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Psychoactive Drugs in Plastic Surgery.

Steven P Davison1, Brigit D Baglien1, Kylie D Hayes1

  • 1DAVinci Plastic Surgery, Washington D.C.; Department of Plastic Surgery, Georgetown University School of Medicine, Washington D.C.; University of Maryland School of Medicine, Baltimore, Md.; and University of Arkansas School of Medical Sciences College of Medicine, Little Rock, Ark.

Plastic and Reconstructive Surgery. Global Open
|May 2, 2017
PubMed
Summary
This summary is machine-generated.

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Psychoactive drug use is higher in plastic surgery patients than the general population. Reconstructive patients show greater use of these medications compared to cosmetic surgery patients.

Area of Science:

  • Plastic Surgery
  • Psychopharmacology
  • Patient Safety

Background:

  • Psychoactive drug use is increasing nationally.
  • Plastic surgery patients may be susceptible to higher rates of psychoactive drug use.
  • Patient safety is a concern when medical history is withheld.

Purpose of the Study:

  • Determine the incidence of psychoactive drug use in cosmetic and reconstructive plastic surgery patients.
  • Compare these rates to national averages.
  • Discuss patient safety implications of undisclosed psychoactive drug use.

Main Methods:

  • Retrospective review of 830 urban private plastic surgery patients (2009-2016).
  • Patients categorized into cosmetic and reconstructive cohorts.
  • Drug use assessed via medical scripts, history, and Surescripts data; mental health diagnosis disclosure also recorded.

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Main Results:

  • 33.6% of cosmetic surgery patients used at least one psychoactive drug.
  • 46.3% of reconstructive surgery patients used at least one psychoactive drug.
  • Exclusion of 70 male patients due to lack of comparative national data.

Conclusions:

  • A statistically significant higher prevalence of psychoactive drug use exists in this plastic surgery practice compared to the general population.
  • Reconstructive surgery patients exhibited a significantly higher rate of psychoactive drug use than cosmetic surgery patients.
  • Highlights the importance of comprehensive patient history for safe surgical practice.