FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4235501414> ?p ?o ?g. }

• W4235501414 endingPage "1053e" @default.
• W4235501414 startingPage "1052e" @default.
• W4235501414 abstract "Sir: We appreciate Dr. Bertheuil et al.’s careful reading and comments on our recently published article.1 As demonstrated in our article, the majority of abdominoplasties (64.8 percent) are currently being combined with another aesthetic surgical procedure. It is therefore critical for plastic surgeons to be well informed about the risks associated with different combined procedures. Concurrent with Michot et al. in their recent systematic review,2 our results demonstrated an increased rate of major complications with combined abdominal and breast surgery. We have explored this association in greater detail by comparing complication rates of abdominoplasty combined with different breast procedures and found that the risk is highest (7.1 percent) when abdominoplasty is combined with breast reduction.3 Our results equally demonstrated an increased risk with numerous other combinations and predictive risk factors, which may be used to stratify high-risk patients. We have left it to our readers to determine whether certain combined procedures pose a significant enough increase in risk to potentially avoid in their own patients. Even though the increase in complication rate in combined procedures is less than the sum of the complication rate of each individual procedure, it still requires careful consideration, especially as this represents major complications in elective cosmetic surgery. Our study demonstrated additional significant risk factors for major complications being male sex, age 60 years or older, and body mass index greater than or equal to 30. Aesthetic surgery is gaining popularity among the elderly patient population. Our group has previously published aesthetic surgery outcomes in elderly patients.3 We found that the proportion of patients aged 65 years or older undergoing cosmetic surgery has increased from 3.9 percent to 6.4 percent between 2008 and 2013.3 The overall complication rate of all procedures was similar in both elderly (age 65 years or older) and younger patients (1.8 percent versus 1.9 percent, respectively). When looking at specific procedures, only abdominoplasty was associated with a modestly higher complication risk in the elderly (5.4 percent versus 3.9 percent; p = 0.032).4 We recommend that, just as sex and body mass index, age should be carefully considered in preoperative assessment and counseling of patients without being labeled as a contraindication. We believe that our study based on the CosmetAssure (Aesthetic Surgeons’ Financial Group, Birmingham, Ala.) data represents high-quality evidence for cosmetic surgical procedures that is a reliable resource for plastic surgeons and their patients. Given that all patients of a participating practice must enroll in the program, it is not possible to select only high-risk patients, which may artificially inflate complication rates. Equally, experience and training are accounted for, as only board-certified plastic surgeons operating at accredited facilities are included. As correctly stated by Dr. Bertheuil et al., one of the limitations to this database is that only major complications are captured that would result in a hospitalization, emergency room visit, or reoperation and thus generate an insurance claim. Minor complications, although significantly more common than major complications, are usually managed in the outpatient clinic setting and thus are not captured in the database. Although complications such as wound dehiscence and seroma may not qualify as major complications according to our definition, they may lead to significant morbidity. We believe that the existing literature is insufficient to design a robust scoring system for risk stratification. Although our study has been able to determine the relative risks associated with the small set of measured variables, many other potential risk factors and confounding variables (e.g., different operative techniques, operative time, type of anesthesia, American Society of Anesthesiologists class, comorbidity indices) need to be ascertained in a prospective manner to develop a valid scoring system. We appreciate our readers’ interest in this and upcoming articles from our group. DISCLOSURE No funding was required for this project. Dr. James C. Grotting is a founder and shareholder of CosmetAssure. He is an author for Quality Medical Publishing and Elsevier. He is a shareholder of Keller Medical and Ideal Implant. None of the other authors have a financial interest in any of the products, devices, or drugs mentioned in this communication. Julian Winocour, M.D.Varun Gupta, M.D.R. Bruce Shack, M.D.Department of Plastic SurgeryVanderbilt UniversityNashville, Tenn. James C. Grotting, M.D.Department of Plastic SurgeryUniversity of AlabamaBirmingham, Ala. K. Kye Higdon, M.D.Department of Plastic SurgeryVanderbilt UniversityNashville, Tenn." @default.
• W4235501414 created "2022-05-12" @default.
• W4235501414 creator A5001568986 @default.
• W4235501414 creator A5004993691 @default.
• W4235501414 creator A5014422328 @default.
• W4235501414 creator A5022284040 @default.
• W4235501414 creator A5047510716 @default.
• W4235501414 date "2016-06-01" @default.
• W4235501414 modified "2023-09-27" @default.
• W4235501414 title "Reply: Abdominoplasty: Risk Factors, Complication Rates, and Safety of Combined Procedures" @default.
