articles published between 1998 and 2008 accruing zero or one citations with at least a 10-y lag time. Forty-seven articles were identified as low citation and were compared with an equal number of articles in the same journals that accrued the highest number of citations in the same period as high citation (HC). The data were analyzed using Student t-tests, Wilcoxon rank sum tests, chi-square tests, and Fisher exact tests. The level of significance was established at P < 0.05.
RESULTS
When compared with the HC cohort, the low citation articles were more likely to be nonclinical (P < 0.001), have no plastic surgery authors (P = 0.0026), and focus on the field of microsurgery (P = 0.003). The HC cohort was more likely to have higher sample sizes (P = 0.0339), focus on aesthetic/cosmetic surgery (P = 0.003), have a higher number of other disciplines included on authorship (P < 0.001), references (P = 0.0451), manuscript pages (P < 0.001), and words in the abstract (P < 0.001).
CONCLUSIONS
A small number of articles published in four plastic surgery journals were uncited during a 10-y period. There are qualitative and quantitative differences between highly and lowly cited articles in the plastic surgery literature. Investigators should consider these differences when designing and conducting studies.
Topics: Bibliometrics; Biomedical Research; Publications; Research Design; Surgery, Plastic
PubMed: 32279891
DOI: 10.1016/j.jss.2020.02.009 -
The Western Journal of Medicine Feb 1991The Scientific Board of the California Medical Association presents the following inventory of items of progress in plastic surgery. Each item, in the judgment of a...
The Scientific Board of the California Medical Association presents the following inventory of items of progress in plastic surgery. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance. The items are presented in simple epitome, and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, researchers, or scholars to stay abreast of these items of progress in plastic surgery that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.The items of progress listed below were selected by the Advisory Panel to the Section on Plastic Surgery of the California Medical Association, and the summaries were prepared under its direction.
Topics: Humans; Lymphedema; Surgery, Plastic
PubMed: 2006568
DOI: No ID Found -
Annals of Plastic Surgery May 2023
Topics: Humans; Surgery, Plastic; Plastic Surgery Procedures; Evidence-Based Medicine
PubMed: 36440909
DOI: 10.1097/SAP.0000000000003329 -
Surgery Aug 2021Coronavirus disease 2019 provided the impetus for unprecedented adoption of telemedicine. This study aimed to understand video visit adoption by plastic surgery...
BACKGROUND
Coronavirus disease 2019 provided the impetus for unprecedented adoption of telemedicine. This study aimed to understand video visit adoption by plastic surgery providers; and patient and surgeon perceptions about its efficacy, value, accessibility, and long-term viability. A secondary aim was to develop the proposed 'Triage Tool for Video Visits in Plastic Surgery' to help determine visit video eligibility.
METHODS
This mixed-methods evaluation assessed provider-level scheduling data from the Division of Plastic and Reconstructive Surgery at Stanford Health Care to quantify telemedicine adoption and semi-structured phone interviews with patients (n = 20) and surgeons (n = 10) to explore stakeholder perspectives on video visits.
RESULTS
During the 13-week period after the local stay-at-home orders due to coronavirus disease 2019, 21.4% of preoperative visits and 45.5% of postoperative visits were performed via video. Video visits were considered acceptable by patients and surgeons in plastic surgery in terms of quality of care but were limited by the inability to perform a physical examination. Interviewed clinicians reported that long-term viability needs to be centered around technology (eg, connection, video quality, etc) and physical examinations. Our findings informed a proposed triage tool to determine the appropriateness of video visits for individual patients that incorporates visit type, anesthesia, case, surgeon's role, and patient characteristics.
CONCLUSION
Video technology has the potential to facilitate and improve preoperative and postoperative patient care in plastic surgery but the following components are needed: patient education on taking high-quality photos; standardized clinical guidelines for conducting video visits; and an algorithm-assisted triage tool to support scheduling.
Topics: Adult; Aged; Aged, 80 and over; COVID-19; Female; Humans; Male; Middle Aged; Patient Satisfaction; Physical Examination; Physician-Patient Relations; Surgeons; Surgery, Plastic; Telemedicine; Young Adult
PubMed: 33941389
DOI: 10.1016/j.surg.2021.03.029 -
The Journal of Craniofacial Surgery Sep 2022Coronavirus disease 2019 (COVID-19) pandemic has had far reaching impacts on all aspects of the healthcare system, including plastic surgery training. Due to reduction...
PURPOSE
Coronavirus disease 2019 (COVID-19) pandemic has had far reaching impacts on all aspects of the healthcare system, including plastic surgery training. Due to reduction in the number of elective surgery cases and need for social distancing, plastic surgery education has shifted from the operating room to the virtual learning environment. Although these changes have been qualitatively described, the authors present a quantitative analysis of plastic surgery training changes due to the COVID-19 pandemic. Our study has identified residents' greatest impediments and inquired about suggestions for further improvements. Our goal is to help residency programs through the COVID-19 pandemic era and contribute to future guidelines when residency education encounters additional unexpected changes.
