Plastic Surgery最新文献

Commentary: Current Practices and Trends of Plastic and Oncoplastic Breast Surgeons in Canada 评论：加拿大乳房整形外科医生的当前实践与趋势

IF 0.7 4区医学

Plastic Surgery Pub Date : 2024-01-02 DOI: 10.1177/22925503231224195

Andrew Gorgy, Tyler Safran, J. Vorstenbosch

引用次数: 0

Commentary: Instagram Practices of Successful Plastic Surgeon Accounts: Is There a Magic Formula? 评论：成功整形外科医生账户的 Instagram 实践：有神奇的公式吗？

IF 0.7 4区医学

Plastic Surgery Pub Date : 2023-12-14 DOI: 10.1177/22925503231219208

Michael J. Stein

引用次数: 0

Out-of-Pocket Costs and Physician Payment Variations in Abdominal Contouring: Evidence From United States Claims Data 腹部塑形术的自付费用和医生支付差异：来自美国索赔数据的证据

IF 0.7 4区医学

Plastic Surgery Pub Date : 2023-12-13 DOI: 10.1177/22925503231217513

Olachi O. Oleru, N. Seyidova, Peter J Taub

{"title":"Out-of-Pocket Costs and Physician Payment Variations in Abdominal Contouring: Evidence From United States Claims Data","authors":"Olachi O. Oleru, N. Seyidova, Peter J Taub","doi":"10.1177/22925503231217513","DOIUrl":"https://doi.org/10.1177/22925503231217513","url":null,"abstract":"Background: Abdominal contouring after massive weight loss has positive impacts on quality of life. There are often cost and access barriers for patients who desire these procedures. Objectives: To examine levels of access to body contouring in the era of price transparency, this study aims to characterize the out-of-pocket expenses and physician/facility payments in abdominal contouring procedures. Setting: The IBM MarketScan Commercial Databases were queried to identify patients who underwent outpatient abdominal contouring surgeries in the United States in 2021. Methods: Financial variables of interest included gross payments to the provider (facility and/or physician) and out-of-pocket costs (total of coinsurance, deductible, and copayments). Univariate analysis and mixed-effects linear regression were utilized to study the variations in costs across regions, insurance plan types, and places of service. Results: A total of 1319 abdominal contouring episodes were identified. The average age was 44.7, and the majority of patients were female (91%) and in the South region (44%). Median out-of-pocket costs were low overall ($30, IQR $768) and median total physician/facility payments for abdominal contouring was $4982.47 (IQR $7392.46). Out-of-pocket costs were highest in the South ($105) and $0 in all other regions ( P < .05). The highest physician/facility payments were in the Northeast ($6392) and the lowest was in the South ($3936). Conclusions: Patients undergoing abdominal contouring incur relatively low out-of-pocket costs overall, but there is a need for further reimbursement negotiation in regions where physician payments are lower and out-of-pocket costs are higher. Further study should explore reimbursement and payment gaps in procedural coverage.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"77 12","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139005738","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}

引用次数: 0

We Need a Bio-Psycho-Social-Spiritual Approach to Life 我们需要一种生物-心理-社会-精神的生活方式

IF 0.7 4区医学

Plastic Surgery Pub Date : 2023-12-12 DOI: 10.1177/22925503231219221

D. Courtemanche

引用次数: 0

Commentary: Two-Eyed Seeing (Aistotsastip) and the Medicine Wheel for the Plastic Surgeon 评论：两眼注视（Aistotsastip）和整形外科医生的药轮

IF 0.7 4区医学

Plastic Surgery Pub Date : 2023-12-12 DOI: 10.1177/22925503231220368

Celina Mekhele Nahanni, Laura Snell

引用次数: 0

An Assessment of Quality-of-Life Following Tissue Expansion in Pediatric Patients 评估小儿患者组织扩张后的生活质量