• W4235501414 cites W1769057153 @default.
• W4235501414 cites W2102487237 @default.
• W4235501414 cites W2323240576 @default.
• W4235501414 cites W2413471916 @default.
• W4235501414 doi "https://doi.org/10.1097/prs.0000000000002198" @default.
• W4235501414 hasPublicationYear "2016" @default.
• W4235501414 type Work @default.
• W4235501414 citedByCount "1" @default.
• W4235501414 countsByYear W42355014142019 @default.
• W4235501414 crossrefType "journal-article" @default.
• W4235501414 hasAuthorship W4235501414A5001568986 @default.
• W4235501414 hasAuthorship W4235501414A5004993691 @default.
• W4235501414 hasAuthorship W4235501414A5014422328 @default.
• W4235501414 hasAuthorship W4235501414A5022284040 @default.
• W4235501414 hasAuthorship W4235501414A5047510716 @default.
• W4235501414 hasConcept C121608353 @default.
• W4235501414 hasConcept C126322002 @default.
• W4235501414 hasConcept C137762411 @default.
• W4235501414 hasConcept C141071460 @default.
• W4235501414 hasConcept C2777704003 @default.
• W4235501414 hasConcept C2778367962 @default.
• W4235501414 hasConcept C2778579461 @default.
• W4235501414 hasConcept C2780221984 @default.
• W4235501414 hasConcept C2780440149 @default.
• W4235501414 hasConcept C2781411149 @default.
• W4235501414 hasConcept C2781428721 @default.
• W4235501414 hasConcept C2908647359 @default.
• W4235501414 hasConcept C50440223 @default.
• W4235501414 hasConcept C511355011 @default.
• W4235501414 hasConcept C530470458 @default.
• W4235501414 hasConcept C544821477 @default.
• W4235501414 hasConcept C61434518 @default.
• W4235501414 hasConcept C71924100 @default.
• W4235501414 hasConcept C81182388 @default.
• W4235501414 hasConcept C99454951 @default.
• W4235501414 hasConceptScore W4235501414C121608353 @default.
• W4235501414 hasConceptScore W4235501414C126322002 @default.
• W4235501414 hasConceptScore W4235501414C137762411 @default.
• W4235501414 hasConceptScore W4235501414C141071460 @default.
• W4235501414 hasConceptScore W4235501414C2777704003 @default.
• W4235501414 hasConceptScore W4235501414C2778367962 @default.
• W4235501414 hasConceptScore W4235501414C2778579461 @default.
• W4235501414 hasConceptScore W4235501414C2780221984 @default.
• W4235501414 hasConceptScore W4235501414C2780440149 @default.
• W4235501414 hasConceptScore W4235501414C2781411149 @default.
• W4235501414 hasConceptScore W4235501414C2781428721 @default.
• W4235501414 hasConceptScore W4235501414C2908647359 @default.
• W4235501414 hasConceptScore W4235501414C50440223 @default.
• W4235501414 hasConceptScore W4235501414C511355011 @default.
• W4235501414 hasConceptScore W4235501414C530470458 @default.
• W4235501414 hasConceptScore W4235501414C544821477 @default.
• W4235501414 hasConceptScore W4235501414C61434518 @default.
• W4235501414 hasConceptScore W4235501414C71924100 @default.
• W4235501414 hasConceptScore W4235501414C81182388 @default.
• W4235501414 hasConceptScore W4235501414C99454951 @default.
• W4235501414 hasIssue "6" @default.
• W4235501414 hasLocation W42355014141 @default.
• W4235501414 hasOpenAccess W4235501414 @default.
• W4235501414 hasPrimaryLocation W42355014141 @default.
• W4235501414 hasRelatedWork W2015745738 @default.
• W4235501414 hasRelatedWork W2030606772 @default.
• W4235501414 hasRelatedWork W2132408587 @default.
• W4235501414 hasRelatedWork W2283872418 @default.
• W4235501414 hasRelatedWork W2786779764 @default.
• W4235501414 hasRelatedWork W2930992143 @default.
• W4235501414 hasRelatedWork W2951454649 @default.
• W4235501414 hasRelatedWork W3133166227 @default.
• W4235501414 hasRelatedWork W4235501414 @default.
• W4235501414 hasRelatedWork W2331731606 @default.
• W4235501414 hasVolume "137" @default.
• W4235501414 isParatext "false" @default.
• W4235501414 isRetracted "false" @default.
• W4235501414 workType "article" @default.