METHODS
An institutional review board approved anonymous survey using Qualtrics was forwarded on April 23, 2020 to US plastic surgery program directors to be distributed to plastic surgery residents and fellows. Questions centered on the impact of COVID-19 on residents' well-being, education and career plans results were collected for data analysis. Residents were given the option to be in a raffle to win a $50 amazon gift card. Completion of the survey was both anonymous and voluntary.
RESULTS
A total of 69 trainees responded (52 integrated residents and 17 independent fellows) from 18 states. Fifty-one percent were male and 49% were female. Fifty-six percent of trainees plan to complete a fellowship program after graduation, 31% will join private practice. Nine percent of trainees reported changes in their postgraduation plans due to the pandemic, 67% were senior trainees. Of those whose goals were affected by COVID-19 pandemic, 56% opted to pursue additional fellowship training. They described reduced operative exposure and cancelations of elective surgeries (50%), the limited availability of private practice jobs (37.5%), and financial reasons (12.5%) for their decision. Twelve percent reported being concerned about not meeting the necessary requirements to finish their residency and graduate on time. Seventy-six percent of trainees expressed concerns about the health and safety of themselves, family and loved ones. Forty-nine percent of trainees reported increased levels of stress since the onset of the pandemic. Ninety-seven percent of trainees reported having reduction in their operative time during the COVID-19 pandemic. They utilized their nonoperative time for online education modules (84%), educational readings (82%), and research (80%). Plastic surgery trainees learned about national webinars through emails from professional society (83%), co-resident/fellow (77%), program director emails (74%), and social media (22%). Webinars attended were mostly through virtual platform modalities, among which Zoom and Webex were the most preferred. Less interactions with colleagues and faculty was the biggest barrier to adopting virtual conferences. Despite this, 72% agreed that having grand rounds, didactics and journal clubs online increased attendance. Additionally, 88% of respondents expressed interests in attending professional society sponsored virtual grand rounds in the future.
CONCLUSIONS
Results from our survey demonstrated that the overwhelming majority of plastic surgery residents have had reductions in operative times and widespread curriculum changes during the COVID-19 pandemic. These recent changes have increased residents' stress levels and adversity affected their future career plans. Additionally, COVID-19 has heralded an increase in virtual conferences and learning modules. Plastic surgery trainees expressed a preference for virtual educational platforms and interest in continuing virtual didactics in the future. This may irreversibly change the landscape of future plastic surgery training.
Topics: COVID-19; Fellowships and Scholarships; Female; Humans; Internship and Residency; Male; Pandemics; Surgery, Plastic; Surveys and Questionnaires
PubMed: 35968981
DOI: 10.1097/SCS.0000000000008419 -
Tidsskrift For Den Norske Laegeforening... Sep 2018
Topics: Esthetics; Ethics, Medical; Humans; Surgery, Plastic
PubMed: 30180487
DOI: 10.4045/tidsskr.18.0607 -
Plastic and Reconstructive Surgery Feb 2022
Topics: Armed Conflicts; COVID-19; Diffusion of Innovation; Disasters; Humans; Pandemics; Plastic Surgery Procedures; Surgery, Plastic; Telemedicine
PubMed: 34958650
DOI: 10.1097/PRS.0000000000008749 -
BioMed Research International 2018An expectation of perfect and close to ideal outcomes is attributed not only to aesthetic, but also to reconstructive surgery. Contrary to quite common belief and... (Review)
Review
An expectation of perfect and close to ideal outcomes is attributed not only to aesthetic, but also to reconstructive surgery. Contrary to quite common belief and despite great potential, the real chances for achieving attractive appearance are limited to relatively simple cases with moderately abnormal morphology, sufficient homogenous material, and hardly conspicuous scars potential. Therefore, the expectations for fully satisfactory outcomes should be limited to jaw surgery, cosmetic rhinoplasty, otoplasty, and some rejuvenation procedures, provided the best and uneventful surgery is secured. On the basis of over 40 years of clinical practice (KK) and survey of about 30,000 photos presenting both early and long term outcomes, the authors present their own subjective opinion on the value and potential of plastic surgery with regard to aesthetic evaluation. The paper is illustrated by numerous examples of plastic and esthetic procedures.
Topics: Face; Humans; Plastic Surgery Procedures; Surgery, Plastic
PubMed: 29568757
DOI: 10.1155/2018/5835167 -
Aesthetic Surgery Journal Mar 2024
Topics: Humans; Surgery, Plastic; Artificial Intelligence; Plastic Surgery Procedures
PubMed: 38015802
DOI: 10.1093/asj/sjad357