A Systematic Review in Plastic Surgery

Dr. Carlos Chacon

December 29, 2022


A systematic review is a process of evaluating the quality of research and identifying gaps in knowledge about specific subjects. For plastic surgery, a systematic review can be used to assess the quality of studies in the field of reconstructive surgery and to identify the most critical research areas to investigate further. In the case of this paper, the authors discuss the selection of the best studies, the reporting of clinical trials, and the economic evaluation of the results. They also describe the use of machine learning in the clinical setting and how it can be applied in plastic surgery.

Economic evaluations in the plastic surgery domain

Economic evaluations in plastic surgery can help estimate the cost-effectiveness trade-offs of different clinical pathways and recommend new surgical interventions. However, the quality of these assessments could be better. Therefore, surgeons must consult a health economist when evaluating an economy.

The Consolidated Health Economic Evaluation Reporting Standards (CHEERS) is a resource that should be used to evaluate the quality of economic evaluations in the plastic surgery domain. Although the CHEERS is not a one-size-fits-all measurement, it does provide a benchmark. This is a critical step in the process of knowledge translation.

In the context of plastic surgery, the most notable metric is the amount of suffering associated with a given condition. While it is not the best measure of a surgical procedure, it can indicate whether or not the operation will relieve the suffering. Other steps may be more appropriate. For example, quantifying the amount of money spent on a given process may be more helpful.

Machine learning in the clinical setting of plastic surgery

Machine learning applications in the clinical setting of plastic surgery can be used for various purposes. They can improve the quality of surgical care, facilitate patient outcomes and prognosis, and streamline surgical planning processes.

There is a need to improve the accuracy of clinical diagnosis. This is possible with the development of machine learning models that can identify the clinical diagnosis of an intervention and its prognosis. The model can be used by itself or in conjunction with other methods.

In addition, computer-assisted surgical planning systems can reduce operating times, costs, and the risk of patient complications. Additionally, they can improve the consistency of the surgical plan. However, they require much manual input and do not improve doctor-patient communication.

Machine learning applications in the clinical setting of plastic surgeons have been used to predict surgical effects on skull deformities. Other applications include the prediction of surgical site infections in microsurgery.

The study selection process for surgeons in training

The study selection process for surgeons in training is complex. Its objective is to scrutinize the impact of surgical training on the skills of selected candidates. This process is part of a systems-based approach and involves professional development.

Various countries have different requirements for trainees. Some require applicants to complete an internship before proceeding to surgical training. In addition, the duration of the internship varies.

Depending on the country, trainees may also have to pass a national examination before entering surgical training. Similarly, the number of postgraduate years varies from four in Colombia to 10 in the UK.

Surgical training is a challenging career because of the high dedication required. All clinicians must train the next generation of doctors. But the field of surgery has historically been challenged by the underrepresentation of women and ethnic minorities. Consequently, national surgical societies have developed activities to increase the representation of underrepresented groups.

Reporting quality of RCTs in plastic surgery

The quality of reporting in plastic surgery RCTs has been under scrutiny. Two reviews have evaluated the quality of reports in the field. Several papers have also been published examining the quality of reporting in several surgical specialities.

Plastic surgeons have been publishing RCTs for years. However, some surgical journals have needed more methodological standards for reporting quality. These studies suggest a need for further education on trial methodology.

Moreover, there is an increasing demand for specialized treatments, which has led to a qualitative increase in the number of publications. Therefore, it is essential to improve the quality of research to ensure that it is used to advance the practice of plastic surgery.

Currently, many journals require the use of the CONSORT Statement. This checklist provides a standard framework for reporting randomized clinical trials. It is an updated version of the original statement, released in 1996.