Evidence map›Paper›PMID 36315261›Full record

SynthesisAesthetic plastic surgery2023

Complications of Aesthetic Surgical Tourism Treated in the USA: A Systematic Review.

Phoebe B McAuliffe, Tessa E L Muss, Abhishek A Desai, Ankoor A Talwar, Robyn B Broach, John P Fischer

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Aesthetic plastic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Ethical considerations regarding medical tourism in Iran: a qualitative study.Journal of medical ethics and history of medicine · 2026
    Article
  6. Article
  7. Article
  8. Ethics in Global Plastic Surgery Missions.Plastic and reconstructive surgery. Global open · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Phoebe B McAuliffeDepartment of Plastic Surgery, Division of Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19102, USA. pmcauliffe1227@gmail.com.ORCID http://orcid.org/0000-0001-5996-7898
Tessa E L MussDepartment of Plastic Surgery, Division of Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19102, USA.
Abhishek A DesaiDepartment of Plastic Surgery, Division of Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19102, USA.
Ankoor A TalwarDepartment of Plastic Surgery, Division of Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19102, USA.
Robyn B BroachDepartment of Plastic Surgery, Division of Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19102, USA.
John P FischerDepartment of Plastic Surgery, Division of Surgery, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19102, USA.
University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical tourism has grown increasingly popular in the past few decades. Cosmetic surgery centers have developed in vacation locales, offering procedures at lower prices. However, surgeons and patients alike are often unprepared for management of complications after patients return to the USA. The aim of this study is to provide an overview of US cosmetic surgery tourism patients and the complications faced by US healthcare providers.

methodsA systematic review was performed using the Web of Science, Cochrane, Embase, Scopus, and PubMed databases up to February 2022; included articles were full-text, English language, and reported complications of patients receiving postoperative care in the USA after cosmetic surgery abroad. Two independent reviewers performed screening for article eligibility with a 3rd for conflict resolution. Patient demographics, procedure characteristics, and outcomes were extracted and aggregated.

resultsTwenty studies were included, describing 214 patients. Most patients were female (98.1%, n = 210), middle-aged, and Hispanic. The most common destination country was the Dominican Republic (82.7%, n = 177) and the most common surgical procedure was abdominoplasty (35.7%, n = 114). Complications were mainly infectious (50.9%, n = 112) and required prolonged treatment periods often greater than two months, with high rates of hospitalization (36.8%) and surgical management (51.8%).

conclusionsCosmetic surgery tourism is a growing industry with adverse implications for the US healthcare system and patients themselves. This review aims to serve as a reference to prepare plastic surgeons for the scope of complications associated with cosmetic tourism and improve counseling to better prepare patients for the financial and health risks. LEVEL OF EVIDENCE III: 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.

Indexed as

AbdominoplastyMedical TourismSurgery, PlasticEstheticsFemaleHumansMaleMiddle AgedPostoperative CareBody contouringComplicationCosmetic surgeryMedical tourismPlastic surgerySurgery abroad

Identifiers

PMID36315261
PMCPMC9619012
OpenAlexW4307913283

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.