Are medical students confident in assessing the patient presenting with a neck lump?

Rehman, Umar; Sarwar, Mohammad Sohaib; Perwaiz, Ibrar; Brennan, Peter A.

doi:10.1016/j.bjoms.2022.02.003

Cited by 3 publications

(8 citation statements)

References 20 publications

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“…The articles advocated a multidisciplinary pathway consisting of aesthetic clinicians and mental health professionals, working closely with patients. 17,22,27,28,33,44 Articles discussed that in all patients, assessment for BDD should take place before performing any facial aesthetic treatment. [13][14][15][16][17][18][19][20]22,32,37,40,43,45,[48][49][50] This assessment could be carried out by a mental health professional.…”

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

“…17,22,27,28,33,44 Articles discussed that in all patients, assessment for BDD should take place before performing any facial aesthetic treatment. [13][14][15][16][17][18][19][20]22,32,37,40,43,45,[48][49][50] This assessment could be carried out by a mental health professional. 40,43,44,48,50 Alternatively, completion of a validated BDD screening tool, could form a mandatory part of an aesthetic consultation, 13,17-20 45,48,49 and be completed with the patient before any cosmetic procedure is performed.…”

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

“…40,43,44,48,50 Alternatively, completion of a validated BDD screening tool, could form a mandatory part of an aesthetic consultation, 13,17-20 45,48,49 and be completed with the patient before any cosmetic procedure is performed. 13,14,16,22,32,37,40 Further that aesthetic clinicians should be trained on BDD awareness as well on the selected screening tool, its application and interpretation. 16 The consultation should also explore patient's expectations of postprocedure aesthetic outcomes and include clear communication of potential cosmetic risks.…”

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

“…In the event of suspected BDD, the aesthetic procedure should not be performed, 13,14,16,19,20,22,45 rather the patient should be referred to mental health services for mental health and social assessment, patient education as well as potential mental health treatment. 13,14,17,21,22,26,27,31,33,34,36,38,39,46,49 Following mental health assessment and potential treatment, a multidisciplinary approach should be adopted between the aesthetic clinician and mental health professional to assess whether or not the benefits of the aesthetic procedure outweigh the risks. 13,20,22,28,31,36,41,44…”

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

“…13,14,17,21,22,26,27,31,33,34,36,38,39,46,49 Following mental health assessment and potential treatment, a multidisciplinary approach should be adopted between the aesthetic clinician and mental health professional to assess whether or not the benefits of the aesthetic procedure outweigh the risks. 13,20,22,28,31,36,41,44…”

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

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An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics

Mandavia,

D'Souza,

Rupasinghe

et al. 2024

Facial Plast Surg

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Aesthetic procedures should be avoided in patients with Body Dysmorphic Disorder (BDD) since they can negatively impact mental health and lead to further aesthetic dissatisfaction. There are no evidence-based patient pathways for BDD in facial aesthetics which can result in the failure to identify patients with BDD, leading to unsuitable treatments and suboptimal patient care. We aim to construct the first evidence-based patient pathway for BDD in surgical and non-surgical facial aesthetics. A systematic review was performed and articles that discussed screening or patient pathways for BDD in field of facial aesthetics were included. We extracted relevant information from each article on screening tools and pathways for BDD. Data were synthesised by summarising the data under column headings into a structured narrative and into new tables. Based on this synthesis, a practical pathway for BDD was constructed. Forty articles fulfilled the criteria for inclusion. Twenty-eight BDD screening tools were discussed in the included articles, and we provide an overview of these tools. Thirty-one articles discussed patient pathways for BDD, and we synthesised this information into a structured narrative. Combining these findings we present an evidence-based patient pathway for BDD for patients presenting for facial aesthetic treatments. This systematic review has resulted in the first, evidence-based, patient pathway for BDD in surgical and non-surgical facial aesthetics. This practical pathway can be used by aesthetic clinicians to identify patients with potential BDD and provide clear guidance for managing cases where BDD is suspected. It will help reduce the number of facial aesthetic procedures performed on patients with BDD, safeguard patient mental well-being and prevent further aesthetic dissatisfaction.

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Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

Section: Pathways For Body Dysmorphic Disordermentioning

confidence: 99%

See 3 more Smart Citations

An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics

Mandavia,

D'Souza,

Rupasinghe

et al. 2024

Facial Plast Surg

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The medical licensing assessment (MLA): a missed opportunity for oral and maxillofacial surgery?

Taylor,

Mannion

2024

British Journal of Oral and Maxillofacial Surgery

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Transtornos Mentais Em Pacientes Submetidos a Cirurgias Plásticas: Uma Revisão Sistemática

Dos Santos Alves,

Alencar,

Sales

et al. 2024

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Visando os impactos das cirurgias plásticas na saúde mental dos pacientes, destacando, principalmente, as reincidências dos grupos que já possuem transtornos mentais, os efeitos da presença de distúrbio mental na recuperação cirúrgica, e a motivação desses pacientes na busca por procedimentos estéticos, busca-se entender a tendência pré-existente nas pessoas com distúrbios mentais de buscarem por essas intervenções e, por fim, apontar quais medidas devem ser tomadas para evitar tais problemas. Pretende-se analisar os transtornos mentais e comportamentais entre as pessoas que realizaram cirurgias plásticas nos últimos 5 anos. Esse é um estudo de revisão sistemática sem metanálise delineada conforme as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), a partir das mais robustas e confiáveis bases de literatura na grande área do conhecimento em ciências da saúde para estes tipos de estudo, tais como: National Library of Medicine (PubMed), Embase, LILACS e Web of Science, submetida para registo no PROSPERO pelo número 475827. Foram revisados sistematicamente 20 artigos, dando ênfase à relação de causalidade entre a busca por cirurgias plásticas e a presença de transtornos mentais. Consequentemente, constatou-se uma correlação entre intervenções cirúrgicas estéticas e distúrbios psicológicos, sendo mais comum entre indivíduos que enfrentam desafios relacionados à sua autoimagem.

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Are medical students confident in assessing the patient presenting with a neck lump?

Cited by 3 publications

References 20 publications

An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics

An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics

The medical licensing assessment (MLA): a missed opportunity for oral and maxillofacial surgery?

Transtornos Mentais Em Pacientes Submetidos a Cirurgias Plásticas: Uma Revisão Sistemática

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