Gutowski Kristof S, Chwa Emily S, Weissman Joshua P, Garg Stuti P, Simmons Christopher J, Brandt Keith E, Gosain Arun K
From Division of Plastic Surgery, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Kansas City University College of Osteopathic Medicine, Kansas City, Mo.
Plast Reconstr Surg Glob Open. 2023 Dec 22;11(12):e5486. doi: 10.1097/GOX.0000000000005486. eCollection 2023 Dec.
Evaluation of practice patterns by American Board of Plastic Surgery (ABPS) diplomates allows for a greater understanding as to how the field is progressing. Understanding evolving procedural trends can give insight into plastic surgeons' subspecialty focus and influence resident training to prepare them for future practice.
American Society of Plastic Surgeons member only projections for aesthetic and reconstructive procedures were reviewed from 1999 to 2018 in 5-year increments to identify shifts in frequency between the beginning (1999-2003) and end (2014-2018) of the timeframe. Tracer utilization for all four ABPS modules were also examined between 2014 and 2018. Descriptive statistics were performed to identify significant changes ( < 0.05) in subspecialty focus and procedure trends.
Annual procedure incidence between 2014 and 2018 was compared with that between 1999 and 2003. The annual number of procedures more than doubled from 3,244,084 to 6,628,082. Among reconstructive procedures, there was a statistically significant increase in the number of breast reconstruction, breast implant removal, and maxillofacial surgery procedures, and a statistically significant decrease in the number of procedures focused on reconstruction of birth defects, burn injuries, and hand anomalies. In aesthetic surgery, significant increases were seen in the number of augmentation mammoplasty, abdominoplasty, and mastopexy procedures, with significant decreases in the number of blepharoplasty and rhinoplasty procedures.
Understanding the changing practice patterns of ABPS diplomates is essential to define the direction that our specialty is taking over time, and to guide program directors in plastic surgery on areas of focus for appropriate training of plastic surgeons.
美国整形外科委员会（ABPS）的专科医师对实践模式的评估有助于更深入地了解该领域的发展情况。了解不断演变的手术趋势可以洞察整形外科医生的亚专业重点，并影响住院医师培训，使其为未来的实践做好准备。
回顾了1999年至2018年期间美国整形外科协会会员对美容和重建手术的预测，以5年为一个增量，确定该时间段开始（1999 - 2003年）和结束（2014 - 2018年）之间频率的变化。还研究了2014年至2018年期间所有四个ABPS模块的示踪剂使用情况。进行描述性统计以确定亚专业重点和手术趋势的显著变化（<0.05）。
将2014年至2018年的年度手术发生率与1999年至2003年的进行比较。手术的年度数量从3,244,084增加到6,628,082，增加了一倍多。在重建手术中，乳房重建、乳房植入物取出和颌面外科手术的数量有统计学上的显著增加，而专注于先天性缺陷、烧伤和手部畸形重建的手术数量有统计学上的显著减少。在美容手术中，隆乳术、腹部整形术和乳房上提术的数量显著增加，而眼睑成形术和鼻整形术的数量显著减少。
了解ABPS专科医师不断变化的实践模式对于确定我们专业随时间发展的方向至关重要，并指导整形外科项目主任关注整形外科医生适当培训的重点领域。
