将流行文化对隆胸病的影响置于具体情境中及其医学相关性。
Contextualizing the Impact of Pop Culture on Breast Implant Illness and its Medical Relevance.
机构信息
Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, 10 Union Square East, Suite 2L, New York, NY, 10003, USA.
出版信息
Aesthetic Plast Surg. 2024 Mar;48(5):1056-1065. doi: 10.1007/s00266-023-03422-y. Epub 2023 Jul 24.
INTRODUCTION
Despite a lack of data demonstrating causation, there is growing concern over breast implants and systemic illness. This study examines the impact of rising public interest in breast implant illness (BII) and its implications on breast implant removals (BIR).
METHODS
A Google Trends (GT) analysis of each year between 2010 and 2022 was performed globally, and then separately for the United States alone (US), using the search terms "capsular contracture," "breast implant illness," and "breast implant(s) removal". Linear regression was performed to determine significant correlations. Data on BII-related Facebook advocacy groups, relevant pop culture events, numbers of BIR surgeries, and number of BII-related publications were collected and analyzed alongside GT data to determine relevance.
RESULTS
For global GT, there was a significant relationship between "breast implant illness" and "breast implant(s) removal" in 2016 (R=0.62, β =0.33, p<0.01), 2020 (R=0.53, β =0.23, p=0.01), and 2022 (R=0.60, β =0.44, p=0.01). In the US, 2016 (R=0.53, β =1.75, p=0.01) 2018 (R=0.61, β =1.93, p<0.01) and 2020 (R=0.72, β=0.91, p<0.01) were significant. In 2020, "capsular contracture" and "breast implant(s) removal" was significant in the US (R=0.58, β=0.4, p=0.01). In 2016, Facebook was the platform for the largest BII advocacy group and in 2020 YouTube was the platform for the first BII documentary and TEDx talk. From 2010 to 2020, PubMed publications containing "ASIA" and "BII" increased 24-fold and ASPS reports on BIR rose 70%.
CONCLUSION
This study suggests that BII is a topic of global concern and has implications on both academic medicine and clinical practice.
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 .
简介
尽管缺乏数据证明因果关系，但人们对乳房植入物和全身疾病的担忧日益增加。本研究探讨了公众对乳房植入物疾病（BII）兴趣的增加及其对乳房植入物去除（BIR）的影响。
方法
对 2010 年至 2022 年期间每年的全球谷歌趋势（GT）进行了分析，然后仅对美国进行了单独分析，使用的搜索词为“包膜挛缩”、“乳房植入物疾病”和“乳房植入物（s）去除”。使用线性回归确定显著相关性。还收集并分析了与 BII 相关的 Facebook 宣传团体、相关流行文化事件、BIR 手术数量和与 BII 相关的出版物数量的数据，以确定相关性。
结果
对于全球 GT，2016 年（R=0.62，β=0.33，p<0.01）、2020 年（R=0.53，β=0.23，p=0.01）和 2022 年（R=0.60，β=0.44，p=0.01），“乳房植入物疾病”和“乳房植入物（s）去除”之间存在显著关系。在美国，2016 年（R=0.53，β=1.75，p=0.01）、2018 年（R=0.61，β=1.93，p<0.01）和 2020 年（R=0.72，β=0.91，p<0.01）也有显著关系。2020 年，美国“包膜挛缩”和“乳房植入物（s）去除”具有显著意义（R=0.58，β=0.4，p=0.01）。2016 年，Facebook 是最大的 BII 宣传团体的平台，2020 年 YouTube 是第一部 BII 纪录片和 TEDx 演讲的平台。从 2010 年到 2020 年，PubMed 中包含“ASIA”和“BII”的出版物增加了 24 倍，ASPS 关于 BIR 的报告增加了 70%。
结论
本研究表明，BII 是一个全球性关注的话题，对学术医学和临床实践都有影响。
证据水平 V：本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述，请参考目录或在线作者指南 www.springer.com/00266。
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