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  1. Article: Traumatic Complex Scaphoid Dislocation With Radial Carpal Disruption: A Case Report.

    Siotos, Charalampos / Sabatino, Alivia L / Lee, Jugyeong / Hasan, Jafar S / Grevious, Mark A / Doscher, Matthew E

    Eplasty

    2022  Volume 22, Page(s) e16

    Abstract: Background. ...

    Abstract Background.
    Language English
    Publishing date 2022-05-19
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2412803-X
    ISSN 1937-5719
    ISSN 1937-5719
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The Burden of COVID-19 on Surgeons' Financial Relationship with the Industry.

    Siotos, Charalampos / Ferraro, Jennifer / Arnold, Sydney H / Siotou, Kalliopi / Lopez, Joseph / Dorafshar, Amir H

    Plastic and reconstructive surgery. Global open

    2023  Volume 11, Issue 2, Page(s) e4825

    Abstract: The healthcare system has been greatly affected by the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to compare pre-COVID-19 and post-COVID-19 payments between industry and medical providers for all surgeons and subspecialized ... ...

    Abstract The healthcare system has been greatly affected by the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to compare pre-COVID-19 and post-COVID-19 payments between industry and medical providers for all surgeons and subspecialized surgeons. Payment information was obtained from the Open Payments Program database for the 2019 and 2020 reported periods for three physician groups: all physicians, all surgeons, and each surgical subspecialty. Comparison and analysis of payment amount and type between these years was performed for each cohort. Physicians experienced a 36% decrease in industry payments with surgeons experiencing a 30.4% decrease. All surgical subspecialties, including plastic surgery (-30.5%;
    Language English
    Publishing date 2023-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000004825
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 7091: Show issues Location:
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  3. Article ; Online: Reply: The Use of Tumescent Technique in Mastectomy and Related Complications: A Meta-Analysis.

    Siotos, Charalampos / Rosson, Gedge D

    Plastic and reconstructive surgery

    2019  Volume 144, Issue 4, Page(s) 705e–706e

    MeSH term(s) Breast Neoplasms/surgery ; Humans ; Mammaplasty ; Mastectomy ; Surgical Flaps
    Language English
    Publishing date 2019-04-03
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000006030
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  4. Article ; Online: Spotlight in Plastic Surgery: April 2024.

    Phillips, Brett T / Alser, Osaid / Firmani, Guido / Halani, Sameer H / Karamitros, Georgios / Lu, Karen B / Lupon, Elise / Saffari, Tiam Mana / Salazar, Bruno A / Siotos, Charalampos / Timberlake, Andrew T

    Plastic and reconstructive surgery

    2024  Volume 153, Issue 4, Page(s) 979–982

    MeSH term(s) Humans ; Surgery, Plastic ; Plastic Surgery Procedures
    Language English
    Publishing date 2024-03-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000011252
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  5. Article ; Online: Reply to: The Legacy of Gender-Affirming Surgical Care Is Complex.

    Neira, Paula M / Siotos, Charalampos / Coon, Devin

    Annals of plastic surgery

    2019  Volume 83, Issue 4, Page(s) 372

    MeSH term(s) Ambulatory Care Facilities ; Female ; Gender Identity ; Humans ; Male ; Sex Reassignment Surgery ; Transgender Persons ; United States
    Language English
    Publishing date 2019-09-16
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000002009
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    Zs.A 1419: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Autologous Platelet-Rich Plasma Treatment for Androgenic Alopecia: A Systematic Review and Meta-Analysis of Clinical Trials.

    Papakonstantinou, Menelaos / Siotos, Charalampos / Gasteratos, Konstantinos C / Spyropoulou, Georgia-Alexandra / Gentile, Pietro

    Plastic and reconstructive surgery

    2022  Volume 151, Issue 5, Page(s) 739e–747e

    Abstract: Background: Androgenic alopecia (AGA) is a common condition associated with hair loss in both men and women (female pattern hair loss), causing considerable psychological distress. Ongoing research focuses on novel safe, cost-effective, and efficient ... ...

