Evidence map›Paper›PMID 39911531›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Ethical Dilemmas in Plastic Surgery: Insights From a Survey Study in Saudi Arabia.

Amr Youssef Arkoubi, Zainalabden E Jefri, Faris A Aldaghri, Faisal M Obeid, Abdulaziz Saleh Almodumeegh, Abdulmajeed Alhadlaq, Waiel A Daghistani, Hatan Mortada

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
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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

8 authors.

Amr Youssef ArkoubiFrom the Division of Plastic Surgery, Department of Surgery, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Zainalabden E JefriFaculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Faris A AldaghriDivision of Plastic Surgery, Department of Surgery, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Faisal M ObeidDivision of Plastic Surgery, Department of Surgery, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Abdulaziz Saleh AlmodumeeghDivision of Plastic Surgery, Department of Surgery, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Abdulmajeed AlhadlaqDivision of Plastic Surgery, Department of Surgery, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Waiel A DaghistaniDivision of Plastic Surgery, Department of Surgery, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Hatan MortadaDivision of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Plastic surgery often presents complex ethical dilemmas involving patient autonomy, informed consent, and resource allocation. This study aimed to explore these challenges and their impact on surgeons' decision-making processes. Methods: A survey study was conducted among plastic surgeons in Saudi Arabia between May and June 2024. An online-validated questionnaire was distributed to consultants, residents, and registrars. The survey covered demographic information and ethical dilemma scenarios. Data were analyzed using SPSS, with chi-square tests used to assess associations. Results: Among the 75 participants, 53.3% were consultants, 82.7% were male, and the majority (38.7%) were between 30 and 39 years of age. Most surgeons (41.3%) reported rarely encountering ethical dilemmas, with managing patient expectations being the most common issue, cited by 48.0% of respondents. Professional guidelines influenced decision-making for 56.0% of the participants. Consultants and residents had differing experiences; consultants were more concerned about advertising practices (75.0% compared with 12.5%) and complications (70.0% compared with 30.0%), whereas residents focused primarily on resource allocation (100.0% versus none of the consultants). Conclusions: Plastic surgeons in Saudi Arabia face various ethical challenges, with differences noted between consultants and residents. The findings highlight the importance of addressing these challenges to enhance decision-making and patient care.

Identifiers

PMID39911531
PMCPMC11798369

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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.