Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.


BACKGROUND:Although national efforts to minimize gender biases exist, gender differences in surgery persist. This study aims to investigate gender differences in preoperative resource use of patients undergoing wrist arthroscopy for nontraumatic wrist pain. METHODS:Patients who underwent a wrist arthroscopy for nontraumatic pain from 2009 to 2015 were selected from the Truven MarketScan databases. Demographic and preoperative resource use data were recorded. Multivariable regression models were performed to examine the relationship between gender and preoperative resource use and to investigate the cost of these services. RESULTS:A total of 8792 patients, 3805 men and 4987 women, met our inclusion criteria. Women were less likely to use imaging modalities preoperatively (OR, 0.08; 95 percent CI, 0.07 to 1.00; p = 0.02). However, women used more occupational therapy (OR, 1.2; 95 percent CI, 1.1 to 1.3; p = 0.002), nonnarcotic analgesia (OR, 1.2; 95 percent CI, 1.1 to 1.3; p = 0.001), and narcotic analgesia (OR, 1.6; 95 percent CI, 1.5 to 1.8; p < 0.001). Preoperative costs during the 12 months before surgery were similar between genders ($1308 versus $1367, respectively; p = 0.07). However, women accrued more costs from occupational therapy ($130 versus $93; p = 0.003), and nonnarcotic ($65 versus $46; p < 0.001) and narcotic medications ($568 versus $197; p < 0.001). CONCLUSIONS:Significant gender differences exist in the preoperative care for patients undergoing wrist arthroscopy. Men use more imaging, implying more intense preoperative investigation for wrist pain, whereas women use more conservative measures, highlighting possible implicit provider biases in preoperative management and potential gender differences in disease presentation.


Plast Reconstr Surg


Billig JI,Sterbenz JM,Zhong L,Chung KC




Has Abstract


2018-11-01 00:00:00














  • Upper and lower eyelid reconstruction.

    abstract::Reconstruction of the eyelids can range from simple repair to the integration of multiple complex procedures. Knowledge of eyelid anatomy, adequate preoperative planning, and meticulous surgical technique will optimize the anatomical and functional result. The purpose of this article is to review the relevant anatomy ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Codner MA,McCord CD,Mejia JD,Lalonde D

    更新日期:2010-11-01 00:00:00

  • Retrobulbar hemorrhage.

    abstract::Retrobulbar hemorrhage is a rare complication of orbital trauma or surgery. Although the process is usually self-limiting, infrequently visual impairment may result. Various methods for relieving the associated intraocular hypertension (caused by the extraocular compression posteriorly) have been suggested. The effect...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Huang TT,Horwitz B,Lewis SR

    更新日期:1977-01-01 00:00:00

  • A comparison of factors affecting aesthetic outcomes of TRAM flap breast reconstructions.

    abstract::The aesthetic results of TRAM flap breast reconstructions were assessed in 237 consecutive breast cancer patients. Nine independent judges, none of whom were plastic surgeons or members of the reconstructive team, assigned an aesthetic score to each patient after viewing postoperative photographs. We found that bilate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kroll SS,Coffey JA Jr,Winn RJ,Schusterman MA

    更新日期:1995-09-01 00:00:00

  • The bladder flap for urethral reconstruction in total phalloplasty.

    abstract::At the University of Virginia Hospital we have developed a new technique of urethroplasty utilizing a full-thickness flap of bladder wall. Tubing and transfer of the flap may be completed in two stages. The bladder flap is approximately 28 X 4 cm in size. Strictures have not occurred with this technique, but special c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Edgerton MT,Gillenwater JY,Kenney JG,Horowitz J

    更新日期:1984-08-01 00:00:00

  • Reconstruction of Posterior Mandibulectomy Defects in the Modern Era of Virtual Planning and Three-Dimensional Modeling.

    abstract:BACKGROUND:Posterior mandibulectomy defects can be reconstructed using either soft tissue or vascularized bone. The authors hypothesize that advances in computer-aided design and manufacturing (CAD-CAM) have resulted in osteocutaneous free flaps now proving superior to soft-tissue flaps. METHODS:The authors conducted ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chang EI,Boukovalas S,Liu J,Largo RD,Hanasono MM,Garvey PB

    更新日期:2019-09-01 00:00:00

  • A novel device for the simple and efficient refinement of liposuctioned tissue.

    abstract::In short, our device allows a surgeon who is harvesting adipose tissue for autologous fat transplantation to immediately, easily, efficiently, and sterilely isolate adipose tissue from the unwanted waste components that are associated with primary liposuction effluent. It does so by "trapping" the fat tissue contained...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Katz AJ,Hedrick MH,Llull R,Futrell JW

    更新日期:2001-02-01 00:00:00

  • Age-Related Differences in Psychosocial Function of Children with Craniofacial Anomalies.

    abstract:BACKGROUND:Age is a frequent consideration for surgical timing in pediatric craniofacial surgery for optimal psychosocial development. However, systematic evaluations of the effects of age in children under active treatment have not been thoroughly evaluated. METHODS:Ninety-nine patients (age, 8 to 17 years; 46.5 perc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Volpicelli EJ,Pfaff MJ,Hakimi K,Bradley JP,Solem RC,Lee JC

    更新日期:2017-10-01 00:00:00

  • Limited value of preoperative cervical vascular imaging in patients with velocardiofacial syndrome.

    abstract::The purpose of this two-part study was to evaluate the safety of surgical management of speech production disorders in patients with velocardiofacial syndrome without preoperative cervical vascular imaging studies. Anomalous internal carotid arteries have been shown to be a frequent feature of velocardiofacial syndrom...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究


    authors: Witt PD,Miller DC,Marsh JL,Muntz HR,Grames LM

    更新日期:1998-04-01 00:00:00

  • Is reversed venous flow safe in free-flap transfer? A dilemma with the radial forearm flap.

    abstract::The distally based radial artery forearm flap has become our workhorse flap for hand and finger coverage, relying on reversed or retrograde venous outflow through the venae comitantes. Free-flap transfer, however, has been used by us only with antegrade venous anastomoses. This study was intended to determine if a sin...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Stewart DH,Puckett CL

    更新日期:1992-02-01 00:00:00

  • Acceleration of capsule formation around silicone implants by infection in a guinea pig model.

    abstract::Fibrous capsules surrounding silicone implants were investigated in a new guinea pig model to delineate some of the factors leading to capsular contracture. Both the implant surfaces and tissue capsules were examined by light and scanning transmission electron microscopy (STEM + SEM) with x-ray energy spectroscopy (XE...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kossovsky N,Heggers JP,Parsons RW,Robson MC

    更新日期:1984-01-01 00:00:00

  • Randomized comparison of the single-injection volar subcutaneous block and the two-injection dorsal block for digital anesthesia.

    abstract:BACKGROUND:Two commonly used methods of digital nerve block with local anesthetic are the two-injection dorsal technique and the single-injection volar subcutaneous technique. The authors compared these two digital block techniques with respect to local anesthetic injection pain and recipient preference of anesthetic t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验


    authors: Williams JG,Lalonde DH

    更新日期:2006-10-01 00:00:00

  • Biplanar oncoplastic surgery: a novel approach to breast conservation for small and medium sized breasts.

    abstract:UNLABELLED:Biplanar oncoplastic surgery represents a novel technique with which to address partial breast reconstruction defects in small to medium sized breasts. Traditional oncoplastic volume displacement techniques may correct contour irregularities but do not address volumetric asymmetries. Volume replacement techn...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Nahabedian MY,Patel KM,Kaminsky AJ,Cocilovo C,Miraliakbari R

    更新日期:2013-11-01 00:00:00

  • The Addition of Platelet-Rich Plasma to Facial Lipofilling: A Double-Blind, Placebo-Controlled, Randomized Trial.

    abstract:BACKGROUND:Lipofilling is a treatment modality to restore tissue volume, but it may also rejuvenate the aging skin. Platelet-rich plasma has been reported to augment the efficacy of lipofilling, both on graft take and rejuvenation, by altering the adipose-derived stem cells. The authors hypothesized that addition of pl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,随机对照试验


    authors: Willemsen JCN,Van Dongen J,Spiekman M,Vermeulen KM,Harmsen MC,van der Lei B,Stevens HPJ

    更新日期:2018-02-01 00:00:00

  • Voice reconstruction with free ileocolon flap transfer: implications for the lower respiratory tract.