    Abstract Background: Androgenic alopecia (AGA) is a common condition associated with hair loss in both men and women (female pattern hair loss), causing considerable psychological distress. Ongoing research focuses on novel safe, cost-effective, and efficient treatments with the best patient outcomes. Autologous platelet-rich plasma (PRP) has become increasingly popular in the treatment of AGA compared with hair transplantation techniques. The present study aims to evaluate the outcomes of PRP as a treatment for AGA/female pattern hair loss.
    Methods: A computerized literature search was conducted on PubMed, clinicaltrials.gov , and Cochrane Library for articles published until November of 2020. The online screening process was performed by two independent reviewers with the Covidence tool against set inclusion/exclusion criteria. The protocol was reported following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, and it was registered at the International Prospective Register of Systematic Reviews of the National Institute for Health and Care Research. Meta-analyses were performed by using the random effects model with the RevMan software.
    Results: The initial search yielded 49 randomized controlled clinical trials. Eleven randomized controlled clinical trials were included in the study based on a priori criteria. PRP injections significantly increased the number of hair follicles, hair thickness, and density compared with placebo interventions. Also, the patients reported high overall satisfaction with the PRP treatment. Only temporary minor side effects were noted, including localized pain, bleeding, and itching.
    Conclusions: Autologous PRP significantly improves alopecia in select patients. Future research should focus on optimizing PRP treatment protocols and minimizing possible adverse reactions.
    Clinical question/level of evidence: Therapeutic, II.
    MeSH term(s) Male ; Humans ; Female ; Alopecia/therapy ; Hair ; Hair Follicle ; Injections ; Platelet-Rich Plasma ; Treatment Outcome
    Language English
    Publishing date 2022-12-19
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000010076
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  7. Article ; Online: Plastic Surgeons and their Financial Relationships with the Industry in the era of COVID: Insights from the Physician Payments Sunshine Act.

    Siotos, Charalampos / Ferraro, Jennifer / Horen, Sydney R / Siotou, Kalliopi / Lopez, Joseph / Dorafshar, Amir H

    Aesthetic plastic surgery

    2022  Volume 46, Issue 6, Page(s) 3111–3116

    Abstract: Background: The impact of the COVID-19 pandemic on physician relationships with industry and subsequent financial implications has not been previously assessed. The aim of this study is to compare pre- and post-COVID-19 payments between industry and ... ...

    Abstract Background: The impact of the COVID-19 pandemic on physician relationships with industry and subsequent financial implications has not been previously assessed. The aim of this study is to compare pre- and post-COVID-19 payments between industry and medical providers for all plastic surgeons.
    Methods: Payment information was collected for the 2019 and 2020 reporting periods from the Open Payments Program (OPP) database for plastic surgeons and plastic surgeon subspecialists. An analysis was performed of trends and comparison of payments for each year for all plastic surgeons and each subspecialty cohort.
    Results: For all plastic surgeons, there was a decrease in industry payments between 2019 and 2020 (- 30.5%). All plastic surgery subspecialties had a decrease in payments with general plastic and reconstructive surgery affected the most (- 56%) and craniofacial surgery affected the least (- 9%). Payments for almost all categories for plastic surgeons decreased along with compensation as faculty or as speakers. Total charitable contributions and grant payments increased by 61 and 273%, respectively.
    Conclusion: Analysis of industry-physician payments available through the Sunshine Act shows that the COVID-19 pandemic has significantly impacted industry payments to plastic surgery and its subspecialties. While this study demonstrates the economic impact of the current pandemic, only time will tell whether these trends will persist in the coming years.
    Level of evidence v: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
    MeSH term(s) Humans ; Pandemics ; COVID-19/epidemiology ; Physicians
    Language English
    Publishing date 2022-05-20
    Publishing country United States
    Document type Letter
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-022-02944-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: The Utility of Telemedicine in Plastic and Reconstructive Surgery: Provider and Patient Perspectives.

    Alba, Brandon / Arnold, Sydney H / Siotos, Charalampos / Hansdorfer, Mark / Aminzada, Amir / Dorafshar, Amir / Hood, Keith

    Eplasty

    2023  Volume 23, Page(s) e35

    Abstract: Background: The use of telemedicine has become increasingly common, especially since the COVID-19 pandemic. Virtual visits can be beneficial for use in plastic surgery but are not without limitations. The purpose of this study was to better understand ... ...

