scholarly journals Aesthetic Surgery Research Funding: Where Does it Come From and to Whom Does It Go?

2020 ◽  
Author(s):  
Jacob B Hammond ◽  
Valerie L Armstrong ◽  
Kaley McMullen ◽  
Robert W Bernard ◽  
Chad M Teven
Keyword(s):  
Reconstructive Surgery ◽  
Private Practice ◽  
Research Funding ◽  
Aesthetic Surgery ◽  
Academic Institutions ◽  
Industry Funding ◽  
Private Industry ◽  
Level Of Evidence ◽  
Or Practice ◽  
Surgery Research

Abstract Background Recent data show that aesthetic surgery research is lagging in comparison to reconstructive surgery: research funding and institutional disparities within aesthetic surgery are potential factors in this trend. Objectives To determine if disparities exist in aesthetic surgery research based on funding sources or practice settings. Methods Aesthetic Surgery Journal articles from 2009-2019 were reviewed. Chi-square, t-test, bivariate and multivariate regression analyses evaluated research trends. Results A total of 2,262 publications were identified, with 318 funded articles meeting inclusion criteria. Majority of studies (294, 92%) received external funding, with 281 (88%) being supported solely by external funds. Externally funded studies were financed by private industry (194, 66%), foundations/societies (53, 18%), government grants (23, 8%), or a combination of agencies (24, 8%). Majority of funded studies were at academic institutions (266, 84%), followed by private practice (46, 14%) and private industry (6, 2%). Analysis of annual publications revealed a rising percentage of academic-based research, which correlated with decreasing research from private practice (r= -0.95, r 2= 0.89, P<0.001). Compared to academic institutions, private practice relied more heavily on industry funding (55% vs. 87% respectively, P=0.001), exhibiting lower rates of foundational/societal (20% vs. 2%), governmental (9% vs. 0%), combined (8% vs. 7%), and internal department funding (8% vs. 4%). Article citations and level of evidence were unaffected by funding source, agency, or practice setting. Conclusions Lack of diversity in research funding among private practice surgeons may explain the reported discrepancies that currently exist between aesthetic and reconstructive surgery research.

First-Ray Radiographic Changes After Flexible Adult Acquired Flatfoot Deformity Correction

2021 ◽  
pp. 107110072110345
Author(s):  
Chien-Shun Wang ◽  
Yun-Hsuan Tzeng ◽  
Tzu-Cheng Yang ◽  
Chun-Cheng Lin ◽  
Ming-Chau Chang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hallux Valgus ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Deformity Correction ◽  
Level Of Evidence ◽  
Factors Affecting ◽  
Radiographic Parameters ◽  
Case Series Study ◽  
Adult Acquired Flatfoot Deformity

Background: Adult acquired flatfoot deformity (AAFD) and hallux valgus (HV) are common foot and ankle deformities. Few studies have reported the changes in radiographic parameters of HV after reconstructive surgery for AAFD. This study aimed to evaluate the changes in radiographic parameters of HV and analyze the risk factors for increased HV after correction of AAFD. Methods: Adult patients with flexible AAFD who underwent similar bony procedures including medializing calcaneal osteotomy and Cotton osteotomy were included. Radiographic parameters were measured on weightbearing radiographs preoperatively, postoperatively, and at the final follow-up. Patients were divided into hallux valgus angle (HVA) increased and HVA nonincreased groups; logistic regression analysis was performed to identify risk factors affecting increased HV. Results: Forty-six feet of 43 patients were included. After AAFD reconstructive surgery, the tibial sesamoid position improved by 1 grade, but the HVA increased 4 degrees in average. Further, 21 of 46 feet (46%) showed an HVA increase ≥5 degrees immediately after AAFD correction surgery. Preoperative talonavicular coverage angle <21.6 degrees was a risk factor associated with HV increase immediately after the surgery. Conclusion: In this case series, using plain radiographs to measure standard parameters of foot alignment, we found the association between AAFD correction and HV deformity measures somewhat paradoxical. Correction of overpronation of the hindfoot and midfoot appears to improve the first metatarsal rotational deformity but may also increase HVA. A lower preoperative talonavicular coverage angle was associated with an increase of the HVA after surgery. Level of Evidence: Level IV, case series study.

scholarly journals Levels of Evidence in Rhinology and Skull Base Surgery Research

2021 ◽  
pp. 019459982098713
Author(s):  
Jennifer A. Silver ◽  
Marco Mascarella ◽  
George Tali ◽  
Rickul Varshney ◽  
Marc A. Tewfik ◽  
...  
Keyword(s):  
Skull Base ◽  
Skull Base Surgery ◽  
Absolute Number ◽  
High Quality ◽  
Level Of Evidence ◽  
Levels Of Evidence ◽  
The Past ◽  
Significant Difference ◽  
Surgery Research ◽  
Based Medicine