    abstract:BACKGROUND:Free ileocolon flap surgery is an effective technique for voice reconstruction in hypopharyngolaryngectomy defects. A tracheoesophageal fistula is created using an intestinal conduit characterized by secretions and a resident microbial flora. The aim of this study was to investigate the respiratory complicat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Rampazzo A,Gharb BB,di Spilimbergo SS,Chung KP,Chen HC

    更新日期:2011-05-01 00:00:00

  • A nationwide curriculum analysis of integrated plastic surgery training: is training standardized?

    abstract:BACKGROUND:The integrated model of plastic surgery education, shortly to become the standard for all 6-year programs, has set minimal but no maximal exposure to plastic surgery. The authors hypothesized that the first 3 years of integrated training will show variability among residency programs. METHODS:Rotation sched...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schneider LF,Barr J,Saadeh PB

    更新日期:2013-12-01 00:00:00

  • Surgical Treatment and Visual Outcomes of Adult Orbital Roof Fractures.

    abstract:BACKGROUND:Fractures of the orbital roof require high-energy trauma and have been linked to high rates of neurologic and ocular complications. However, there is a paucity of literature exploring the association between injury, management, and visual prognosis. METHODS:The authors performed a 3-year retrospective revie...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gebran SG,Lopez J,Wasicek PJ,Elegbede A,Rasko YM,Liang F,Nam AJ,Manson PN,Grant MP

    更新日期:2021-01-01 00:00:00

  • Objective Clinical Assessment of Posture Patterns after Implant Breast Augmentation.

    abstract:BACKGROUND:An increased weight of the breasts causes several spinal postural alterations that reduce the ability to perform dynamic tasks requiring a stable balance. The effects of the increased weight of the breasts on static posture after implant breast augmentation have not been investigated yet. METHODS:Forty volu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Nicoletti G,Mandrini S,Finotti V,Dall'Angelo A,Malovini A,Chierico S,Faga A,Dalla Toffola E

    更新日期:2015-08-01 00:00:00

  • Donor-site morbidity after autologous costal cartilage harvest in ear reconstruction and approaches to reducing donor-site contour deformity.

    abstract:BACKGROUND:Harvesting of rib as a source of cartilage can result in significant donor-site morbidity. In experienced hands, excellent results from using autologous rib cartilage are achievable for ear reconstruction, rhinoplasty, and otolaryngology. The authors report the morbidity associated with the harvest of costal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Uppal RS,Sabbagh W,Chana J,Gault DT

    更新日期:2008-06-01 00:00:00

  • MBN 2016 Aesthetic Breast Meeting BIA-ALCL Consensus Conference Report.

    abstract::Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon neoplasia occurring in women with either cosmetic or reconstructive breast implants. The actual knowledge about BIA-ALCL deriving from the literature presents several limits, and it remains difficult to make inferences about BIA-ALCL ep...

    journal_title:Plastic and reconstructive surgery

    pub_type: 共识发展会议,杂志文章


    authors: Nava MB,Adams WP Jr,Botti G,Campanale A,Catanuto G,Clemens MW,Del Vecchio DA,De Vita R,Di Napoli A,Hall-Findlay E,Hammond D,Heden P,Mallucci P,Martin Del Yerro JL,Muti E,Rancati A,Randquist C,Salgarello M,Stan C,Roc

    更新日期:2018-01-01 00:00:00

  • Contrast-enhanced ultrasound combined with three-dimensional reconstruction in preoperative perforator flap planning.

    abstract:BACKGROUND:Along with technical advancements in perforator flap surgery, great interest has been recently focused on the accuracy of preoperative perforator location through the assessment of the donor-site vascular network. The goal of the present study was to investigate the usefulness of contrast-enhanced ultrasound...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Su W,Lu L,Lazzeri D,Zhang YX,Wang D,Innocenti M,Qian Y,Agostini T,Levin LS,Messmer C

    更新日期:2013-01-01 00:00:00

  • A modification of the great-toe transfer for thumb reconstruction.

    abstract::A modification of the great-toe-to-thumb transfer is presented, which includes sculpting the transferred toe with removal of soft-tissue pulp and bone from the lateral side of the toe. This modification provides the aesthetic advantages of the wrap-around flap while avoiding problems of bone graft resorption, pulp mob...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Upton J,Mutimer K

