MedicalResearch.com Interview with:
Shaun C. Desai, MD
Facial Plastic and Reconstructive Surgery
Department of Otolaryngology – Head & Neck Surgery
Johns Hopkins University School of Medicine
MedicalResearch.com: What is the background for this study? What are the main findings?
Dr. Desai: Estimates of the rate of revision septorhinoplasty and the risk factors associated with revision are unknown because the current published literature is limited to small, retrospective, single-surgeon studies with limited follow-up time. The purpose of this study is to determine the overall revision rates of patients undergoing a septorhinoplasty procedure (for functional or cosmetic reasons) and to determine risk factors for the revision. We found that the overall revision rate was 3.3% (5,775 patients of a total of 175,842 patients undergoing the procedure) with an average time to revision at 1 year. Risk factors for revision surgery included female gender, younger age, a history of anxiety or autoimmune disease, cosmetic indications, and more complicated initial surgery (i.e. cleft rhinoplasty).
MedicalResearch.com: What should clinicians and patients take away from your report?
Dr. Desai: These data provides clinicians and patients with valuable information for preoperative counseling for expectations regarding septorhinoplasty and a realistic idea of what the actual revision rates are. This study also provides robust data for third-party payers or government agencies in an era in which physician performance metrics require valid risk adjustment before being used for reimbursement and quality initiatives.
MedicalResearch.com: What recommendations do you have for future research as a result of this study?
Dr. Desai: Future studies being performed by our group include an analysis of hospital revisit rates after septorhinoplasty. Further recommendations include the continuation of these healthcare databases such as the the Healthcare Cost and Utilization Project to continue to accrue such rich data.
MedicalResearch.com: Thank you for your contribution to the MedicalResearch.com community.
Spataro E, Piccirillo JF, Kallogjeri D, Branham GH, Desai SC. Revision Rates and Risk Factors of 175 842 Patients Undergoing Septorhinoplasty. JAMA Facial Plast Surg.Published online March 10, 2016. doi:10.1001/jamafacial.2015.2194.
Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions.