Pediatric reduction mammaplasty: A retrospective analysis of the Kids' Inpatient Database (KID)

Soleimani, Tahereh; Evans, Tyler A.; Sood, Rajiv; Hadad, Ivan; Socas, Juan; Flores, Roberto L.; Tholpady, Sunil S.

doi:10.1016/j.surg.2015.05.015

Cited by 23 publications

(15 citation statements)

References 22 publications

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“…Figure 1 displays the Preferred Reporting Items for Systematic Reviews and Meta-Analyses diagram showing the search strategy. Twenty-three studies, 7–29 consisting of 2926 patients, met inclusion criteria. The studies are summarized in Table 1, and their characteristics are displayed in Table 2.…”

Section: Resultsmentioning

confidence: 99%

Reduction Mammaplasty for Macromastia in Adolescents: A Systematic Review and Pooled Analysis

Hudson

Morzycki

Guilfoyle

2021

Plastic &Amp; Reconstructive Surgery

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acromastia, or benign breast hypertrophy, often leads to symptoms that can be debilitating for individuals. These include pain, intertriginous dermatitis, restrictive respiratory effort, self-esteem issues, limitations on activity participation, and others. 1 Preoperatively, patients with macromastia have been shown to have a significantly worse health-related quality of life compared to the normal population. 1 Bilateral reduction mammaplasty is a very common plastic surgery procedure undergone for macromastia. 2,3 It is known to reduce symptoms and improve quality of life, and can often be done as an outpatient procedure. 4,5 In 2018, it was the eighth most common procedure performed by plastic surgeons around the world. The number of these operations performed is also increasing over time, with an increase in 8.5 percent worldwide from 2017

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Section: Resultsmentioning

confidence: 99%

Reduction Mammaplasty for Macromastia in Adolescents: A Systematic Review and Pooled Analysis

Hudson

Morzycki

Guilfoyle

2021

Plastic &Amp; Reconstructive Surgery

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“…[1][2][3] These disparities are linked to the unequal distribution of social and political determinants in our society, which include systemic factors that propagate racism, poverty, education, employment, lack of access to care, and limited diversity in the healthcare workforce. In plastic surgery specifically, 4,5 research has elicited health disparities across subspecialties, including breast reconstruction, [6][7][8] hand surgery, 9,10 traumatic facial injuries, and gender-affirming surgery. 11 Although extensive research exists demonstrating health disparities across surgical fields, as recently as 2016, an American College of Surgeons online survey reported that only 12% of surgeons believed there were disparities in their practices, and only 37% reported any institutional initiatives to mitigate these disparities.…”

Section: Introductionmentioning

confidence: 99%

“…1–3 These disparities are linked to the unequal distribution of social and political determinants in our society, which include systemic factors that propagate racism, poverty, education, employment, lack of access to care, and limited diversity in the healthcare workforce. In plastic surgery specifically, 4,5 research has elicited health disparities across subspecialties, including breast reconstruction, 6–8 hand surgery, 9,10 traumatic facial injuries, and gender-affirming surgery. 11…”

Section: Introductionmentioning

confidence: 99%

Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs

Cevallos

Amakiri

Johnstone

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Achieving health equity includes training surgeons in environments exemplifying access, treatment, and outcomes across the racial, ethnic, and socioeconomic spectrum. Increased attention on health equity has generated metrics comparing hospitals. To establish the quality of health equity in plastic and reconstructive surgery (PRS) residency training, we determined the mean equity score (MES) across training hospitals of US PRS residencies. Methods: The 2021 Lown Institute Hospital Index database was merged with affiliated training hospitals of US integrated PRS residency programs. The Lown equity category is composed of three domains (community benefit, inclusivity, pay equity) generating a health equity grade. MES (standard deviation) was calculated and reported for residency programs (higher MES represented greater health equity). Linear regression modeled the effects of a program's number of training hospitals, safety net hospitals, and geographical region on MES. Results: The MES was 2.64 (0.62). An estimated 5.9% of programs had an MES between 1-2. In total, 56.5% of programs had an MES between 2 and 3, and 37.7% had an MES of 3 or more. The southern region was associated with a higher MES compared with the reference group (Northeast) (P = 0.03). The number of safety net hospitals per program was associated with higher MES (P = 0.02). Conclusions: Two out of three programs train residents in facilities failing to demonstrate high equity healthcare. Programs should promote health equity by diversifying care delivery through affiliated hospitals. This will aid in the creation of a PRS workforce trained to provide care for a socioeconomically, racially, and ethnically diverse population.

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“…Of note, differences in access to surgical management have been reported in various surgical settings. Within plastic surgery, literature suggests decreased access to; appointments among Medicaid patients with carpal tunnel symptoms, 7,8 revision surgery among publicly insured cleft lip and palate patients, 8–10 reduction mam-moplasty among publicly insured patients, 8,11,12 and limited access to care among transgender patients. 8,13 To date, 6 studies 8–10,14–17 exist within the field of craniofacial surgery describing health disparities, however, none stratify trends in care by SES or race for orbital floor reconstruction.…”

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confidence: 99%

Characterizing the Impact of Socioeconomic Status on Orbital Floor Reconstruction: A National Inpatient Sample (NIS) Analysis

Perla

Zeyl

Lopez

et al. 2022

Journal of Craniofacial Surgery

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Orbital floor fractures result in posterior globe displacement known as enophthalmos, and diplopia due to extraorbital soft tissue impingement. Surgical repair may involve the use of autolo-gous or synthetic materials. Previous studies have demonstrated a higher prevalence of orbital floor fractures among lower socioeconomic status (SES) populations. The authors aimed to characterize the impact of socioeconomic status on surgical management, outcomes, and use of synthetic orbital implant. The authors conducted a cross-sectional study of adult orbital floor fracture patients from 2002 to 2017 using the National Inpatient Sample. Among patients who underwent surgical treatment, our study found decreased synthetic orbital implant use among uninsured and Black patients and decreased home discharge among Medicare patients. There were no dif-ferences in orbital reconstruction. Further research is needed to elucidate possible mechanisms driving these findings.

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Pediatric reduction mammaplasty: A retrospective analysis of the Kids' Inpatient Database (KID)

Cited by 23 publications

References 22 publications

Reduction Mammaplasty for Macromastia in Adolescents: A Systematic Review and Pooled Analysis

Reduction Mammaplasty for Macromastia in Adolescents: A Systematic Review and Pooled Analysis

Is Plastic Surgery Training Equitable? An Analysis of Health Equity across US Plastic Surgery Residency Programs

Characterizing the Impact of Socioeconomic Status on Orbital Floor Reconstruction: A National Inpatient Sample (NIS) Analysis

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