    更新日期:1988-09-01 00:00:00

  • Long-term survival of a free split-thickness skin graft on a large seroma.

    abstract::A free skin graft about 12 cm in diameter transplanted after excision of a Bowen's carcinoma on the back totally survived for a long period on seroma and was confirmed to have revascularization from the host skin margin. Repeated evacuations of the fluid and subsequent pressure dressings failed to cause adherence of t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Koyama H,Isshiki N,Noda R,Nishimura R

    更新日期:1987-01-01 00:00:00

  • Ten years of experience with the submental flap.

    abstract::This article describes the authors' experience with the submental flap over the past 10 years. A brief review of the key points and some refinements in the operative technique are discussed. The results concern 31 patients with a mean age of 57 years. All flaps were pedicled except two. One case of composite flap with...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Pistre V,Pelissier P,Martin D,Lim A,Baudet J

    更新日期:2001-11-01 00:00:00

  • The impact of negative-pressure wound therapy with instillation compared with standard negative-pressure wound therapy: a retrospective, historical, cohort, controlled study.

    abstract:BACKGROUND:Negative-pressure wound therapy with instillation is a novel wound therapy that combines negative pressure with instillation of a topical solution. METHODS:This retrospective, historical, cohort-control study examined the impact of negative-pressure wound therapy with and without instillation. RESULTS:One ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kim PJ,Attinger CE,Steinberg JS,Evans KK,Powers KA,Hung RW,Smith JR,Rocha ZM,Lavery L

    更新日期:2014-03-01 00:00:00

  • Evolution in minimal-incision palatoplasty: surgical technique and outcomes in 67 consecutive cases.

    abstract:BACKGROUND:Conventional palatoplasty relies on extensive mucosal incisions and isolation of flaps on the palatine vessels to facilitate midline closure and velar reconstruction. This introduces substantial scarring, which has adverse effects on vascularity and growth. The authors have developed a minimally invasive pal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Pan BS,Rapp SJ,Vu A,Uribe-Rivera A,Billmire DA,Gordon CB

    更新日期:2014-07-01 00:00:00

  • Perfecting the design of the gluteus maximus perforator-based island flap for coverage of buttock defects.

    abstract:BACKGROUND:The new design of the gluteus maximus perforator-based island flap for coverage of gluteal defects has the distinct advantage of being able to use customizable tissue components for coverage and at the same time sparing the source vessel. This adds a further option for use in reconstruction. METHODS:After e...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kim JT,Kim YH,Naidu S

    更新日期:2010-06-01 00:00:00

  • Management of wrist injuries.

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Understand the anatomy and the biomechanical properties of the wrist. 2. Understand the standard examination process for wrist injuries. 3. Accurately diagnose common wrist conditions. 4. Establish a management plan for wrist problem...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Kawamura K,Chung KC

    更新日期:2007-10-01 00:00:00

  • Cerebrospinal fluid rhinorrhea following rhinoplasty.

    abstract::Cerebrospinal fluid rhinorrhea, whatever the etiology, is a serious and life-threatening problem. We present a case following rhinoplasty. To our knowledge, this specific complication has not been reported, most likely because it has gone unrecognized, since most cerebrospinal fluid leaks cease spontaneously. Surgeons...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hallock GG,Trier WC

    更新日期:1983-01-01 00:00:00

  • Complex Open Abdominal Wall Reconstruction: Management of the Skin and Subcutaneous Tissue.

    abstract::Optimal skin and soft tissue management in complex open abdominal wall reconstruction is an integral element of the operation to achieve optimal outcomes. Failure to provide stable, well-vascularized soft tissue coverage over the hernia repair can jeopardize the reconstruction through association with nonhealing wound...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Khansa I,Janis JE

    更新日期:2018-09-01 00:00:00

  • Teaching plastic surgery from different perspectives.

    abstract::Just as everyone has a different learning style, teachers too approach the task from different perspectives. There are five basic teaching perspectives or styles: transmission, apprenticeship, developmental, nurturing, and social justice. The acronym BIAS is useful to describe the beliefs, intentions, assessments, and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cable C,Chong T,Pratt DD

    更新日期:2012-06-01 00:00:00