IF 0.7 4区医学

Plastic Surgery Pub Date : 2023-12-12 DOI: 10.1177/22925503231217516

Dara Rykiss, R. Courtemanche, Sally Hynes

{"title":"An Assessment of Quality-of-Life Following Tissue Expansion in Pediatric Patients","authors":"Dara Rykiss, R. Courtemanche, Sally Hynes","doi":"10.1177/22925503231217516","DOIUrl":"https://doi.org/10.1177/22925503231217516","url":null,"abstract":"Introduction: There is limited data on the effects of tissue expansion (TE) surgery on quality-of-life (QOL) in pediatric patients. Evidence-based information may help clinicians, patients, and their families with treatment decision-making and post-operative expectations. This study explores QOL following TE in pediatric patients. Methods: A post-intervention QOL survey and retrospective chart review was performed. Patients who underwent TE at a pediatric tertiary hospital between October 2004 and March 2020 completed the Glasgow Children's Benefit Inventory or the Glasgow Benefit Inventory. Total scores range from −100(worsened QOL) to +100(improved QOL). Participants were also asked if they would recommend TE to other patients with the same indication. Results: The response rate was 38% (n = 20; 14 females, 6 males). The median QOL score was +17[−2,+49]. Higher QOL scores were found for TE indications of scar (+49) and alopecia (+40), compared to giant congenital melanocytic nevus (−2). Higher scores were also associated with shorter time in active treatment ( r = −0.65) and fewer complications ( r = −0.56). 18/20 participants would recommend TE. Participants whose QOL improved (n = 11, 55%) reported increased self-confidence, fitting in with peers, and improved function. Participants with unchanged or decreased QOL (n = 9, 45%) described a negative experience with residual scarring. However, 7/9 with unchanged or decreased QOL would still recommend TE. Conclusions: This preliminary descriptive study demonstrated variable QOL following TE. Patient and treatment-related factors impact QOL outcomes. Despite the range in QOL outcomes, the majority of participants would recommend TE. Further research evaluating QOL following TE is necessary to better understand this relationship.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":"18 2","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139010112","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}

引用次数: 0

Ethical Considerations in Pediatric External Ear Surgery 儿科外耳手术的伦理考虑

4区医学

Plastic Surgery Pub Date : 2023-11-13 DOI: 10.1177/22925503231213868

Becher Al-Halabi, Abdulaziz Alabdulkarim, Sabrina Cugno

引用次数: 0

The Effect of Previous Transradial Catheterization on Radial Forearm Free Flaps 先前经桡骨置管对前臂桡骨游离皮瓣的影响

4区医学

Plastic Surgery Pub Date : 2023-11-13 DOI: 10.1177/22925503231213872

Jamie A. Mawhinney, Craig A. Mounsey, Nick A. Johnson, Peter G. Russell

引用次数: 0

Decrease Venous Thromboembolism Without Anticoagulation in Plastic Surgery: The Paradigm of Risk Identification, Risk Modification, and Risk Reduction 减少整形手术中无抗凝治疗的静脉血栓栓塞:风险识别、风险修改和风险降低的范例

4区医学

Plastic Surgery Pub Date : 2023-11-09 DOI: 10.1177/22925503231210876

Christopher J. Pannucci, Michael J. Stein

引用次数: 0

The Value of Plastic Surgery Closure in Adults Undergoing Scoliosis Surgery 成人脊柱侧凸手术整形手术闭合的价值

4区医学

Plastic Surgery Pub Date : 2023-11-09 DOI: 10.1177/22925503231213869

Sarah Nathaniel, Jared Doan, Olachi Oleru, Nargiz Seyidova, Baron Lonner, Peter J. Taub

{"title":"The Value of Plastic Surgery Closure in Adults Undergoing Scoliosis Surgery","authors":"Sarah Nathaniel, Jared Doan, Olachi Oleru, Nargiz Seyidova, Baron Lonner, Peter J. Taub","doi":"10.1177/22925503231213869","DOIUrl":"https://doi.org/10.1177/22925503231213869","url":null,"abstract":"Introduction: Surgical treatment for scoliosis can be done for functional and esthetic concerns. Surgical intervention may be associated with a complication rate of up to 40% in patients with non-idiopathic scoliosis, and 3% in patients with idiopathic scoliosis. In the present study, the authors sought to evaluate patients undergoing surgery for scoliosis with closure by the plastic and reconstructive surgery service. Methods: A retrospective cohort study was performed by extracting data, including demographics, surgical characteristics, and outcomes, from the electronic medical records of a single, large, tertiary care hospital and from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database. Data was collected for patients aged 18 to 75 undergoing spinal surgery for scoliosis from 2012 to 2020. Data collected from institutional records included only patients whose incision was closed by plastic and reconstructive surgery, while data from NSQIP was collected from all scoliosis surgery patients regardless of closure type. Results: A total of 98 scoliosis patients were identified who underwent closure by the plastic and reconstructive surgery service. These were compared to 1390 scoliosis patients in NSQIP for whom no specific closure details were noted. At 30-day post-operatively, readmission rates were 2.04% and 7.34% for the institutional and NSQIP cohorts, respectively ( P = 0.041), reoperation rates were 1.04% and 5.83% for the institutional and NSQIP cohorts, respectively ( P = 0.0384), and overall complication rates were 2.04% and 12.52% for the institutional and NSQIP cohorts, respectively ( P = 0.0005). Conclusion: Surgical intervention for scoliosis may benefit from closure by the plastic and reconstructive surgery service, which may yield potential lower rates of readmission, reoperation, and post-operative complication.","PeriodicalId":50714,"journal":{"name":"Plastic Surgery","volume":" 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135291703","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}

引用次数: 0