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Article: Foreword.

Patel, Ashit G

The Journal of innovations in cardiac rhythm management

2021 Volume 12, Issue Suppl 1, Page(s) 6

Language	English
Publishing date	2021-01-15
Publishing country	United States
Document type	Journal Article
ISSN	2156-3977
ISSN	2156-3977
DOI	10.19102/icrm.2021.120126S
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: The Current State of Plastic Surgery Residency Wellness Programs: Benefits and Barriers.

Fanning, James E / Patel, Ashit / Janis, Jeffrey E

Plastic and reconstructive surgery. Global open

2024 Volume 12, Issue 2, Page(s) e5567

Abstract: Background: Wellness programs are especially important in residency. However, the resources available to plastic surgery residents through residency wellness programs have not been described. This study reports current plastic surgery residency wellness ...

Abstract	Background: Wellness programs are especially important in residency. However, the resources available to plastic surgery residents through residency wellness programs have not been described. This study reports current plastic surgery residency wellness programs' organization, leadership, and resources. Methods: An anonymous and voluntary e-mail survey was sent to 106 plastic surgery residency program directors through May and June 2022. Features of residency wellness programs were detailed, and program directors' sentiments towards residency wellness programs were evaluated. Results: A 30.2% (32 of 106) complete response rate was achieved. Nearly 90% (87.5%, 28 of 32) of program directors indicated the presence of a wellness program. More than 75% (21 of 28) of programs are supported by the Office of Graduate Medical Education. Wellness events were offered by 92.9% (26 of 28) of programs. More than half of programs offered resources for mental health, physical health, mentorship, and protected time. Several resources were associated with the presence of wellness leadership roles, suggesting residents can positively shape wellness program offerings. Program directors strongly indicated that wellness programs are important, relevant, and effective. Additionally, 75% (24 of 32) report a desire to learn about wellness programs at other plastic surgery residency programs. Conclusions: Resources offered through plastic surgery residency wellness programs are comparable to those in other specialties. However, plastic surgery programs vary in the resources offered to residents and barriers to access exist. Greater involvement of residents in plastic surgery wellness programs may better support physician wellness.
Language	English
Publishing date	2024-02-02
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.0000000000005567
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Zs.A 7091: Show issues

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Article ; Online: Reply: Matching into Integrated Plastic Surgery: The Value of Research Fellowships.

Patel, Ashit

Plastic and reconstructive surgery

2019 Volume 145, Issue 1, Page(s) 223e–224e

MeSH term(s)	Fellowships and Scholarships ; Internship and Residency ; Reconstructive Surgical Procedures ; Surgery, Plastic/education
Language	English
Publishing date	2019-12-15
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.0000000000006242
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Article ; Online: Discussion: An Evaluation of Race Disparities in Academic Plastic Surgery.

Patel, Ashit

Plastic and reconstructive surgery

2019 Volume 145, Issue 1, Page(s) 278–279

MeSH term(s)	Faculty, Medical ; Humans ; Reconstructive Surgical Procedures ; Surgery, Plastic
Language	English
Publishing date	2019-12-15
Publishing country	United States
Document type	Journal Article ; 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.0000000000006377
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Article ; Online: Discussion: Three-Year Clinical Outcomes and Quality of Life after Retromuscular Resorbable Mesh Repair Using Fibrin Glue.

Rudolph, Christina / Patel, Ashit

Plastic and reconstructive surgery

2022 Volume 149, Issue 6, Page(s) 1448–1449

MeSH term(s)	Fibrin Tissue Adhesive/therapeutic use ; Hernia, Inguinal/surgery ; Herniorrhaphy ; Humans ; Laparoscopy ; Quality of Life ; Surgical Mesh
Chemical Substances	Fibrin Tissue Adhesive
Language	English
Publishing date	2022-05-25
Publishing country	United States
Document type	Journal Article ; 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.0000000000009127
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Article ; Online: Reducing Opioid Exposure Following Common Ambulatory Hand Surgery: A Systematic Review.

Horne, Mason J / Kotamarti, Vasanth S / Patel, Ashit

Hand (New York, N.Y.)

2023 , Page(s) 15589447231168909

Abstract: Background: The opioid epidemic is a health crisis in the United States. Physicians contribute to this problem by overprescribing opioids. Ambulatory hand surgery (AHS) is common in the United States and associated with overprescribing of opioids. ... ...

