ArticleJournal of the Royal Society of Medicine2009
Caseload of NHS plastic surgeons in Scotland, 2005-2006: analysis of Scottish hospital activity data.
Article in Journal of the Royal Society of Medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the contemporary caseload of NHS plastic surgeons.
designDescriptive study.
settingScotland.
methodsAnalysis of routinely collected NHS hospital activity data relating to the financial year 2005-2006.
main outcome measuresNumber of inpatient/day-case episodes and bed-days by principal diagnosis and main operative procedure.
resultsDuring the study period, 12,844 inpatient and 9439 day-case episodes were recorded in 19,166 patients, accounting for 36,300 bed-days. There were more female patients, especially among middle-age groups. Socioeconomic deprivation was more common than expected (P < 0.0001), especially among younger age groups and male patients. In terms of episodes, the most common categories of diagnosis were neoplasms (28.4%) and injuries, including burns (22.4%). However, injuries accounted for a higher proportion of bed-days (37.3%) than neoplasms (23.8%). Only approximately half of all surgical procedures were assigned to the skin chapter of the OPCS-4 classification.
conclusionsDespite some limitations, this study provides an insight into the current caseload of NHS plastic surgeons working in Scotland. The data suggest that cosmetic surgery for purely aesthetic reasons represents a relatively small part of NHS plastic surgery activity in Scotland, and that the majority of caseload is in reconstructive plastic surgery.
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