    Abstract Background: The use of telemedicine has become increasingly common, especially since the COVID-19 pandemic. Virtual visits can be beneficial for use in plastic surgery but are not without limitations. The purpose of this study was to better understand the utility of telemedicine in plastic surgery from both patient and provider perspectives.
    Methods: A survey was distributed to all patients who had a telemedicine visit at the authors' institution from April to October 2020 as well as a representative cohort of providers via the American Society of Plastic Surgeons. The survey collected various demographic data and included a Likert scale questionnaire to assess the use and overall quality of telemedicine services. Data collected for the patient and provider groups were compared using
    Results: A total of 67 patients (N = 501; 13.4%) and 160 providers (N = 2701; 5.9%) responded to the survey. Patients were significantly younger than providers (45.8 ± 11.8 vs 55.0 ± 11.6 years;
    Conclusions: Plastic surgery patients are generally comfortable and satisfied with the care provided by telemedicine. Telemedicine can provide high-quality health care and can be utilized by plastic surgeons to optimize care in their practice.
    Language English
    Publishing date 2023-06-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2412803-X
    ISSN 1937-5719
    ISSN 1937-5719
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  9. Article ; Online: Trends of Medicare reimbursement rates for gender affirmation procedures.

    Siotos, Charalampos / Underhill, Joshua M / Sykes, Jennifer / Jones, Kody B / Schechter, Loren / Dorafshar, Amir H / Hamidian Jahromi, Alireza

    The journal of sexual medicine

    2023  Volume 21, Issue 2, Page(s) 181–191

    Abstract: Background: While nearly 1 in 5 Americans receives health insurance coverage through Medicare, literature suggests that Medicare reimbursement is lagging behind inflation for many plastic surgery procedures.: Aim: This article evaluates trends in ... ...

    Abstract Background: While nearly 1 in 5 Americans receives health insurance coverage through Medicare, literature suggests that Medicare reimbursement is lagging behind inflation for many plastic surgery procedures.
    Aim: This article evaluates trends in Medicare reimbursement for gender affirmation procedures.
    Methods: The most common gender affirmation procedures performed at an urban academic medical center were identified in this cross-sectional study (level 4 evidence). Five nongender surgery codes were evaluated for reference. A standardized formula utilizing relative value units (RVUs) was used to calculate monetary data. Differences in reimbursement between 2014 and 2021 were calculated for each procedure.
    Outcome: The main outcome was inflation-adjusted difference of charges from 2014 to 2021.
    Results: Between 2014 and 2021, Medicare reimbursement for gender affirmation procedures had an inflation-unadjusted average change of -0.09% (vs +5.63% for the selected nongender codes) and an inflation-adjusted change of -10.03% (vs -5.54% for the selected nongender codes). Trends in reimbursement varied by category of gender-affirming procedure. The overall average compound annual growth rate had a change of -0.99% (vs -0.53% for the selected nongender codes). The average changes in work, facility, and malpractice RVUs were -1.05%, +9.52%, and -0.93%, respectively.
    Clinical implications: Gender surgeons and patients should be aware that the decrease in reimbursement may affect access to gender-affirming care.
    Strengths and limitations: Our study is one of the first evaluating the reimbursement rates associated with the full spectrum of gender affirmation surgery. However, our study is limited by its cross-sectional nature.
    Conclusions: From 2014 to 2021, Medicare reimbursement for gender affirmation procedures lagged inflation.
    MeSH term(s) Aged ; Humans ; United States ; Medicare ; Insurance, Health, Reimbursement ; Cross-Sectional Studies ; Plastic Surgery Procedures ; Surgeons
    Language English
    Publishing date 2023-12-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2251959-2
    ISSN 1743-6109 ; 1743-6095
    ISSN (online) 1743-6109
    ISSN 1743-6095
    DOI 10.1093/jsxmed/qdad160
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    Zs.A 6417: Show issues Location:
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  10. Article ; Online: Pulmonary Thromboembolism in a Patient with COVID-19 after Breast Reconstruction.

    Siotos, Charalampos / Doscher, Matthew E / Hasan, Jafar S / Grevious, Mark A

    Plastic and reconstructive surgery

    2020  Volume 146, Issue 5, Page(s) 708e–709e

    MeSH term(s) Adult ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Female ; Humans ; Mammaplasty ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/etiology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-23
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 208012-6
    ISSN 1529-4242 ; 0032-1052 ; 0096-8501
    ISSN (online) 1529-4242
    ISSN 0032-1052 ; 0096-8501
    DOI 10.1097/PRS.0000000000007347
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