Abstract	Background: The opioid epidemic is a health crisis in the United States. Physicians contribute to this problem by overprescribing opioids. Ambulatory hand surgery (AHS) is common in the United States and associated with overprescribing of opioids. Education and guidance regarding the effectiveness of nonopioid compared with opioid interventions for pain management following ambulatory hand procedures are lacking. We assessed the current literature to suggest evidence-based protocols for postoperative analgesia. Methods: A systematic review was performed using PubMed, Web of Science, and Cochrane Library. Studies comparing nonopioid with opioid treatments for pain management following AHS were identified. Studies investigating opioid-sparing strategies after AHS were also identified. Evidence was examined to determine efficacy of nonopioid interventions and to provide recommendations for optimal nonopioid protocols and opioid-sparing strategies. Results: A total of 510 studies were identified in the search with 18 meeting inclusion criteria. High-level evidence demonstrated efficacy of nonopioid interventions for pain management following AHS (levels I and II evidence). Results provided evidence-based guidelines for recommendations of nonopioid treatment protocols and opioid-sparing strategies (levels I and II evidence). Conclusions: Our review demonstrated nonopioid interventions are adequate in multiple aspects of pain management compared with opioid treatments. Recommendations were established for two nonopioid treatment protocols, and for an opioid-sparing intervention (levels I and II evidence). The evidence provided in this review should be strongly considered for pain management guidance following AHS and provides a means to decrease opioid overprescribing in the United States.
Language	English
Publishing date	2023-05-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2277325-3
ISSN	1558-9455 ; 1558-9447
ISSN (online)	1558-9455
ISSN	1558-9447
DOI	10.1177/15589447231168909
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Zs.A 6820: Show issues

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Article ; Online: Variability in Opioid Prescribing Among Plastic Surgery Residents After Bilateral Breast Reduction.

Fiscella, Kimberly / Awad, Amanda N / Shihadeh, Hanaa / Patel, Ashit

Annals of plastic surgery

2023 Volume 91, Issue 6, Page(s) 702–708

Abstract: Background: Prescription opioid misuse in the United States accounts for significant avoidable morbidity and mortality. Over one third of all prescriptions written by surgeons are for opioids. Although opioids continue to provide needed analgesia for ... ...

Abstract	Background: Prescription opioid misuse in the United States accounts for significant avoidable morbidity and mortality. Over one third of all prescriptions written by surgeons are for opioids. Although opioids continue to provide needed analgesia for surgical patients, there are few guidelines in the plastic surgery literature for their safe and appropriate use after surgery. The consequence is wide variability and excessive opioid prescriptions. Understanding patterns of prescribing among plastic surgery residents is a crucial step toward developing safer practice models for managing postoperative pain. Methods: The authors performed a retrospective analysis of discharge opioid prescriptions after bilateral breast reduction at a single academic medical center from 2018 to 2021. Single factor 1-way analysis of variance was used to evaluate prescribing patterns by resident, postgraduate year, attending of record, and patient characteristics for 126 patients. A multivariate analysis was performed to determine the degree to which these factors predicted opioid prescriptions. Results: This analysis revealed significant variability among residents prescribing opioids after bilateral breast reductions ( P < 0.001) irrespective of patient comorbidities and demographics. Residents were found to be the main predictor of opioid prescriptions after surgery ( P < 0.001) with a greater number of morphine milligram equivalents prescribed by the more junior residents ( P < 0.001). Conclusions: Excessive and variable opioid prescriptions among plastic surgery residents highlight the need for opioid prescribing education early in surgical training and improved oversight and communication with attending surgeons. Furthermore, implementation of evidence-based opioid-conscious analgesic protocols after common surgical procedures may improve patient safety by standardizing postoperative analgesic prescriptions.
MeSH term(s)	Humans ; United States ; Analgesics, Opioid/therapeutic use ; Retrospective Studies ; Surgery, Plastic ; Practice Patterns, Physicians' ; Mammaplasty ; Pain, Postoperative/drug therapy
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2023-08-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	423835-7
ISSN	1536-3708 ; 0148-7043
ISSN (online)	1536-3708
ISSN	0148-7043
DOI	10.1097/SAP.0000000000003675
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Zs.A 1419: Show issues

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Article ; Online: Defining the Ideal Male Buttocks.

Kollu, Tejas / Giutashvili, Tinatini / Bhat, Deepa / Fournier, Craig / Patel, Ashit

Plastic and reconstructive surgery

2023 Volume 152, Issue 6, Page(s) 1030e–1039e

Abstract: Background: There is no well-defined male buttock aesthetic. The authors performed a crowdsourced analysis to define the ideal male buttocks.: Methods: A survey was deployed using the Amazon MTurk platform. Respondents rated a panel of digitally ... ...