Objective The purpose of this study was to evaluate the quality of evidence of rhinology and rhinologic skull base surgery (RSBS) research and its evolution over the past decade. Study Design Review article. Setting We reviewed articles from 2007 to 2019 in 4 leading peer-reviewed otolaryngology journals and 3 rhinology-specific journals. Methods The articles were reviewed and levels of evidence were assigned using the Oxford Centre for Evidence-Based Medicine 2011 guidelines. High quality was defined as level of evidence 1 or 2. Results In total, 1835 articles were reviewed in this study spanning a 13-year period. Overall, the absolute number of RSBS publications increased significantly 22.6% per year, from 108 articles in 2007 to 481 in 2019 ( P < .001; 95% CI, 7.9-37.2). In 2007, only 13 articles, or 15%, were high quality, and this grew to 146 articles, or 39%, in 2019. A 14.0% per year exponential increase in the number of high-quality publications was found to be statistically significant ( P < .001; 95% CI, 7.2, 20.7). Overall, high-quality publications represented just 25.8% of RSBS articles overall. There was no significant difference in quality between rhinology-specific journals and general otolaryngology journals (χ2 = 3.1, P = .077). Conclusion The number of overall publications and of high-quality RSBS publications has significantly increased over the past decade. However, the proportion of high-quality studies continues to represent a minority of total RSBS research.

Representation of Women in Ophthalmology Receiving Private Industry Funding 2015-2018

2021 ◽  
Author(s):  
Marissa Patel ◽  
Humberto Salazar ◽  
Arjun Watane ◽  
Nicolas Yannuzzi ◽  
Gregory Bounds ◽  
...  
Keyword(s):  
Industry Funding ◽  
Private Industry ◽  
Representation Of Women

863 Peri-Implant Fluid Collection in Breast Reconstruction and Aesthetic Surgery

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
G Karagiannidis ◽  
E Mallidis
Keyword(s):  
Reconstructive Surgery ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Fluid Collection ◽  
Aesthetic Surgery ◽  
Large Cell ◽  
Inclusion Criteria ◽  
Electronic Data Collection ◽  
Fluid Collections ◽  
Mean Time

Abstract Introduction Peri-implant fluid more than 6 months from surgery is a known complication of breast surgery.Differential diagnosis includes infection, inflammation,implant rupture and haematoma.Other than infection raised no concern until the identification of Breast Implant Associated Anaplastic Large Cell Lymphoma(BIA-ALCL). Method Retrospective electronic data collection for women 18 years or older who met the following inclusion criteria:(a)oncoplastic and/or cosmetic reconstructive surgery with placement of implant(b)peri-implant fluid collection after 6-36 months. Results In total,17 women with implants with a mean age of 56 years were included in the study.The mean time between reconstructive surgery and the peri-implant fluid collection was 23 months.The median peri-implant fluid collection size was 143 ml.14 of the 17 peri-implant fluid collections were benign.12 of 14 had polyurethane-coated textured implants.4 of the 17 were BIA-ALCL. Conclusions The current literature suggests that late peri-implant seromas arise from friction as the implant moves within the cavity and that this friction is increased with textured rather than smooth implants.In our unit 12/14 of the benign collections appeared in reconstructions with polyurethane implants.Furthermore,BIA-ALCL should always be considered in this situation and aspirate should be sent for cytology.Is this change in polyurethane implants a new entity?

University research funding: Why does industry funding continue to be a small portion of university research, and how can we change the paradigm?

2020 ◽  
pp. 095042222096228
Author(s):  
Behnam Pourdeyhimi
Keyword(s):  
Federal Government ◽  
Research Funding ◽  
University Research ◽  
Public Private Partnerships ◽  
External Funding ◽  
Industry Funding ◽  
Full Picture ◽  
The Usa

In the USA, the federal government is still the chief source of external funding for R&D across all industries and academia. Industry funding for universities continues to remain low. There have been many attempts to increase the interactions between industry and academia and, while there is a great deal of interest in building public–private partnerships, the results have not been promising. In this article, the author analyzes data from a number of government sources and other organizations to provide a full picture of the funding landscape in the USA. Some thought is given to why such interactions have not been successful and how we may be able to realign university activities and policies to embrace partnerships with industry.

From presentation to publication: an 11-year comparison of aesthetic and reconstructive surgery research among Chilean plastic surgeons

2020 ◽  
Author(s):  
Rodrigo Tejos ◽  
Alfonso Navia ◽  
Juan Enrique Berner ◽  
Susana Searle ◽  
Gonzalo Yañez ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Surgery Research

Level of Evidence in Plastic Surgery Research

2011 ◽  
Vol 127 (2) ◽  
pp. 974-980 ◽  
Author(s):  
Hani Sinno ◽  
Omar Fouda Neel ◽  
Justyn Lutfy ◽  
Gillian Bartlett ◽  
Mirko Gilardino
Keyword(s):  
Plastic Surgery ◽  
Level Of Evidence ◽  
Surgery Research
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