Associations between national financial trends and facial plastic surgery procedural volume

Objective(s) To characterize procedural trends in facial plastic and reconstructive surgery procedures in relation to the United States economy. Methods Retrospective cohort study examining annual procedure rates were determined from the American Society of Plastic Surgeons (ASPS) National Clearingh...

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Veröffentlicht in:The Laryngoscope 2020-03, Vol.130 (3), p.632-636
Hauptverfasser: Gadkaree, Shekhar K., McCarty, Justin C., Weitzman, Rachel E., Derakhshan, Adeeb, Mohan, Suresh, Bergmark, Regan W., Shaye, David A.
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container_end_page 636
container_issue 3
container_start_page 632
container_title The Laryngoscope
container_volume 130
creator Gadkaree, Shekhar K.
McCarty, Justin C.
Weitzman, Rachel E.
Derakhshan, Adeeb
Mohan, Suresh
Bergmark, Regan W.
Shaye, David A.
description Objective(s) To characterize procedural trends in facial plastic and reconstructive surgery procedures in relation to the United States economy. Methods Retrospective cohort study examining annual procedure rates were determined from the American Society of Plastic Surgeons (ASPS) National Clearinghouse of Plastic Surgery Procedural Statistics from January 1 2007 to December 30, 2017. Procedures were compared to economic activity of the United States as measured by gross domestic product (GDP) were compared using Kolmogorov‐Smirnov goodness of fit testing and piecewise multivariate regression modeling. Results Annual trends in procedural rates showed an overall decrease in the rates of rhinoplasty (284,960 to 218,924), blepharoplasty (240,660 to 209,571), and otoplasty (28,571 to 23,433) from 2007 to 2017. Total cosmetic surgery remained fairly stable, while minimally invasive cosmetic surgery increased in frequency over the study period. On piecewise regression analysis, rhinoplasty (P = .02), rhytidectomy (P = .007), invasive cosmetic surgery (P 
doi_str_mv 10.1002/lary.28311
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Methods Retrospective cohort study examining annual procedure rates were determined from the American Society of Plastic Surgeons (ASPS) National Clearinghouse of Plastic Surgery Procedural Statistics from January 1 2007 to December 30, 2017. Procedures were compared to economic activity of the United States as measured by gross domestic product (GDP) were compared using Kolmogorov‐Smirnov goodness of fit testing and piecewise multivariate regression modeling. Results Annual trends in procedural rates showed an overall decrease in the rates of rhinoplasty (284,960 to 218,924), blepharoplasty (240,660 to 209,571), and otoplasty (28,571 to 23,433) from 2007 to 2017. Total cosmetic surgery remained fairly stable, while minimally invasive cosmetic surgery increased in frequency over the study period. On piecewise regression analysis, rhinoplasty (P = .02), rhytidectomy (P = .007), invasive cosmetic surgery (P &lt; .001) were significantly associated with GDP, whereas otoplasty (P = .98) and reconstructive surgery (P = .11) were not associated with GDP. Conclusion Cosmetic plastic surgery procedures show a greater correlation to GDP than reconstructive procedures. Trends in plastic surgery cases over the last decade show a decreasing number of rhinoplasty, otoplasty, and blepharoplasty, with stabilization in the last few years. An increasing number of reconstructive cases are found. Level of Evidence 4 Laryngoscope, 130:632–636, 2020</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.28311</identifier><identifier>PMID: 31603542</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>economic variation ; gross domestic product ; Life Sciences &amp; Biomedicine ; Medicine, Research &amp; Experimental ; Otorhinolaryngology ; Plastic surgery ; procedural trends ; Research &amp; Experimental Medicine ; Science &amp; Technology</subject><ispartof>The Laryngoscope, 2020-03, Vol.130 (3), p.632-636</ispartof><rights>2019 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000489667300001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3291-fcdccbd4709f5cc5b75ad887220e7a047173c672ecf0a5354f89ad0f5897c8213</citedby><cites>FETCH-LOGICAL-c3291-fcdccbd4709f5cc5b75ad887220e7a047173c672ecf0a5354f89ad0f5897c8213</cites><orcidid>0000-0003-4324-8113 ; 0000-0002-7786-7812 ; 0000-0002-4797-9565 ; 0000-0003-3274-4488 ; 0000-0002-7531-6937 ; 0000-0003-3249-4343</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.28311$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.28311$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,28253,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31603542$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gadkaree, Shekhar K.</creatorcontrib><creatorcontrib>McCarty, Justin C.</creatorcontrib><creatorcontrib>Weitzman, Rachel E.</creatorcontrib><creatorcontrib>Derakhshan, Adeeb</creatorcontrib><creatorcontrib>Mohan, Suresh</creatorcontrib><creatorcontrib>Bergmark, Regan W.</creatorcontrib><creatorcontrib>Shaye, David A.</creatorcontrib><title>Associations between national financial trends and facial plastic surgery procedural volume</title><title>The Laryngoscope</title><addtitle>LARYNGOSCOPE</addtitle><addtitle>Laryngoscope</addtitle><description>Objective(s) To characterize procedural trends in facial plastic and reconstructive surgery procedures in relation to the United States economy. Methods Retrospective cohort study examining annual procedure rates were determined from the American Society of Plastic Surgeons (ASPS) National Clearinghouse of Plastic Surgery Procedural Statistics from January 1 2007 to December 30, 2017. Procedures were compared to economic activity of the United States as measured by gross domestic product (GDP) were compared using Kolmogorov‐Smirnov goodness of fit testing and piecewise multivariate regression modeling. Results Annual trends in procedural rates showed an overall decrease in the rates of rhinoplasty (284,960 to 218,924), blepharoplasty (240,660 to 209,571), and otoplasty (28,571 to 23,433) from 2007 to 2017. Total cosmetic surgery remained fairly stable, while minimally invasive cosmetic surgery increased in frequency over the study period. On piecewise regression analysis, rhinoplasty (P = .02), rhytidectomy (P = .007), invasive cosmetic surgery (P &lt; .001) were significantly associated with GDP, whereas otoplasty (P = .98) and reconstructive surgery (P = .11) were not associated with GDP. Conclusion Cosmetic plastic surgery procedures show a greater correlation to GDP than reconstructive procedures. Trends in plastic surgery cases over the last decade show a decreasing number of rhinoplasty, otoplasty, and blepharoplasty, with stabilization in the last few years. An increasing number of reconstructive cases are found. 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subjects economic variation
gross domestic product
Life Sciences & Biomedicine
Medicine, Research & Experimental
Otorhinolaryngology
Plastic surgery
procedural trends
Research & Experimental Medicine
Science & Technology
title Associations between national financial trends and facial plastic surgery procedural volume
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