Abstract	Background: There is no well-defined male buttock aesthetic. The authors performed a crowdsourced analysis to define the ideal male buttocks. Methods: A survey was deployed using the Amazon MTurk platform. Respondents rated a panel of digitally altered male buttocks from most to least attractive using three views. Respondents were asked questions pertaining to their own interest in gluteal augmentation, self-reported body type, and other demographics. Results: A total of 2095 responses were recorded; 61% were from male respondents, 52% of respondents were between the ages of 25 and 34 years, and 49% were White respondents. The preferred lateral ratio in the anteroposterior dimension was 1.18; the oblique angle between the sacrum, lateral gluteal depression, and point of maximal projection of the gluteal sulcus was 60 degrees; and the posterior ratio between the waist and maximal width of the hips was 0.66. This corresponds to moderate gluteal projection in the lateral and oblique views, with a narrower gluteal width and defined trochanteric depression in the posterior view. Loss of the trochanteric depression was associated with lower scores. Subgroup analysis revealed differences when stratified by region, race, sexual orientation, employment industry, and athletic interest. No appreciable difference was found based on respondent sex. Conclusions: The authors' results demonstrate that there is a preferred male gluteal aesthetic. This study suggests that men and women favor a more projected male buttock with a more pronounced contour, but preferred a narrow width with defined lateral depression. These findings have the potential to guide future aesthetic gluteal contouring techniques in men.
MeSH term(s)	Humans ; Male ; Female ; Adult ; Buttocks/surgery ; Plastic Surgery Procedures ; Lipectomy/methods ; Body Contouring/methods ; Esthetics
Language	English
Publishing date	2023-03-08
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.0000000000010378
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Article: An Analysis of Racial Diversity in the Breast Reconstruction and Aesthetic Surgery Literature.

Chawla, Sahil / Shihadeh, Hanaa / Patel, Ashit

Plastic and reconstructive surgery. Global open

2022 Volume 10, Issue 8, Page(s) e4487

Abstract: Background: Racial disparities in the visual representation of patients in the plastic surgery literature can contribute to health inequities. This study evaluates racial diversity in photographs published in the aesthetic and breast reconstruction ... ...

Abstract	Background: Racial disparities in the visual representation of patients in the plastic surgery literature can contribute to health inequities. This study evaluates racial diversity in photographs published in the aesthetic and breast reconstruction literature. Methods: A photogrammetric analysis of plastic surgery journals from the USA, Canada, and Europe was performed. Color photographs depicting human skin, pertaining to breast reconstruction and aesthetic surgery in 2000, 2010, and 2020, were categorized as White (1-3) or non-White (4-6) based on the Fitzpatrick scale. Results: All journals demonstrated significantly more White skin images than non-White for all procedures ( Conclusions: Diversity of patient populations depicted in plastic surgery literature has increased over the past two decades. Despite this improvement, the racial diversity seen in photographs published in the literature does not adequately reflect this demographic for aesthetic and breast procedures. Equitable visual representation may promote cultural competency and improve care for the populations we serve.
Language	English
Publishing date	2022-08-18
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.0000000000004487
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Article ; Online: Access to Reconstructive Hand Surgery in the United States-Investigating the Obstacles: A Scoping Review.

Kohan, Joshua / Mangan, Jack / Patel, Ashit

Hand (New York, N.Y.)

2022 Volume 18, Issue 5, Page(s) 721–731

Abstract: Background: Mechanisms that affect access to surgical hand care appear to be complex and multifaceted. This scoping review aims to investigate the available literature describing such mechanisms and provide direction for future investigation.: Methods! ...

Abstract	Background: Mechanisms that affect access to surgical hand care appear to be complex and multifaceted. This scoping review aims to investigate the available literature describing such mechanisms and provide direction for future investigation. Methods: The methodological framework outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews was used to guide this review. In November 2021, MEDLINE and EMBASE databases were searched. A narrative summary of the characteristics and key findings of each paper is used to present the data to facilitate the integration of diverse evidence. Results: Of 471 initial studies, 49 were included in our final analysis. Of these, 33% were cohort studies; 27% reported that underinsured patients are less likely to get an appointment with a hand specialist or to receive treatment. Overburdened emergency departments accounted for the second-most reported reason (16%) for diminished access to surgical hand care. Elective procedure financial incentives, poor emergency surgical hand coverage, distance to treatment, race, and policy were also notably reported across the literature. Conclusions: This study describes the vast mechanisms that hinder access to surgical hand care and highlights their complexity. Possible solutions and policy changes that may help improve access have been described.
MeSH term(s)	Humans ; Cohort Studies ; Hand/surgery ; Medically Uninsured ; United States
Language	English
Publishing date	2022-11-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2277325-3
ISSN	1558-9455 ; 1558-9447
ISSN (online)	1558-9455
ISSN	1558-9447
DOI	10.1177/15589447221131853
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